17
SEC FORM CCDR State of Georgia Campaign Contribution Disclosure Report 1. Check One; 2. 0 Original Report jy] Filing is being made on behalf of: Candidate or Public Official Hite Sought or Held: House District 132 ammirtee Name" Friends of Calvin Smyre Report of Organization or Person Other 3. Identifying and Contact Information 0 ) Friends of Calvin Smyre than Candidate's Campaign Committee Filing office use Only Use Earlier of Post Mark or Hand Delivered Date (2) 10/07/2010 Full Name of Candidate or Non-Candidate Campaign Committee (PAC., Corporation, etc) TodaysDate 3) P.O. Box 181, Columbus, GA 31902 Mailing Address (4) (706) 549-2243 City and / or County Stale Zip Code ' ' If a Candidate or Public Officer, s there campaign committee {one or more persons) to make campaign transactions, ke campaign, or file the reports? jy] Yes ["] No (6) If so, is the Committee registered with the State Ethics Comm ^ 7 ' if so, complete the following. Robert Anderson Name of Chairperson and i or Treasurer of said committee ep the financial records of the 4. Period for which you are Reporting You Must Check Only One box My Non Election Year Q June 30, __ (year) n Dec. 31, (year) following the year in which the election •Persons leaving office with excess funds until such funds are expended as provided in the Act *Unsuccessful candidates with excess fiinds, or who receive contributions to retire expended, or such unpaid debts are satisfied (December 31 filing only! State of I, My Election Year nMarch31,_ (year) Q June 30, (year) 0 September 30, 2010 (year) Q October 25, _(year) Q December 3 1 , (year) Run-Off s (Report reined only if you are in a Run-Off ( Ebction) ,—, 6 days before Primary '—' Run-Off, (year) .1 6 days before General ' Run-Off, (year) 6 days before Special Q Primary Run-Off, (year) r—, 6 days before Special U Run-Off, ___(year) Special Elections eport required only if you are in a Special Election) , 15 days before Special ^ Primary, (year) r—, 15 days before Special, (year) ^] Dec. 3 1 , (year) Verification by Oath or Affirmation County of , being dulv sworn ( complete, true, and correct. Further, I affirm that the contents in this rep electronically filed. Sworn to and subscribed before me on 20 Signature of Notary Public My Commission expires Any person whsknowmgly fails 10-18-10 A09 o comply with or who knowingly violates any o ffirm). depose and say that the information in this report form is ort are the same as the contents in the electronic filing submitted, if also a Signature ofCandidate b Organi zation /ChairpersonTfreasurer •50 .. -

State of Georgia Campaign Contribution Disclosure …...Atlanta, GA 30339 a Daiichi Sankyo, Inc. 110 Paces Run Atlanta, GA 30339-3788 D Michael A. Eddings 1214 IstAve Suite 530 Columbus,

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Page 1: State of Georgia Campaign Contribution Disclosure …...Atlanta, GA 30339 a Daiichi Sankyo, Inc. 110 Paces Run Atlanta, GA 30339-3788 D Michael A. Eddings 1214 IstAve Suite 530 Columbus,

SEC FORM CCDR

State of GeorgiaCampaign Contribution Disclosure Report

1. Check One; 2.

0 Original Report jy]

Filing is being made on behalf of:

Candidate or Public Official

Hite Sought or Held: House District 132

ammirtee Name" Friends of Calvin Smyre

Report of Organization or Person Other

3. Identifying and Contact Information

0 ) Friends of Calvin Smyre

than Candidate's Campaign Committee

Filing office use Only

Use Earlier of PostMark or HandDelivered Date

(2) 10/07/2010

Full Name of Candidate or Non-Candidate Campaign Committee (PAC., Corporation, etc) TodaysDate

3) P.O. Box 181, Columbus, GA 31902

Mailing Address

(4) (706) 549-2243

City

and / or

County Stale Zip Code

' ' If a Candidate or Public Officer, s there campaign committee {one or more persons) to make campaign transactions, kecampaign, or file the reports? jy] Yes ["] No (6) If so, is the Committee registered with the State Ethics Comm

^7' if so, complete the following. Robert AndersonName of Chairperson and i or Treasurer of said committee

ep the financial records of the

4. Period for which you are ReportingYou Must Check Only One box

My Non Election Year

Q June 30, __ (year)n Dec. 31, (year)

following the year in which the election

•Persons leaving office with excess fundsuntil such funds are expended as providedin the Act

* Unsuccessful candidates with excessfiinds, or who receive contributions to retire

expended, or such unpaid debts are satisfied(December 31 filing only!

State ofI ,

My Election Year

nMarch31,_ (year)

Q June 30, (year)

0 September 30, 2010 (year)

Q October 25, _(year)

Q December 3 1 , (year)

Run -Off s(Report reined only if you are in a Run-Off (

Ebction)

,— , 6 days before Primary'— ' Run-Off, (year)

. — 1 6 days before General— ' Run-Off, (year)

6 days before SpecialQ Primary Run-Off,

(year)r— , 6 days before SpecialU Run-Off, ___(year)

Special Electionseport required only if you are in a Special

Election)

— , 15 days before Special^ Primary, (year)

r— , 15 days before Special,(year)

^] Dec. 3 1 , (year)

Verification by Oath or AffirmationCounty of

, being dulv sworn (complete, true, and correct. Further, I affirm that the contents in this repelectronically filed.

Sworn to and subscribed before me on 20

Signature of Notary Public

My Commission expires

Any person whsknowmgly fails10-18-10 A09

o comply with or who knowingly violates any o

ffirm). depose and say that the information in this report form isort are the same as the contents in the electronic filing submitted, if also

a Signature ofCandidate

b Organ i zation /ChairpersonTfreasurer

•50 .. -

Page 2: State of Georgia Campaign Contribution Disclosure …...Atlanta, GA 30339 a Daiichi Sankyo, Inc. 110 Paces Run Atlanta, GA 30339-3788 D Michael A. Eddings 1214 IstAve Suite 530 Columbus,

SEC FORM CCDRREV 03/2008 _

Campaign Contribution Disclosure ReportSummary Report

CONTRIBUTIONS RECEIVED1

2

3

3a

3b

3c

3d

4

5

6

7

8

9

10

11

12

| 1 1 have no contributions to report,

[yj I have the following contributions, including Common Source, to report.

A If this is the first time to file a disclosure reoort for the current office sought. KNTCR 0 inboth columns (one time only); or

B If this is the first report of this Reporting Cycle', ENTER 0 m the in-kind column and list anynet balance on hand brought forward from the previous reporting cycle in the cash amountcolumn (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 subseauem filing of this Reoortme Cvcle, list totals from line 6of 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

All loans received this reporting period.

Interest earned on campaign account this reporting period

Total amount of investments sold this reporting period

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

Total amount of all separate contributions of less than $101 00 each that were received in thisreporting period and not listed on the "Itemized Contnbutioas" page. "Common Source"contributions must be aggregated on the "Itemized Contributions" page

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

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

In-Kind EstimatedValue

$0.00

$158-00

• .

,„;• _ , : / " . ' •> . - . • .< , : " --A g

$0.00

$158.00

$158.00

O^A^

$110,309.00

$30,300.00

$5,000.00

$0.00

$000

$0.00

$100.00

$35,40000

$145,709.00

EXPENDITURES MADEQ I have no expenditures to report.

[y] 1 have the following expenditures report

Tola! expenditures made and reported prior to this reporting period It this is the

A First report of this Reoortine Cvcle* ENTER 0

B. Second or subsequent filing ENTER Line 12 of previous report.

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 $10 1.00 that were made m this reportingperiod and not listed on the "Itemized Expenditures" page

Total expenditures reported this period

(Line 9+ 10)

Total expenditures to date Total to be carried forward to next report of this reporting cycle*

(Line 8 +11)

INVESTMENTS13

14

IS

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

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

Net Balance On Hand.

(Line 6 -Line 12 + Line 14)

In-Kind EstimatedValue

$0.00

$0.00

$0.00

$0.00

$0.00

=—$105,596.28

$21,96775

$1,964.44

$23,932 19

$129,528.47

$0.00

$0.00

$16,180.53

'O.C.G.A § 2 l-5-34(bXl XDX») A reporting cycle shall cand shall conclude:

o be held for the public office to which a candid

f l ) Al the expiration of the tenn of office if such candidate is elected and does not seek reelection or election to some other office,( I I ) On December 31 of the year in which such el ecu on was held if such candidate is unsuccessful; or(III) If such candidate is successful and seeks reelection or seeks election to some other office the currenl reporting cycle shall end when the reporting cycle for reelec

Public Officer/Candidate/Non-Candidate Committee Name Friends of Calvin Smyre

Page 3: State of Georgia Campaign Contribution Disclosure …...Atlanta, GA 30339 a Daiichi Sankyo, Inc. 110 Paces Run Atlanta, GA 30339-3788 D Michael A. Eddings 1214 IstAve Suite 530 Columbus,

SEC FORM CCDRREV 06/2009

State of GeorgiaCampaign Contribution Disclosure Report

Itemized ContributionsMust List Contributions Received in aggregate of S101.00 or More

Nole: Loans are no longer reported in the "Itemized Contributions" swtion. See l^jan Reporting section belo

PI Mark if associaied'with a regulated entity

Full Name of Contributor

Mailing Address(Affiliation of Committee if any)

aAbbott Laboratories, Inc.1243 DunwoodyCvDunwoody, GA 30338

DACEC Georgia PAO233 Peachtree StreetHarris Tower, Suite 700Atlanta, GA 30303

D

ASTRAZENECAPHARMACEUTICALS, LPP.O. Box 180189Tallahassee, FL 32318

DAtlanta CommunicationsCompanyP.O.Box 93726Atlanta, GA 30377

DElizabeth R. Bates4234 Berkford CircleAtlanta, GA 3031 9

Contributor

Received Date

Contribution Type*

09/28/2010

Monetary

07/16/2010

Monetary

09/07/2010

Monetary

07/27/2010

Monetary

07/14/2010

Monetary

Occupation &

Employer

AbbottLaboratories, Inc.

Engineering PAC

Pharmaceutical

Communications

Public RelationsBates Associates

ElectionCycle**

General2010

Primary2010

General2010

General2010

Primary2010

CashAmount

$500.00

$500.00

$500.00

$500.00

$100.00

In-Kind Contribution

Estimated Value

Description

$0.00

$0.00

$000

$0.00

$0.00

Regulated Entity Page Total

Regulated Entity Total

* Contribution Type (Monetary, In-Kind, Common

** Election Cycle (Primary, General, Special, Spec

Public Oflicer/Cand ids te/Non -Candidate

$0.00 Itemized Contribution Page Total $2,100.00

$0,00

Source, Credit Received on Loan)

at Primary, Run-Off Primary, Run-Off General. Run -Off Special, Run-Off Special Primary)

Committee Name Friends of Calvin Smyre

$0.00

Page 1 of 8

Page 4: State of Georgia Campaign Contribution Disclosure …...Atlanta, GA 30339 a Daiichi Sankyo, Inc. 110 Paces Run Atlanta, GA 30339-3788 D Michael A. Eddings 1214 IstAve Suite 530 Columbus,

SEC (;ORM CCDRREV 06/2009

State of GeorgiaCampaign Contribution Disclosure Report

Itemized ContributionsMust List Contributions Received in aggregate of $101.00 or More

Note: Loans are no Itmeer reported in the "Itemized Contributions" section. See Loan Reporting section bejow.

Q Mark if associated*™* a regulated entity

Full Name of Contributor

Mailing Address

(Affiliation of Committee if any)

D

BEV PAC50 Hurt PlazaSuite 935Atlanta, GA 30303

DJames H. BlanchardP.O. Box 120Columbus. GA 31 902

D

James H. BlanchardP.O. Box 120Columbus, GA31902

D

BlueCross BlueShield ofGeorgiaP.O. Box 68086Atlanta, GA 45206

D

Civil Justice PAC, Inc.101 Marietta Street NWSuite 3350Atlanta, GA 30303

Contributor

Received Date

Contribution Type*

07/14/2010

Monetary

07/22/2010

Monetary

07/26/2010

Monetary

08/10/2010

Monetary

08/13/2010

Monetary

Occupation &

Employer

BeverageAssociation

Retired CEOSynovus

Retired CEOSynovus

Health Insurance

PACCivil Justice PAC,Inc.

ElectionCycle**

Primary2010

General2010

General2010

General2010

General2010

CashAmount

$250.00

$1,000.00

$1,40000

$1,000.00

$90000

In-Kind Contribution

Estimated Value

Description

$0.00

$0.00

,

$0.00

$0.00

$0.00

Regulated Entity Page Total

Regulated Entity Total

$000

$0.00

Itemized Contribution Page Total $4,550.00 $0.00

* ContnbutJon Type (Monetary, In-Kind, Common Source, Credit Received cm Loan)

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

Public Officer/Candidale/Non-Candidate Committee Name Friends of Calvin SmyrePage

Page 5: State of Georgia Campaign Contribution Disclosure …...Atlanta, GA 30339 a Daiichi Sankyo, Inc. 110 Paces Run Atlanta, GA 30339-3788 D Michael A. Eddings 1214 IstAve Suite 530 Columbus,

SEC FORM CCDRREV 06/2009

State of GeorgiaCampaign Contribution Disclosure Report

Itemized ContributionsMust List Contributions Received in aggregate of $101.00 or More

Note: Loans are no longer reported in the "Itemized Contributions" section. See Loan Reporting section below.

| | Mark if associated'with a regulated entity

Full Name of Contributor

Mailing Address(Affiliation of Committee if any)

D

Community Bank Employeesfor Better Government PAC1900 The ExchangeSuite 600Atlanta, GA 30339

aDaiichi Sankyo, Inc.110 Paces RunAtlanta, GA 30339-3788

DMichael A. Eddings1214 IstAveSuite 530Columbus, GA 31 901

DGeorgia Better Gov't8601 Dunwoody PlaceSuite 31 8Atlanta, GA 30350

D

Georgia CUPAC6705SugartoafPkwy.Suite 200Duluth. GA 30096

Contr butor

Received Date

Contribution Type*

09/07/2010

Monetary

08/06/2010

Monetary

08/04/2010

Monetary

07/30/2010

Monetary

07/16/2010

Monetary

Occupation &

Employer

Community BankPAC

PharmacyDaiichi Sankyo,Inc.

AttorneySelf-Employed

ApartmentAssociationInformationRequested

Credit Union PAC

ElectionCycle**

General2010

Genera2010

General2010

General2010

Primary2010

CashAmount

$300.00

$500.00

$2,000.00

$500.00

$500.00

In-Kind Contribution

Estimated Value

Description

$0.00

$0.00

$0.00

$0.00

$0.00

Regulated Entity Page Total

Regulated Entity Total

$0.00

$0.00

Itemized Contribution Page Total $3,800 00 $0.00

* Contribution Type (Monetary, In-Kind, Common Source, Credit Received on Loan)

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

lie Officer/Candidate/Non-Candidate Committee Name Friends of Calvin SmyrePubliPage

Page 6: State of Georgia Campaign Contribution Disclosure …...Atlanta, GA 30339 a Daiichi Sankyo, Inc. 110 Paces Run Atlanta, GA 30339-3788 D Michael A. Eddings 1214 IstAve Suite 530 Columbus,

SEC FORM CCDRREV 06/2009

State of GeorgiaCampaign Contribution Disclosure Report

Itemized ContributionsMust List Contributions Received in aggregate of $101.00 or More

Note- Loans are no longer reported in the "Itemized Contributions" section. See Loan Reporting section below.

r~j Mart: if associated 'with a regulated entity

Full Name of Contributor

Mailing Address

(Affiliation of Committee if any)

DGeorgia Optometric AssociationPAC1000 Corporate Center DrSte 240Morrow, GA 30260-4129

D

Harris Penn & Lowry817 W. Peachtree StreetSuite1105Atlanta, GA 30308

D

James M. Hunter4610 Orkney LaneAtlanta, GA 30331

D

Kraft Foods Global, Inc.One Penn's WayNewcastle, DE 19720

DMalone Law OfficeTwo Ravinia DriveSuite 300Atlanta. GA 30346

Contributor

Received Date

Contribution Type*

07/16/2010

Monetary

09/14/2010

Monetary

07/16/2010

Monetary

07/12/2010

Monetary

08/25/2010

Monetary

Occupation &

Employer

Optometrist PACGeorgia OptometricAssociation PAC

Law Firm PAC

AttorneyMorris Manningand Martin

Kraft Foods Global,Inc.

Law Firm

ElectionCycle**

Primary2010

General2010

Primary2010

Primary2010

General2010

CashAmount

$500.00

$1,000-00

$250.00

$1,000.00

$1,500.00

In-Kind Contribution

Estimated Value

Description

$0.00

$0.00

$0.00

$0.00

$0.00

Regulated Entity Page Total

Regulated Entity Total

$000

$0.00

Itemized Contribution Page Total $4,250.00 $0.00

* Contribution 'lype (Monetary, In-Kind. Common Source, Credit Received on Loan)

** Election Cycle (Primaiy, General, Special, Special Primary, Run-O FT Primary, Run-Off General, Run-Off Special, Run-Off Special Pnmaiyl

Public Officer/Candidate/Non-Candidate Committee Name Friends of Calvin Smyre

Page 7: State of Georgia Campaign Contribution Disclosure …...Atlanta, GA 30339 a Daiichi Sankyo, Inc. 110 Paces Run Atlanta, GA 30339-3788 D Michael A. Eddings 1214 IstAve Suite 530 Columbus,

SEC FORM CCDRREV 06/2009

State of GeorgiaCampaign Contribution Disclosure Report

Itemized ContributionsMust List Contributions Received in aggregate of $101.00 or More

Now Loans are no longer reported in the "Itemized Contributions" section. See Loan Reporting section below.

D Mark if associated* with a regulated entity

Full Name of Contributor

Mailing Address

(Affiliation of Committee if any)

F ' " 'Merck Sharp & Dohme Corp.3027 Wellington Court SEAtlanta, GA 30339

DSam Mitchell40 Bay StreetSuite 400Toronto, ON MSJ2X2

aNelson Mullins Riley &Scarborough LLP201 17THST., N.W.SUITE 1700, ATLANTICSTATIONAtlanta, GA 30363

DPfizer, Inc.400 Pehmeter Center Ter NESte 700Atlanta, GA 30346-1234

DPhilip Morris USA Inc333 N, Pt Center ESuite 615Alpharetta, GA 30022

Contributor

Received Date

Contribution Type*

09/13/2010

Monetary

08/04/2010

Monetary

08/30/2010

Monetary

07/16/2010

Monetary

09/10/2010

Monetary

Occupation &

Employer

GlaxoSmithKline

InformationRequestedToronto Raptors

Law FirmNelson MultinsRiley andScarborough, LLP

PharmaceuticalsPfizer

Tobacco

ElectionCycle**

General2010

General2010

General2010

Primary2010

General2010

CashAmount

$1,000.00

$2,400.00

$250.00

$500.00

$1.500.00

In-Kind Contribution

Estimated Value

Description

$0.00

$0.00

50.00

$0.00

$0.00

Regulated Entity Page Total

Regulated Entity Total

$0.00

$0.00

Itemized Contribution Page Total $5,650.00 $000

' 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/Candid ate/Non-Can did ate Committee Name Friends of Calvin Smyre

Page 8: State of Georgia Campaign Contribution Disclosure …...Atlanta, GA 30339 a Daiichi Sankyo, Inc. 110 Paces Run Atlanta, GA 30339-3788 D Michael A. Eddings 1214 IstAve Suite 530 Columbus,

SEC FORM CCDRREV 06/2009

State of GeorgiaCampaign Contribution Disclosure Report

Itemized ContributionsMust List Contributions Received in aggregate of $101.00 or More

Note: Loans arc no longer reported in the "Itemized Contributions" section. See Loan Reporting section below.

Q] Mark if associated* with a regulated entity

Full Name of Contributor

Mailing Address(Affiliation of Committee if any)

DPope & Howard, P.O.945 E. Paces Ferry RoadSuite 2525Atlanta, GA 30326

DProgress Energy Employee'sFederal PACPOBox 1510Raleigh, NC 27602

fj

Steel Restaurant & Lounge950 W Peachtree St NWAtlanta, GA 30309-3846

DResurgens P.C,5671 Peachtree DunwoodyRoadSuite 700Atlanta, GA 30342

DCharles Robinson jr.3599 Crown Point Ct.Decatur, GA 30032

Contributor

Received DateContribution Type*

09/02/2010

Monetary

08/26/2010

Monetary

07/14/2010

In-Kind

08/05/2010

Monetary

07/22/2010

Monetary

Occupation &

Employer

Law Firm

Utility ServiceProvider

RestaurantSteel Restaurantand Lounge

Physicians

Health CareManagementSadie MayesHealth Center

ElectionCycle**

General2010

General2010

Primary2010

General2010

General2010

CashAmount

$2,000.00

$500.00

$0.00

$300.00

$250.00

In-Kind Contribution

Estimated Value

Description

$0.00

$0.00

$158.00

Food for fundraiser

$0.00

$0.00

Regulated Entity Page Total

Regulated Entity Total

$0 00 Itemized Contribution Page Total $3,050,00

$0,00

$158,00

* Contribution Type (Monetary, In-Kind, Common Source, Credit Received on Loan)

** Election Cycle (Primary, General, Special. Special Primary. Run-Off Primary, Run-Off General, Rim-Off Special, R mi-Off Special Primary)

Public Officer/Candida te/Non-Candidate Committee Name Friends of Calvin Smyre

Page 9: State of Georgia Campaign Contribution Disclosure …...Atlanta, GA 30339 a Daiichi Sankyo, Inc. 110 Paces Run Atlanta, GA 30339-3788 D Michael A. Eddings 1214 IstAve Suite 530 Columbus,

SEC FORM CCDRREV 06/2009

State of GeorgiaCampaign Contribution Disclosure Report

Itemized ContributionsMust List Contributions Received in aggregate of $101.00 or More

Note: Loans are no longer reported in the "Itemized Contributions" section. See Loan Reporting section below.

Q Mark if associated'with a regulated entity

Full Name of ContributorMailing Address(Affiliation of Committee if any'

DRoy B. Robinson IIIPO Box 250323Atlanta, GA 30325-1 323

DSAMARC Foundation2504 Beech Tree Ct SWConyers.GA 30094-61 76

D

Standard Concrete Products,Inc.PO Box 1360Columbus, GA 31902-1360

D

SunTrust Bank GoodGovernment GroupMail Code 004125 Park PlaceAtlanta, GA 30303

D

Swope & Rodante, P.A.1 234 East 5th AvenueTampa, FL 33605

Contr butor

Received DateContribution Type*

07/14/2010

Monetary

07/14/2010

Monetary

07/07/2010

Monetary

07/16/2010

Monetary

08/31/2010

Monetary

Occupation &Employer

Government AffairsSelf Employed

Summer CampFoundation

ConcreteSelf Employed

Bank

Law Firm

ElectionCycle"

Primary2010

Primary2010

Primary2010

Primary2010

General2010

CashAmount

$500.00

$250.00

$500.00

$250.00

$1,000.00

In-Kind Contribution

Estimated ValueDescription

$000

$000

$000

$0.00

$0.00

Regulated Entity Page Total

Regulated Entity Total

$000

$0.00

Itemized Contribution Page Total $2,500.00 $000

* 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/Candidale/Non-CanditlHle Committee Name Friends of Calvin SmyrePage

Page 10: State of Georgia Campaign Contribution Disclosure …...Atlanta, GA 30339 a Daiichi Sankyo, Inc. 110 Paces Run Atlanta, GA 30339-3788 D Michael A. Eddings 1214 IstAve Suite 530 Columbus,

SEC FORM CCDRREV 06/2009

State of GeorgiaCampaign Contribution Disclosure Report

Itemized ContributionsMust List Contributions Received in aggregate of $101.00 or More

Note: Loam are no longer reported in the "Itemized Contributions" section. See Loan Reporting section below.

Q Mark if associated* with a regulated entity

Full Name of Contributor

Mailing Address(Affiliation of Committee if any)

DSynovus Financial Corp. StateFund for Eff. LShipP.O. Box 120Columbus, GA 31902

DThe Georgia Medical PoliticalAction Committee1849 The ExchangeSuite 200Atlanta, GA 30339

D

United Health Services ofGeorgia PAC, Inc.POBox 1210Toccoa, GA 30577-1421

D

Robert Lee Wright Jr.6369 Brampton CourtAlexandria, VA 22304

Contributor

Received DateContribution Type*

09/27/2010

Monetary

09/07/2010

Monetary

07/01/2010

Monetary

07/20/2010

Monetary

Occupation &

Employer

Financial ServicesSynovus FinancialCorporation

Medical PACMedica!Association ofGeorgia PAC

United HealthServices ofGeorgia PAC, Inc.

InformationRequestedInformationRequested

ElectionCycle*'

General2010

General2010

Primary2010

Primary2010

CashAmount

$2,400.00

$500.00

$500.00

$1,000.00

In-Kind Contribution

Estimated Value

Description

$000

$000

$000

$0.00

Regulated Entity Page Total

Regulated Entity Total

$0.00

$0.00

Itemized Contribution Page Total $4,400.00 $000

ce. Credit Received on Loan)iribulioii Type (Monetary, In-Kind, Common Source, ^reon i\eceivec on Loan)

fction Cycle (Primary, General. Special, Special Primary, Run-Off Primary, Run-Off General, Run-Off Special, Run-Off Special Primary)

Piiblic Officcr/Candidatc/Non-Candidale Committee Name Friends of Calvin Smyre

Page 11: State of Georgia Campaign Contribution Disclosure …...Atlanta, GA 30339 a Daiichi Sankyo, Inc. 110 Paces Run Atlanta, GA 30339-3788 D Michael A. Eddings 1214 IstAve Suite 530 Columbus,

SEC FORM CCDRREV 03/2008

State of GeorgiaCampaign Contribution Disclosure Report

Itemized ExpendituresMust list expenditures made to a single recipient for which the aggregate total is $101.00 or more

List Name and Mailing Addressof Recipient

Campaign to Re-Elect CarolFullerton639 Fifth AvenueAlbany, GA 31701

Catherine MurphyEddy Middle School2100 Lumpkin RdColumbus, GA 31903

CB&T Card ServicesPO Box 23061Columbus, GA 31 902-3061

END RCPT: Verizon Wireless335 Spindle CourtAtlanta, GA 30350

END RCPT: Uncle Bob'sStorage4510 Armour RdColumbus, GA 31 904

CB&T Card ServicesPO Box 23061Columbus, GA 31902-3061

END RCPT: CB&T CardServicesPO Box 23061Columbus, GA 31902-3061

END RCPT: Target.com1 000 Nicoltet MallMinneapolis, MN 55403

Expenditure Date

Expenditure Type*

07/07/2010

Expenditure

07/07/2010

Expenditure

09/08/2010

Credit Card

08/07/2010

End Recipient

$159.19

08/03/2010

End Recipient

$168.00

07/29/2010

Credit Card

07/08/2010

End Recipient

$3900

07/01/2010

End Recipient

$114.35

Occuption &Employer

Catering

Credit Card

Telecommunications

Storage Facility

Credit Card

Credit Card

Expenditure Purpose

Contribution

Catering Services

Credit Card payment

Cell Phone

Storage

Credit Card Payment

Bank Fee

Supplies

Amount Paid

$50000

Primary2010

$250.00

Primary2010

$327.19

General2010

$000

General2010

$000

General2010

$666.30

General2010

$000

Primary2010

$0.00

Primary2010

Page Total $1,743.49

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

Public Officer/Candidate/Non-Candidate Committee Name Friends of Calvin Smyre Page

Page 12: State of Georgia Campaign Contribution Disclosure …...Atlanta, GA 30339 a Daiichi Sankyo, Inc. 110 Paces Run Atlanta, GA 30339-3788 D Michael A. Eddings 1214 IstAve Suite 530 Columbus,

SEC FORM CCDRREV 03/2008

State of GeorgiaCampaign Contribution Disclosure Report

Itemized ExpendituresMust list expenditures made to a single recipient for which the aggregate total is $101.00 or more

List Name and Mailing Addressof Recipient

END RCPT: Delta Airlines1 030 Delta BoulevardAtlanta, GA 30320

END RCPT: Uncle Bob'sStorage4510 Armour RdColumbus, GA31904

END RCPT: Steel Restaurant &Lounge950 W Peachtree St NWAtlanta, GA 30309-3846

CB&T Card ServicesPO Box 23061Columbus, GA 31902-3061

END RCPT: MD AndersonCancer CenterThe University of TexasP.O. Box 4486Houston, TX 77210

END RCPT: Dillard's1 600 Cantrell RoadLittle Rook, AR 72201

END RCPT: Verizon Wireless335 Spindle CourtAtlanta, GA 30350

END RCPT: Georgia Dome1 Georgia Dome Or NWAtlanta, GA 3031 3-1 504

Expenditure Date

Expenditure Type*

07/01/2010

End Recipient

$160.70

07/03/2010

End Recipient

$134.00

07/14/2010

End Recipient

$218.25

07/12/2010

Credit Card

07/01/2010

End Recipient

$500.00

07/01/2010

End Recipient

$142.51

07/01/2010

End Recipient

$72.18

07/01/2010

End Recipient

$42000

Occuption &Employer

Airline

Storage Facility

Restaurant/SteelRestaurant andLounge

Credit Card

Telecommunications

Stadium

Expenditure Purpose

Airline Tickets

Storage

Food and Deverage

Credit Card Payment

Donation to CancerCenter

Gifts for Supporters

Cell Phone

Tickets forSupporters

Amount Paid

$0.00

Primary2010

$0.00

Primary2010

$0.00

Primary2010

$1,970.97

General2010

$0.00

Primary2010

$0.00

Primary2010

$0.00

Primary2010

$0.00

Primary2010

Page Total $1,970.97

* Expenditure Type (Expenditure, In-Kmd, Loan Repayment, Refund, Reimbursement. Credit Card, 3rd Party, Deferred Paym

Public Officer/Candidate/Non-Candidate Committee Name FriendS Of Calvin Smyre Page

Page 13: State of Georgia Campaign Contribution Disclosure …...Atlanta, GA 30339 a Daiichi Sankyo, Inc. 110 Paces Run Atlanta, GA 30339-3788 D Michael A. Eddings 1214 IstAve Suite 530 Columbus,

SEC FORM CCDRREV 03/2008

State of GeorgiaCampaign Contribution Disclosure Report

Itemized ExpendituresMust list expenditures made to a single recipient for which the aggregate total is S101.00 or more

List Name and Mailing Addressof Recipient

END RCPT: Spices From theCaribbean4022 University AveColumbus, GA 31907

END RCPT: Uncle Bob'sStorage4510 Armour RdColumbus, GA 31904

END RCPT: Dick's SportingGoods, Inc.300 Industry Drive RIDC ParkWestPittsburgh, PA 15275

Committee to Elect AlisnaThomas Morgan6570 Brandermere WayAustell, GA30168

Committee to Elect Dar'ShunKendrick1981 Piedmont Point DriveLithonia, GA 30058

Committee to Elect GlennBakerPOBox 1529Jonesboro, GA 30237

Committee To Elect StaceyEvans940 Artwood Road, N.E.Atlanta, GA 30307

Committee To Elect YasminNeal7393 Tara Road #103Jonesboro, GA 30236

Expenditure Date

Expenditure Type*

07/01/2010

End Recipient

$589.98

07/01/2010

End Recipient

$134.00

07/01/2010

End Recipient

$112.30

07/14/2010

Expenditure

08/06/2010

Expenditure

07/07/2010

Expenditure

09/14/2010

Expenditure

08/06/2010

Expenditure

Occuption &Employer

Storage Facility

Expenditure Purpose

Catering FundraisingEvent

Storage

FVSU ScholarshipLuncheon Gift

Contribution

Contribution

Contribution

Contribution

Contribution

Amount Paid

$000

Primary2010

$000

Primary2010

$000

Primary2010

$500.00

Primary2010

$500.00

General2010

$50000

Primary2010

$250.00

General2010

$50000

Genera!2010

Page Total $2,250.00

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

Public Officer/Candidate/Non-Candidate Committee Name Frjends of Calvin Smyre Page

Page 14: State of Georgia Campaign Contribution Disclosure …...Atlanta, GA 30339 a Daiichi Sankyo, Inc. 110 Paces Run Atlanta, GA 30339-3788 D Michael A. Eddings 1214 IstAve Suite 530 Columbus,

SEC FORM CCDRREV 03/2008

State of GeorgiaCampaign Contribution Disclosure Report

Itemized ExpendituresMust list expenditures made to a single recipient for which the aggregate total is $101.00 or more

List Name and Mailing Addressof Recipient

Committee to Re-Elect CarolynHugleyPO Box 6342Columbus, GA 31917

Committee to Re-elect Don Wix4630 Glore RoadMableton, GA 30126

Committee to Re-Elect EarnestWilliams5044 Club Vista PointStone Mountain, GA 30088

Committee to Re-elect KeithHeardP.O. Box 5068Athens. GA 30604

Committee to Re-Elect MimiWood son2931 Avondale Rd.Columbus, GA 31903

Committee to Re-Elect RashadTaylorP OBox11078Atlanta, GA 30310

Committee to Re-Elect RobertaAbdul-SalaamPO Box 960941Riverdale, GA 30274

Committee to Re-Elect SheilaJones183 Forsyth StreetAtlanta, GA 30302

Expenditure Date

Expenditure Type*

07/07/2010

Expenditure

07/07/2010

Expenditure

07/07/2010

Expenditure

07/07/2010

Expenditure

08/24/2010

Expenditure

07/12/2010

Expenditure

07/07/2010

Expenditure

07/07/2010

Expenditure

Occuption &Employer

Campaign

Committee toRe-elect Don Wix

Representative fromthe 89th district

Committee toRe-Elect MimiWood son

Campaign Account

Campaign Account

Expenditure Purpose

CampaignContribution

Contribution

Contribution

CampaignContribution

CampaignContribution

Contribution

CampaignContribution

CampaignContribution

Amount Paid

$250.00

Primary2010

$500.00

Primary2010

$500.00

Primary2010

$500.00

Primary2010

$500.00

General2010

$500.00

Primary2010

$500.00

Primary2010

$500.00

Primary2010

Page Total $3,750.00

* Expenditure Type (Expenditure, In-Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payr

Public Officer/Caiididatt/Noii-CaiididaK Committee Name Friends of Calvin Smyre Page

Page 15: State of Georgia Campaign Contribution Disclosure …...Atlanta, GA 30339 a Daiichi Sankyo, Inc. 110 Paces Run Atlanta, GA 30339-3788 D Michael A. Eddings 1214 IstAve Suite 530 Columbus,

SEC FORM CCDRREV 03/2008

State of GeorgiaCampaign Contribution Disclosure Report

Itemized ExpendituresMust list expenditures made to a single recipient for which the aggregate total is $101.00 or more

List Name and Mailing Addressof Recipient

Committee to Re-Elect TerryJohnson570 Shay DrMarietta, GA 30060

Committee to Re-Elect ToneyCollins1640 Ellington Rd.Conyers, GA 30013

Committee to Re-Elect ToneyCollins1640 Ellington Rd.Conyers, GA30013

Committtee to Elect PedroMarin4420 Hopkins DriveDuluth, GA 30096

Framing Factory & Art Gallery1325 17thStColumbus, GA 31901

Georgia State UniversityFoundationPO Box 3999Atlanta, GA 30302

GMACPO Box 78369Phoenix, AZ 85062

Hazel's Flowers & Gifts1868 Midtown Dr.Columbus, GA 31906

Expenditure Date

Expenditure Type*

07/07/2010

Expenditure

07/07/2010

Expenditure

08/06/2010

Expenditure

07/07/2010

Expenditure

09/08/2010

Expenditure

08/30/2010

Expenditure

09/20/2010

Expenditure

09/09/2010

Expenditure

Occuption &Employer

Campaign

CampaignAccount, /The State ofGeorgia

Art Gallery

Flower Shop

Expenditure Purpose

Contribution

Contribution

Contribution

CampaignContribution

Frame for Donation

Ten GSU FootballTickets

Travel MileageExpense

Contribution

Amount Paid

$500.00

Primary2010

$500.00

Primary2010

$500.00

General2010

$50000

Primary2010

$160.50

General2010

$150.00

General2010

$3,01504

General2010

$16850

General2010

Page Total $5,494.04

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

Public Oflicer/Candidate/Non-Candidate Committee Name FriendS of Calvin Smyre Page

Page 16: State of Georgia Campaign Contribution Disclosure …...Atlanta, GA 30339 a Daiichi Sankyo, Inc. 110 Paces Run Atlanta, GA 30339-3788 D Michael A. Eddings 1214 IstAve Suite 530 Columbus,

SEC FORM CCDRREV 03/2008

State of GeorgiaCampaign Contribution Disclosure Report

Itemized ExpendituresMust list expenditures made to a single recipient for which the aggregate total is $101.00 or more

List Name and Mailing Addressof Recipient

Historic Columbus Foundation1440 Second AveCoiumbus, GA 31906

Macy'sPO Box 183083Columbus, OH 4321 8

Catherine McBride1145 Harness OrColumbus, GA 31906

Millie's Military AppreciationDay2033 South Lumpkin RoadColumbus, GA 31903

Prudent Publishing, The GalleryCollection65 Challenger RoadRidgefield Park, NJ 07660-2111

Sharon Beasley-TeagueCampaignPO Box 488Red Oak, GA 30272

Southwest Georgia ConferenceLay Organization4807 Pybum CtColumbus, GA 31907-5097

The Atlanta Journal ConstitutionPO Box 8487Columbus, GA 31903

Expenditure Date

Expenditure Type*

08/09/2010

Expenditure

09/24/2010

Expenditure

09/14/2010

Expenditure

08/23/2010

Expenditure

09/28/2010

Expenditure

07/07/2010

Expenditure

08/16/2010

Expenditure

08/09/2010

Expenditure

Occuption &Employer

Chairperson/FirstAfrican BaptistChurch

Prudent Publishing,The GalleryCollection

SharonBeasley-TeagueCampaign

AJC

Expenditure Purpose

Membership Fee

MLK ElementarySchool Raffle GiftCard

Women's DayContribution at FirstAfrican Baptist

Sponsorship

Printing

Contribution

Sponsorship / Ad

Subscription

Amount Paid

$125.00

General2010

$200.00

General2010

$350.00

General2010

$200.00

General2010

$653.52

General2010

$500.00

Primary2010

$300.00

General2010

$186.73

General2010

Page Total $2,515.25

* Expenditure Type (Expenditure, In-Kind, Loan Repayment, Refund, Reimbursement, Credii Card, 3rd Partj, Deferred PaynPayment on Deferred Expense, Investment)

Public Offiter/Candidate/Non-Candidate Committee Name FriendS Of Calvin Smyre

Page 17: State of Georgia Campaign Contribution Disclosure …...Atlanta, GA 30339 a Daiichi Sankyo, Inc. 110 Paces Run Atlanta, GA 30339-3788 D Michael A. Eddings 1214 IstAve Suite 530 Columbus,

SEC FORM CCDRREV 03/2008

State of GeorgiaCampaign Contribution Disclosure Report

Itemized ExpendituresMust list expenditures made to a single recipient for which the aggregate total is SI 01. 00 or more

List Name and Mailing Addressof Recipient

The Committee to Re-Elect BillyMitchellP.O. Box 55Stone Mountain, GA 30086

The Oblander Group11 00 Spring StreetSuite 360Atlanta, GA 30309

Uncle Bob's Storage4510 Armour RdColumbus, GA 31904

Word ExpressPO Box 443Elberton, GA 30635

Expenditure Date

Expenditure Type*

07/07/2010

Expenditure

08/04/2010

Expenditure

08/31/2010

Expenditure

08/03/2010

Expenditure

Occuption &Employer

The Committee toElect Billy Mitchell

FundraisingConsultants

Storage Facility

Printing

Expenditure Purpose

Contribution

Fundraising Fee

Storage

Legislative ReportNewsletter

Amount Paid

$500.00

Primary2010

$3,500.00

General2010

$134.00

General2010

$110.00

General2010

$4,24400

* Expenditure Type (Expenditure. In-Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Part>, Deferred PayinPayment on Deferred Expense, Invesrment)

Public Oflicer/Candidate/Non-Candidate CommiHte Name Friends of Calvin Smyre Past