0 Report of Organization or Person Other than Candidate's Campaign Committee Mark or Hand. Name of Chairperson and/or Treasurer of Committee
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1 1. Save to File 2. Attach to REV Report Type 2. Filing is being made on behalf of (Select One): Filing office use only (Select One) o Candidate or Public Official Office Sought or Held: Chairman, Cobb County Board of Commissioners [{] Original Report (Include county, municipality, district, post or judicial circuit) Committee Name: Savage for Chairman o Amended Report Use Earlier of Post 0 Report of Organization or Person Other than Candidate's Campaign Committee Mark or Hand Amendment # Delivered Date 3. Identifying and Contact Information (1) Larry Savage (2) 06/30/2010 Full Name of Candidate or Non-Candidate Campaign Committee Today's Date (3) 4226 Columns Drive Marietta GA Mailing Address City State Zip Code (4) (770) and / or (404) Contact Phone Number (We will understand the release of this information as permission to call your office if necessary) (5) If a Candidate or Public Official, is there a campaign committee (one or more persons) to make campaign transactions, keep the financial records of the campaign, or file the reports? DYes IZl No (6)If so, is the committee registered with the State Ethics Commission? DYes D No (7) If so, complete the following: 4. Period for which you are Reporting Name of Chairperson and/or Treasurer of Committee My Non Election Year My Election Year Run-Offs Special Elections (Report required only if you are in arun-off (Report required only if you are in a Special ojune 30, (year) OMarch 31, (year) 06 days before Primary o15 days before Run-Off, (year) Special Primary, ODec.31, (year) ojune 30,.2O.1{L (year) 06 days before General (year) Election) Run-Off, (year) "Persons elected to office in each year following oseptember 30, (year) 06 days before Special o 15 days before the year in which the election occurs Primary Run-Off, Special, (year) *Persons leaving office with excess funds until such funds are expended as provided in the Act ooctober 25, (year) (year) "Unsuccessful candidates with excess funds, or 06 days before Special ODec.31, (year) who receive contributions to retire debt incurred, until such funds are expended, or such unpaid odecember 31, (year) Run-Off, (year) debts are satisfied (December 31 filing only) Election) Verification by Oath or Affirmation County of Cobb I, Larry Savage, being duly sworn ffirm), depose say that the information in this report form is complete, true, and correct. Further, I affi that the con ts in this report are the same as the contents in the electronic filing submitted, ifalso electronic y filed. Sworn to and subscribed before me on June 30,20~ ~. /-/J Signature of Notary Public a. Signature of Candidate _I. b. OrganizationiChairpersonffreasurer My Commissionexpires Any person who knowingly fails to comply with or who knowingly violates any of the provisions of the Ethics in Government Act shall be guilty ofa misdemeanor.
2 REV031Z008 Summary Report CONTRIBUTIONS RECEIVED 1 I have no contributions to report. In-Kind o I have the following contributions, including Common Source, to report: Estimated Value A. If this is the first time to flle a disclosure report for the current office sought. ENTER 0 in both columns (one time only); or 2 3 B. If this is the first report of this Reporting Cycle*, ENTER 0 in the in-kind column and list any net balance on hand brought forward from the previous reporting cycle in the cash amount column (Line 13 of previous report, or total funds left over at year end of previous cycle); or C. If this filing is the second or subsequent filing of this Reporting Cycle, list totals from Line 6 of previous report in both the in-kind and cash amount columns. Total amount of all itemized contributions received in this reporting period which are listed on the "Itemized Contributions" page. Cash Amount I $0.001 I $0.001 $4, a All loans received this reporting period. $15, b Interest earned on campaign account this reporting period. $0.00 3c Total amount of investments sold this reporting period. $0.00 3d Total amount of cash dividends and interest paid out this reporting period. $0.00 Total amount of all separate contributions of less than $ received in this 4 reporting period and not listed on the "Itemized Contributions" page. "CommonSource" contributionsmust be aggregated on the "ItemizedContributions"page. $ Total contributions reported this period. (Line 3 + 3a + 3b + 3c + 3d + 4) $0.00 $19, Total contributions to date. Total to be carriedforward to next report of this reporting cycle". (Line 2 + 5) $0.00 $19, EXPENDITURES MADE 7 I have no expenditures to report. In-Kind o I have the following expenditures to report: Estimated Value Cash Amount Total expenditures made and reported prior to this reporting period. If this is the 8 A. First report of this Reporting Cycle", ENTER O. B. Second or subsequent filing ENTER Line 12 ofnrevious renort. 9 Total amount of all itemized expenditures made in this reporting period which are listed on the "Itemized Expenditures" page. 10 Total amount of all separate expenditures of less than $ that were made in this reporting period and not listed on the "Itemized Expenditures" page. 11 Total expenditures reported this period. (Line ) $0.00 $ Total expenditures to date. Total to be carriedforward to next report of this reporting cycle". (Line ) $0.00 $0.00 INVESTMENTS 13 Total value of investments held at the beginning of this reporting period. 14 Total value of investments held at the end of this reporting period. 15 Net balance on hand. (Line ) $19, * O.C.C.A (b)(i) (D) (il) A reporting cycle shall commence on January 1 of the year in which an election is to be beld for the public office to which a candidate seeks election and shall conclude: (I) At the expiration of the term of office if such candidate is elected and does not seek reelection or election to some other office; (II) On December 31 of the year in which such election was held if such candidate is unsuccessful; or (lid If such candidate is successful and seeks reelection or seeks election to some other office the current reporting cycle shall end when the reporting cycle for reelection or for some other office begins. Public Officer/Candidate/Non-Candidate Committee Name _L_a_r_ry=--S_a_v_a..:9:...e _
3 REV03/200S Outstanding Indebtedness Election Cycle": Special Election Year: 2010 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 4 Payments made on loans this reporting period. S Credits received on loans this reporting period. 6 Payments this reporting period on previously deferred expenses. 7 Total indebtedness at the close of this reporting period. (Line S - 6) $0.00 Election Cycle*: Special Election Year: 2010 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 4 Payments made on loans this reporting period. S Credits received on loans this reporting period. 6 Payments this reporting period on previously deferred expenses. 7 Total indebtedness at the close of this reporting period. (Line S - 6) $0.00 Election Cycle*: Special Election Year: 2010 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 4 Payments made on loans this reporting period. S Credits received on loans this reporting period. 6 Payments this reporting period on previously deferred expenses. 7 Total indebtedness at the close of this reporting period. (Line ) $0.00 * Election Cycle (Primary, General, Special, Special Primary, Run-Off Primary, Run-Off General, Run-Off Special, Run-Off Special Primary) Public Officer/CandidatelNon-Candidate Committee Name _L_a_rry S_a_V_a_9_ e _
4 REV Itemized Contributions Must list contributions received by a single contributor for which the aggregate total is $ or more Note: Loans are no longer reported in "Itemized Contributions" section. See Loan Reporting section below. Full Name of Contributor Contributor In-Kind Contributions Mailing Address Received Date Occupation & Election Cash Estimated Value (Affiliation of Committee if any) Contribution Type* Employer Cycle** Amount Description Michael M. Neal 05/03/2010 retired teacher 1488 Old Hunters Lake Dr. 200 Marietta, GA Peter MacDonald 05/03/2010 retired Villa Chase Ct. businessman Marietta, GA Robbie Baron 05/03/2010 businessman Old Fuller MillRd. Marietta, GA Patrick Harkins businessman Broxbourne Dr Marietta, GA Henry Hale 05/27/2010 businessman Burning Tree Dr. Marietta, GA Itemized Contributions Page Total $ 1050 $ 0 Loan Reporting Date of Loan Person(s) responsible for Occupation & Name of Lender Amount of Loan repayment ofloan Place of Employment Mailing Address Election Cycle** Mailing Address Fiduciary Relationship*** Larry Savage 04/13/2010 I.Larry Savage - candidate, self 4226 Columns Drive 4226 Columns Drive Marietta, GA Marietta, GA $10, Larry Savage 5/27/2010 I Larry Savage candidate, self 4226 Columns Drive 4226 Columns Drive Marietta, GA Marietta, GA $5, Reference: OCGA 21-S-34(b)(l) Loan Page Total $ $15, * Contribution Type (Monetary, In-Kind, Common Source, Credit Received on Loan) ** Election Cycle (primary, General, Special, Special Primary, Run-Off Primary, Run-Off General, Run-Off Special, Run-Off Special Primary) *** If any such person(s) shall have a fiduciary relationship to the lending institution or party making the advance or extension of credit Public Officer/Candidate/Non-Candidate Committee Name Larry Savage Page_1 of
5 REV 3/2008 Itemized Contributions Must list contributions received by a single contributor for which the aggregate total is $ or more Note: Loans are no Ionzer renorted in "Itemized Contributions" section. See Loan Reporting section. Full Name of Contributor Contributor In-Kind Contributions Mailing Address (Affiliation of Committee if Received Date Occupation and Election Cash Estimated Val ue any) Contribution Type* Employer Cycle** Amount Description Sheldon Smith O5I27fL Collins Blvd. businessman Austell, GA $ Jon Reinhardt 06f Rachel Ridge businessman Norcross, GA $ Glenn Savage 06f Ardmore Trail businessman Hoschton, GA Jim Bunnelle 06f Sandpoint Dr. businessman Roswell, GA $ $ Wendell Wood 06f Hilltop Dr. businessman Marietta, GA $ Duncan Taylor 06f30f Club Ridge Dr. businessman Marietta, GA $ Gerry Ball 061'30I Winterthur Close businessman Atlanta, GA $ Aggregated small contributions $ Itemized Contributions Page Total $ $3, $ $0.00 * Contribution Type (Monetary, In-Kind, Common Source, Credit Received on Loan) ** Election Cycle (Primary, General, Special, Special Primary, Run-Off Primary, Run-Off General, Run-Off Special, Run-Off Special Primary) Larry Sava e 2 2 Public Officer/CandidatelNon-Candidate Committee Name 9 Page of
6 SEC FORM CCOR REV Itemized Expenditures Must list expenditures made to a single recipient for which the aggregate total is $ or more List Name and Mailing Address Expenditure Date Occupation & Expenditure Purpose Amount Paid of Recipient Expenditure Type* Employer Cobb County Board of Elections 04/13/2010 qualifying fee expenditure ~ $3, Claxton Printing 05/07/2010 Printer Rack Cards 1835 MacArthur Blvd Atlanta, GA $1 $ Hi-Tech Signs 1018 North Fifth Ave. Rome, GA OS/26/2010 Sign Shop Yard Signs ~ $2, Production Services OS/26/2010 Printer Push Cards 561 Rock Road Stockbridge, GA $ $1 Intelligent Marketing Solutions Marketing Services 06/ advertising, signs, cards, 521 Village Trace stickers, magnets, Ad in Building 10A East Cobber, mail list, letter $4, Marietta, GA Republican Party of Cobb County 06/24/2010 Political Body Sponsorship, picnic $ Advantage Fullfillment Service 06/30/2010 Mail service Letter to list $1, Intelligent Marketing Solutions 06/30/2010 Marketing Services Creative work, web site 521 Village Trace design, construction, sign Building 10A install labor, courier $1 $1, Marietta, GA Page Total i1'--- I $14, * Expenditure Type (Expenditure, In-Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment, Payment on Deferred Expense, Investment) Larry Savage Public Officer/CandidatelNon-Candidate Committee Name _ Page of
7 Rev 3/ Investment Name Checking account InstitutionlPerson Holding Account Bank of North Georgia Mailing Address P.O.Box 1407 Investments Statement n Account Number Valueat beginningof reporting period $ $0.00 Valueat end of reporting period $ $8, Difference in value $ $8, City, State, Zip Alpharetta, GA Interest Paid Out $ $0.00 Cash Dividends $ $0.00 Investment Transactions Date Person(s) Involved in Transaction Value of investment purchased Value of investment sold Profit Loss 2. Investment Name Account Number InstitutionlPerson Valueat beginningof reporting period $ Holding Account Value at end of reporting period $ Mailing Address Difference in value $ City, State, Zip Interest Paid Out $ Cash Dividends $ Investment Transactions Date Person(s) Involved in Transaction Value of investment purchased Value of investment sold Profit Loss Total value of investments at beginning of reporting period $ $0.00 Page Total Cash Dividends: $ $0.00 Page Total Interest Paid Out: $ $0.00 Total value of investments at end of reporting period $ $8, Page Total Profit: $ $0.00 Total difference in value $ -$8, Page Total Loss: $ $0.00 Public Officer/CandidatefNon-Candidate Committee Name Larry Savage Page 1 of~
8 SECFORMCCDR REV Addendum Statement The Addendum Statement should be used for explanation of any additional information needed to complete an accurate filing of this report. Larry Savage Public Officer/Candidate/Non-Candidate Committee Name _ Page _1 of_1 0
9 REV Itemized Expenditures Must list expenditures made to a single recipient for which the aggregate total is $ or more List Name and Mailing Address Expenditure Date Occupation & Expenditure Purpose Amount Paid of Recipient Expenditure Type* Employer Atlanta Aerial Billboards 06/30/2010 Advertising by airplane Advertise candidate banner ~ $ $1 1 ~ 1 - $1 $1 Page Total ill-- I $ _ * Expenditure Type (Expenditure, In-Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment, Payment on Deferred Expense, Investment) Larry Savage Public Officer/CandidatefNon-Candidate Committee Name _ 1 1 Page of
2. Filing is being made on behalf of (Select One): Candidate or Public Official Chairman of Cobb County Commission
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