_ SEC FORM CCDR REV 03/2008 1. Report Type 2. Filing is being made on behalf of (Select One): Filing office use only (Select One) o Original Report o Amended Report Amendment # o Candidate or Public Official Office Sought or Held: District 2, City Commissioner of Decatur, GA (Include county, municipality, district, post orjudicial circuit) Committee Name: Vote Patti Garrett o Report of Organization or Person Other than Candidate's Campaign Committee 3. Identifying and Contact Information /e/:l / 9 ~ Use Earlier of Post Mark or Hand Delivered Date (1) Patricia Garrett Full Name ofcandidate or Other Than Candidate Campaign Committee (3) 11 Jefferson Place, Decatur, Georgia 30030 City State (2) 10/26/09 Today's Date Zip Code (4) V0) 364-9192 and/or ~( _ Contact Phone Number (We will understand the release ofthis information as permission to call your office ifnecessary) (5) Ifa Candidate or Public Official, is there a campaign committee (one or more persons) to make campaign transactions, keep the financial records ofthe campaign, or file the reports? [(] Yes D (6) If so, is the committee registered with the State Ethics Commission? [{] Yes D () If so, complete the following: Allison Adams, Chairperson, Beth Mahany, Treasurer 4. Period for which you are Reporting Name ofchairperson and/or Treasurer ofcommittee My Non Election Year My Election Year Run-Offs Special Elections (Report required only if you are in a Run-Off (Report required only if you are in a Special Election) Election) o June 30, (year) OMarch 31, (year) 06 days before Primary o 15 days before o Dec. 31, (year) o June 30, (year) Run-Off, (year) Special Primary, 06 days before General (year) Run-Off, (year) Persons elected to office in each year following o the year in which the election occurs Persons leaving office with excess funds until such funds are expended as provided in the Act o September 30, (year) 06 days before Special o 15 days before Primary Run-Off, Special, (year) October 25, 2009 (year) (year) Unsuccessful candidates with excess funds, or 06 days before Special Onec. 31, (year) who receive contributions to retire debt incurred, until such funds are expended, or such unpaid debts are satisfied (December 31 filing only) Onecember 31, (year) Run-Off, (year) Verification by Oath or Affirmation State of --==&..l~ coun~of_~_~_,~ I_~_-. Si ature of Candidate b. rganization/chairpersonffreasurer
2 Summary Report CONTRIBUTIONS RECEIVED D I have no contributions to report. o I have the followin contributions, includin Common Source, to re ort: A. Ifthis is the first time to file a disclosure report for the current office sought, ENTER 0 in both columns (one time only); or B. Ifthis 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 15 of previous report, or total funds left over at year end of previous cycle); or In-Kind Cash Amount C. Ifthis filing is the second or subsequent filing ofthis Reporting Cycle, list totals 2200.00 9002.86 from Line 6 of revious re ort in both the in-kind and cash amount columns. 3 Total amount of all itemized contributions received in this reporting period which are listed on the "Itemized Contributions" page. 225.00 150.00 3a 3b 3c 3d 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 received in this 4 reporting period and not listed on the "Itemized Contributions" page. 100.00 665.00 "Common Source" contributions must be aggre ated on the "Itemized Contributions" page. Total contributions reported this period. Line 3 + 3a + 3b + 3c + 3d + 4 Total contributions to date. Total to be carriedforward to next report ofthis reporting cycle". (Line 2 + 5) 5 325.00 815.00 6 2525.00 981.86 EXPENDITURES MADE In-Kind Cash Amount Ifthis is the 8 608.53 9 2053.85 10 3.20 II o 205.05 12 o 8135.58 INVESTMENTS 13 Total value of investments held at the beginning ofthis reporting period. t. o 14 Total value of investments held at the end ofthis reporting period.!' I _ : o Net balance on hand. 15 J" ~ Line 6-12 + 14 (l~..!- _-.. '. a r"', r~i:-;~~~? ":~~ ~j.j 1682.28 O.e.G.A. 21-5-34(b)(I)(DXii) A reporting cycle shall commence on January I of the year in which an election is to be held for the public office to which a candidate seeks election and shall conclude: (I) At the expiration ofthe term ofoffice ifsuch 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 ifsuch candidate is unsuccessful; or (III) 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. Patricia Garrett Public Officer/Candidate/Other Than Candidate Committee Name
REV 3/2008 Itemized Contributions Must list contributions received by a single contributor for which the at:t:regate total is 101.00 or more Note: Loans are no longer reported in "Itemized Contributions" section. See Loan Reporting section below. Full Name of Contributor (Affiliation of COlnmirtee if any) Received Date Contribution Type* Contributor Employer Election Cycle** Cash Amount In-Kind Contributions Description Celia Anderson 210 N. Decatur Rd. Unit 413 Decatur, GA 30033 10/19/09 CFA Evergreen Investments Monetary general election 150.00 Alison Leuker Wren 538 S. Candler St. 10/18/09 Chef Sun In My Belly In-kind general election 225.00 Food Iternized Contributions Page Total 150.00 225.00 Loan Reporting Name of Lender Date of Loan Amount of Loan Election Cycle** Person(s) responsible for repayment of loan Place ofemployment Fiduciary Relationship*** Gary Garrett 11 Jefferson Place /22/09 1500.00 General I. Patricia Garrett 2. 11 Jefferson Place Faculty, Georgia State Husband of Candidate 1. 2. Reference: OCGA 21-5-34(b)( 1) Loan Page Total 1500.00 * ContributIon Type (Monetary, In-Kind, Common Source, Credit Received on Loan) ** Election Cycle (Primary, General, Special, Special Prinlary, Run-Off Primary, Run-Off General, Run-Off Special, Run-Off Special PriInary) *** 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 Patricia Garrett Pag_e_1_ of 1
Outstanding Indebtedness 1 Outstanding indebtedness at the beginning of this reporting period. 1500.00 3 Deferred payment of expenses this reporting period Total indebtedness at the close ofthis reporting period. (Line 1 + 2 + 3-4 - 5-6) 1500.00 Outstanding indebtedness at the beginning of this reporting period. 3 Deferred payment ofexpenses this reporting period Total indebtedness at the close ofthis reporting period. Line 1 + 2 + 3-4 - 5-6) Outstanding indebtedness at the beginning ofthis reporting period. 3 Deferred payment ofexpenses this reporting period Total indebtedness at the close of this reporting period. ICLine 1 + 2 + 3-4 - 5-6) * Election Cycle (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 _P_a_tr_ic_i_a_G_a_rr_e_tl _
Itemized Expenditures Must list expenditures made to a single recipient for which the aggregate total is 101.00 or more List Name and of Recipient Expenditure Date Expenditure Type* Employer Expenditure Purpose Amount Paid Allison Adams 142 Poplar Circle 10/10/09 Editor, Emory University Reimbursement Postcards with mailing service 2053.85 End recipient: 48HourPrint.com 23 Farnsworth 5t. 2nd Floor Boston, MA 02210 Page Total 2053.85 * Expenditure Type (Expenditure, In-Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment, Payment on Deferred Expense, Investment) hb~offi«rlcm~d~~iliutbnc~ili~~~mm«~name_p~a_t_r_ic_i_a~g~a_r_r_e_t_t~~~~~~~~~~h~_1~~_1~