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 .. -
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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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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
[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.
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
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