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Campaign Contribution Disclosure Report

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Campaign Contribution Disclosure Report CFC FORM CCDR-Ballot REV 1/11/2011 FILER ID: NC2010000025 State of Georgia Campaign Contribution Disclosure Report 1. Report Type 2. Name of proposed Constitutional Amendment, Statewide referendum, or Filing Office Use Only Ballot Question in any County or Municipal Election: E-Filed on 7/23/2012 Original Report 4:50:37PM Use Earlier of Post Mark or Hand Delivered Date 3. Identifying and Contact Information (1) Citizens for Transportation Mobility, Inc (2) 7/23/2012 Full Name of Campaign Committee Today's Date (3) 600 Peachtree Street, Suite 5200, Attention: DeWit Atlanta, GA 30308 Mailing Address (4) (404) 885-3000 Contact Phone Number (5) Chairperson: David P Stockert c/o DeWitt R Roger Treasurer: Michael Sullivan c/o DeWitt R Roger Name of Chairperson and / or Treasurer of Committee 4. Period for which you are Reporting Constitutional Amendment County or Municipal Ballot or Statewide Referendum Question 75 days before Date of Election, 2012 (year) 15 days before Date of Election, 2012 (year) 45 days before Date of Election, 2012 (year) December 31, 2012 (year) 15 days before Date of Election, 2012 (year) December 31, 2012 (year) The electronic filing of this document constitutes an affirmation that the statement is true, complete, and correct. As per modifications of the Ethics in Government Act, filing a separate notarized affidavit is no longer required. See O.C.G.A. §§ 21-5-34.1(e) and 21-5-50(e). Campaign Contribution Disclosure Report for 2012 December 31st - Special Election - Original Electronically Filed with the Campaign Finance Commission on: 7/23/2012 4:50:37PM -- Confirmation #NC201000002567779 CFC FORM CCDR REV 1/11/2011 FILER ID: NC2010000025 State of Georgia Campaign Contribution Disclosure Report Summary Report CONTRIBUTIONS RECEIVED 1 I Have: In-Kind Cash Amount The following contributions, including Common Source, to report: Estimated Value 2 Total contributions previously reported. $0.00 $0.00 3 Total amount of all itemized contributions received in this reporting period which are listed on the "Itemized Contributions" page. $477,474.33 $5,987,629.12 3a All loans received this reporting period. $0.00 3b 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 $100.00 or less received in this reporting 4 period and not listed on the "Itemized Contributions" page. "Common Source" contributions must be aggregated on the "Itemized Contributions" $0.00 $4,279.29 Total contributions reported this reporting period. 5 (Line 3 + 3a + 3b +3c + 3d + 4) $477,474.33 $5,991,908.41 Total contributions to date. 6 $477,474.33 $5,991,908.41 (Line 2 + 5) EXPENDITURES MADE In-Kind Cash Amount 7 I Have: The following expenditures to report: Estimated Value 8 Total expenditures made and reported prior to this reporting period. $0.00 $0.00 9 Total amount of all itemized expenditures made in this reporting period which are listed on the "Itemized Expenditures" page. $0.00 $4,817,170.38 10 Total amount of all separate expenditures of $100.00 or less that were made in this reporting period and not listed on the "Itemized Expenditures" page. $0.00 $374.15 11 Total expenditures reported this reporting period. (Line 9 + 10) $0.00 $4,817,544.53 Total expenditures to date. 12 $0.00 $4,817,544.53 (Line 8 + 11) INVESTMENTS 13 Amount of investments at the beginning of this reporting period. $0.00 14 Total amount of investments at the close of this reporting period. $0.00 15 Net Balance On Hand. $1,174,363.88 (Line 6 - 12 + 14) Campaign Contribution Disclosure Report for 2012 December 31st - Special Election - Original Electronically Filed with the Campaign Finance Commission on: 7/23/2012 4:50:37PM -- Confirmation #NC201000002567779 CFC FORM CCDR REV 1/11/2011 State of Georgia Campaign Contribution Disclosure Report Outstanding Indebtedness 0 Indebtedness Amount 1 Outstanding indebtedness at the beginning of this reporting period. $0.00 2 Loans received this reporting period. $0.00 3 Deferred payments of expenses this reporting period. $0.00 4 Payments made on loans this reporting period. $0.00 5 Credits received on loans/deferred payments this reporting period. $0.00 6 Payments this period on previously deferred expenses. $0.00 Total indebtedness at the close of this reporting period. 7 $0.00 (line 1 + 2 + 3 - 4 - 5 - 6) Campaign Contribution Disclosure Report for 2012 December 31st - Special Election - Original Electronically Filed with the Campaign Finance Commission on: 7/23/2012 4:50:37PM -- Confirmation #NC201000002567779 CFC FORM CCDR REV 1/11/2011 FILER ID: NC2010000025 State of Georgia Campaign Contribution Disclosure Report Itemized Contributions Must list contributions received by a single contributor for which the aggregate total is more than $100.00 Contributor In-Kind Contributions Full Name of Contributor Mailing Address Received Date a. Occupation & Election Cash Estimated Value (Affiliation of Committee if any) Contribution Type b. Employer Cycle Amount Description A. Brown Olmstead Associates LTD 07/25/2011 2012 $300.00 $0.00 Primary 274 W Paces Ferry Rd Monetary Atlanta, GA 30305 A.C.E.C. Georgia PAC 06/13/2012 2012 $5,000.00 $0.00 Primary 233 Peachtree St NE Ste 700 Monetary Atlanta, GA 30303 A.C.E.C. of Georgia 02/10/2011 2012 $5,000.00 $0.00 Primary 233 Peachtree St NE Ste 700 Monetary Atlanta, GA 30303 A.C.E.C. of Georgia 04/01/2011 2012 $22,500.00 $0.00 Primary 233 Peachtree St NE Ste 700 Monetary Atlanta, GA 30303 AAA Auto Club South 06/04/2012 2012 $5,000.00 $0.00 Primary PO Box 31087 Monetary Tampa, FL 33631 Abele, Kenneth G. 05/09/2012 a. Partner 2012 $250.00 $0.00 Primary 1523 Summerset Dr. Monetary b. Ernst and Young Atlanta, GA 30338 Able, Jeffrey L. 10/13/2011 a. Accounting 2012 $1,000.00 $0.00 Primary 525 Guildhall Pl Monetary b. PwC Alpharetta, GA 30022 Accenture 06/26/2012 2012 $1,000.00 $0.00 Primary 75 5th St NW, Suite 1100 Monetary Atlanta, GA 30308 Campaign Contribution Disclosure Report for 2012 December 31st - Special Election - Original Electronically Filed with the Campaign Finance Commission on: 7/23/2012 4:50:37PM -- Confirmation #NC201000002567779 Ackemann, Jeffrey 03/28/2012 a. Debt Equity 2012 $10,000.00 $0.00 Primary 5554 Concord Pl Monetary Finance b. CBRE Atlanta, GA 30338 AECOM Technology Corporation 06/13/2012 2012 $25,000.00 $0.00 Primary 4840 Cox Road Monetary Glen Allen, VA 23060 AECOM Technology Corporation 07/09/2012 2012 $25,000.00 $0.00 Primary 4840 Cox Road Monetary Glen Allen, VA 23060 AGCO 08/01/2011 2012 $7,500.00 $0.00 Primary 4205 River Green Parkway Monetary Duluth, GA 30096 AGL Resources 08/22/2011 2012 $75,000.00 $0.00 Primary PO Box 4569 Monetary Atlanta, GA 30302 AGL Resources 12/14/2011 2012 $0.00 $170.97 Primary PO Box 4569 In-Kind Food and Beverage Atlanta, GA 30302 AGL Resources 02/28/2012 2012 $0.00 $575.36 Primary PO Box 4569 In-Kind Food and Beverage Atlanta, GA 30302 AGL Resources 06/20/2012 2012 $25,000.00 $0.00 Primary PO Box 4569 Monetary Atlanta, GA 30302 Alexander, Brad 06/13/2012 a. Government 2012 $1,000.00 $0.00 Primary 412 Ponce de Leon Place Monetary Affairs b. McGuireWoods Decatur, GA 30030 Consulting Allen, J. David 06/04/2012 a. Consultant 2012 $1,000.00 $0.00 Primary Two West Wesley Rd Monetary b. The Healthcare Unit 11 Industry Atlanta, GA 30305 Campaign Contribution Disclosure Report for 2012 December 31st - Special Election - Original Electronically Filed with the Campaign Finance Commission on: 7/23/2012 4:50:37PM -- Confirmation #NC201000002567779 Allgood Pest Solutions 06/16/2012 2012 $1,000.00 $0.00 Primary 2385 Satellite Blvd. Monetary Suite 100 Duluth, GA 30096 Alliance Primary Care LLC 05/02/2012 2012 $500.00 $0.00 Primary 1176 Rosedale Rd Monetary Atlanta, GA 30306 Allman, David 02/29/2012 a. CEO 2012 $10,000.00 $0.00 Primary 3344 Peachtree Road NE Suite 1800 Monetary b. Regent Partners Atlanta, GA 30326 Allman, David 05/09/2012 a. CEO 2012 $5.00 $0.00 Primary 3344 Peachtree Road NE Suite 1800 Monetary b. Regent Partners Atlanta, GA 30326 Alston and Bird LLP 06/22/2011 2012 $25,000.00 $0.00 Primary 1201 West Peachtree Street Suite Monetary 4200 Atlanta, GA 30309 AMC, Inc. 07/16/2012 2012 $25,000.00 $0.00 Primary 240 Peachtree St NW Ste 2200 Monetary Atlanta, GA 30303 AMLI Development Company, LLC 02/02/2012 2012 $5,000.00 $0.00 Primary 200 West Monroe St Ste 2200 Monetary Chicago, IL 60606 Andersen, Tate and Carr 05/11/2012 2012 $1,000.00 $0.00 Primary 1960 Satellite Blvd., Suite 4000 Monetary Duluth, GA 30097 Apartment Realty Advisors 04/18/2012 2012 $5,000.00 $0.00 Primary 6445 Powers Ferry Rd, Ste 300 Monetary Atlanta, GA 30339 ARCADIS 12/06/2011 2012 $15,000.00 $0.00 Primary 630 Plaza Drive, Suite 200 Monetary Highlands Ranch, CO 80129 Campaign Contribution Disclosure Report for 2012 December 31st - Special Election - Original Electronically Filed with the Campaign Finance Commission on: 7/23/2012 4:50:37PM -- Confirmation #NC201000002567779 Arnall, Golden, Gregory LLP 04/09/2012 2012 $10,000.00 $0.00 Primary 171 17th Street NW Monetary Suite 2100 Atlanta, GA 30363 Arrow Exterminators 06/15/2012 2012 $1,000.00 $0.00 Primary PO Box 500219 Monetary Atlanta, GA 31150 Ashe, Todd A.
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