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State of Georgia

Campaign Contribution Disclosure Report

FILER ID: C2012002459CFC FORM CCDR

REV 4/12

1. Report Type 2. Filing is being made on behalf of: Filing Office Use

Only

Use Earlier of Post

Mark or Hand

Delivered Date

E-Filed on

10/28/12 2:59 pmOriginal Report

Candidate or Public Official

C2012002459 -

Bill Hembre for Senate

Bill Hembree

State Senate, District 30

3. Identifying and Contact Information

(1) Bill Hembree

Full Name of Candidate or Non-Candidate Campaign Committee

(3) 4159 Pool Road Winston, GA 30187

Mailing Address

(4) (678) 761-5757

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? YES (6) If so, is the Committee registered with the State Ethics Commission? YES

(7) Chairperson: Bill Hembree Treasurer: Brandi Caldwell

Name of Chairperson and / or Treasurer of Committee

(2) 10/22/2012 Today's Date

4. Period for which you are Reporting

June 30, 2012

Dec. 31, 2012

March 31, 2012

June 30, 2012

September 30, 2012

October 25, 2012

December 31, 2012 6 days before Special

Run-Off, 2012

6 days before Special

Primary Run-Off,

2012

6 days before General

Run-Off, 2012

6 days before Primary

Run-Off, 2012

Dec. 31, 2012

15 days before

Special, 2012

15 days before

Special Primary,

2012

My Non Election Year My Election Year Run-Offs(Report Require Only if you are in a Run Off

Election)

Special Elections(Report Require Only if you are in a Special

Election)

Persons elected to office in each year

following the year in which the election

occurs

Persons leaving office with excess funds

until such funds are expended as provided in

the Act

Unsuccessful candidates with excess funds,

or who receive contributions to retire debt

incurred, until such funds are expended, or

such unpaid debts are satisfied (December

31 filing only)

X

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 15 Days Before Special Election - 11/06/2012 - Original

Electronically Filed with the Georgia Government Transparency and

Campaign Finance Commission on: 10/28/2012 2:59:59PM -- Confirmation #C201200245969093

CFC FORM CCDR

REV 4/12 FILER ID: C2012002459

State of Georgia


Summary Report

CONTRIBUTIONS RECEIVED

Cash AmountIn-Kind

Estimated Value

$0.00

$2,800.00

$124,075.24

$10,000.00

$0.00

$136,875.24

$136,875.24

$0.00

$0.00

$0.00

$0.00

$0.00

Total contributions previously reported.

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 all separate contributions of $100.00 or less received in this reporting

period and not listed on the "Itemized Contributions" page. "Common Source" contributions must be aggregated on the "Itemized Contributions" page.

Total contributions reported this reporting period.

(Line 3 + 3a + 3b +3c + 3d + 4)

Total contributions to date.

(Line 2 + 5)

Total expenditures made and reported prior to this reporting period.

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 $100.00 or less each that were made

in this reporting period and not listed on the "Itemized Expenditures" page.

Total expenditures reported this reporting period.

(Line 9 + 10)

Total expenditures to date.

(Line 8 + 11)

Amount of investments at the beginning of this reporting period.

$0.00

$5.00

$69,815.30

$69,820.30

$69,820.30

EXPENDITURES MADE

2

3

3a

3b

4

5

6

8

9

10

11

12

13

7

1

Cash Amount

I Have:

The following contributions, including Common Source, to report:

I Have:

The following expenditures to report:

In-Kind

Estimated

$0.00

$0.00

$0.00

$0.00

$0.00

14 Total amount of investments at the close of this reporting period.

Net Balance On Hand.

(Line 6 - 12 + 14)

15

$0.00

$0.00

$67,054.94

INVESTMENTS

3c

3d

Total amount of investments sold this reporting period.

Total amount of cash dividends and interest paid out this reporting period.$0.00

$0.00




Outstanding Indebtedness

CFC FORM CCDR

REV 4/12

State of Georgia


Outstanding indebtedness at the beginning of this reporting period.

Loans received this reporting period.

Deferred payments of expenses this reporting period.

Payments made on loans this reporting period.

Credits received on loans/deferred payments this reporting period.

Payments this period on previously deferred expenses.

Total indebtedness at the close of this reporting period.

(line 1 + 2 + 3 - 4 - 5 - 6)

$0.00

$10,000.00

$0.00

$0.00

$0.00

$0.00

$10,000.00

AmountSpecial 2012 Indebtedness

1

3

2

6

5

4

7




Election

Cycle

Estimated Value

In-Kind ContributionsContributorFull Name of Contributor

Mailing Address

(Affiliation of Committee if any)Received Date

Contribution Type

a. Occupation &

b. Employer Description

Cash

Amount

Must list contributions received by a single contributor for which the aggregate total is more than $100.00

CFC FORM CCDR

REV 4/12 FILER ID: C2012002459

State of Georgia

Campaign Contribution Disclosure ReportItemized Contributions

09/15/2012Special

$2,500.00 $0.00

Monetary

Aflac Inc

1932 Wynnton Road 17th Floor

Columbus, Georgia 31999

(Insurance Company)

2012

09/22/2012Special

$2,500.00 $0.00

Monetary

Allstate Insurance Company Political

Action Committee (ALLPAC)

2775 Sanders Road Suite A2W

Northbrook, Illinois 60062

(Insurance Company)

2012

09/05/2012Special

$2,500.00 $0.00

Monetary

American Insurance Association

3330 Cobb Parkway Suite 17

Acworth, Georgia 30101

(Insurance)

2012

10/18/2012Special

$250.00 $0.00

Monetary

Anchor Heating & Air Conditioning

Inc

6556 Adair Place

Douglasville, Georgia 30134

(Heating & Air)

2012

09/17/2012Special

$500.00 $0.00

Monetary

Anderson For House

160 Louisville Road

Grovetown, Georgia 30813

(State Representative)

2012

09/17/2012Special

$2,500.00 $0.00

Monetary

Associated Builders and Contractors

of Georgia Inc

8975 Roswell Road

Atlanta, Georgia 30350

(Builders and Contractors)

2012

10/06/2012Special

$1,000.00 $0.00

Monetary

a. Oral & Maxillofacial

Surgeon/Navy Captain

b. Retired

Austin, Gordon T

423 N Lakeshore Dr

Carrollton, Georgia 30117

2012

09/27/2012Special

$239.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

Bernot, Michael P

4080 Randall farm Rd


2012




09/27/2012Special

$239.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

Beskin, James L

809 Peachtree Battle Ave


2012

09/24/2012Special

$500.00 $0.00

Monetary

Bjay Pak

1034 Morgan Garner Dr SW

Lilburn, Georgia 30047


2012

09/15/2012Special

$200.00 $0.00

Monetary

Blakenship Homes

PO Box 1257


(Building Contractor)

2012

09/13/2012Special

$250.00 $0.00

Monetary

Bud's Benz Inc

7773 West Strickland St


(Automobile Repair Shop)

2012

10/16/2012Special

$300.00 $0.00

Monetary

Bud's Benz Inc

7773 W Strickland St


(Automobile Repair Shop)

2012

10/08/2012Special

$250.00 $0.00

Monetary

a. Doctor

b. Resurgeons PCBush, Jenkins B

205 Eagles Landing Way

McDonough, Georgia 30253

2012

09/27/2012Special

$1,000.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

Butler, John Michael

885 Chestnut Lake Dr NW

Marietta, Georgia 30068

2012

09/28/2012Special

$500.12 $0.00

Monetary

C A R D Of Georgia Committee Of

Automobile Retail Dealers Of

Georgia

PO Box 725154


(Georgia Automobile Dealers)

2012

10/02/2012Special

$500.12 $0.00

Monetary

C A R D Of Georgia Committee Of

Automobile Retail Dealers Of

Georgia

PO Box 725154


(Georgia Automobile Dealers)

2012

09/13/2012Special

$1,000.00 $0.00

Monetary

Campaign to Elect Randy Nix

219 E Yorktown Dr

LaGrange, Georgia 30240


2012




10/08/2012Special

$250.00 $0.00

Monetary

a. Doctor

b. Resurgeons PCCarantzas, Anthony C

21 Cliftwood Dr NE


2012

09/29/2012Special

$1,000.00 $0.00

Monetary

a. VP Business

Development

b. St. Joseph's/Candler

Hospital

Carr, William Maxwell

1302 Bacon Park Dr

Savannah, Georgia 31406

2012

09/27/2012Special

$238.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

Cassinelli, Ezequiel H

5045 Carol Ln NW


2012

09/27/2012Special

$238.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

Chang, Wing K

1996 Mendenhall


2012

08/30/2012Special

$250.00 $0.00

Monetary

Christian A Coomer

127 A West Main Street

Cartersville, Georgia 30120


2012

09/07/2012Special

$500.00 $0.00

Monetary

Citizens For Calvin Hill

145 Mountain Brook Drive

Canton, Georgia 30115


2012

09/22/2012Special

$1,000.00 $0.00

Monetary

Citizens To Elect Brooks Coleman

PO Box 273

Duluth, Georgia 30096


2012

09/10/2012Special

$2,500.00 $0.00

Monetary

Civil Justice Political Action

Committee Inc

101 Marietta Street Suite 3350


(Georgia Trial Lawyers Association)

2012

10/06/2012Special

$500.00 $0.00

Monetary

Claude P Daniels DDS

3507 Veterans Memorial Hwy

Lithia Springs, Georgia 30122

(Dentist)

2012

10/02/2012Special

$600.00 $0.00

Monetary

Committee for Responsible Health

Care Policy

1231 Collier Rd NW Suite J


(Anesthesiologists)

2012




09/06/2012Special

$1,000.00 $0.00

Monetary

Committee To Elect Allen Peake

103 Colony Court

Macon, Georgia 31210


2012

09/15/2012Special

$250.00 $0.00

Monetary

Committee to Elect Andy Welch Inc

PO Box 2871

McDonough, Georgia 30253


2012

10/17/2012Special

$250.00 $0.00

Monetary

Committee To Elect Buddy Harden

458 Lakeshore Way

Cordele, Georgia 31015


2012

10/19/2012Special

$300.00 $0.00

Monetary

Committee To Elect Carlton W

Rogers

PO Box 1

Gainesville, Georgia 30503


2012

09/10/2012Special

$1,000.00 $0.00

Monetary

Committee To Elect Howard

Maxwell

716 Graham Road

Dallas, Georgia 30132


2012

10/01/2012Special

$500.00 $0.00

Monetary

Committee To Elect Jay Neal

92 Bending Oak Drive

Chickamauga, Georgia 30707


2012

09/01/2012Special

$1,000.00 $0.00

Monetary

Committee to Elect John D Meadows

III Inc

PO Box 1255

Calhoun, Georgia 30703


2012

10/03/2012Special

$2,500.00 $0.00

Monetary

Committee To Elect Josh McKoon

PO Box 2846


(State Senate)

2012

09/25/2012Special

$200.00 $0.00

Monetary

Committee To Elect Michael

Dudgeon

10075 Normandy Lane

Suwanee, Georgia 30024


2012

08/29/2012Special

$1,000.00 $0.00

Monetary

Committee to Elect Richard Smith

PO Box 2122



2012




09/15/2012Special

$1,000.00 $0.00

Monetary

Committee to Elect Tom Rice

11213 Brookehavenclub Drive

Johns Creek, Georgia 30097


2012

09/04/2012Special

$500.00 $0.00

Monetary

Conditioned Air Association of GA

PAC

PO Box 1928


(Heating and Air)

2012

10/19/2012Special

$200.00 $0.00

Monetary

Cory Clanci COR Properties LLC

5962 Wild River View

Sugar Hill, Georgia 30518

(Real Estate Company)

2012

09/17/2012Special

$250.00 $0.00

Monetary

Crosby For Senate

PO Box 1707

Tifton, Georgia 31794

(State Senate)

2012

10/08/2012Special

$250.00 $0.00

Monetary

a. Doctor

b. Resurgeons PCDaftari, Capan

6595 Old Riverside Dr


2012

10/09/2012Special

$250.00 $0.00

Monetary

Daniel J Tulman OD PC

880 Crestmark Dr Suite 101


(Eye Doctor)

2012

09/20/2012Special

$500.00 $0.00

Monetary

Denyse Companies Inc

4521 Industrial Access Road


(Sign/Lighting Company)

2012

10/08/2012Special

$250.00 $0.00

Monetary

a. Doctor

b. Resurgeons PCDopson, Thomas L

1457 Garmon Ferry Rd NW


2012

09/11/2012Special

$500.00 $0.00

Monetary

Dr. Hinton S Amerson

689 N Chestatee Street

Dahlonega, Georgia 30533


2012

09/27/2012Special

$238.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

Duralde, Xavier A

49 Huntington Rd NE


2012




09/10/2012Special

$1,000.00 $0.00

Monetary

Earl Carter/Friends Of Buddy Carter

For Senate

PO Box 222

Pooler, Georgia 31322

(State Senate)

2012

09/01/2012Special

$250.00 $0.00

Monetary

Ed Setzler

1555 Boxwood Trace

Acworth, Georgia 30102


2012

10/09/2012Special

$300.00 $0.00

Monetary

a. Traffic/News

Reporter

b. Wsb-tV

Emory, Captain Herb

PO Box 774


2012

10/08/2012Special

$125.00 $0.00

Monetary

a. Doctor

b. Resurgeons PCFogle, Evander F

4162 N Stratford RD NE


2012

10/09/2012Special

$250.00 $0.00

Monetary

Friends of Ben Watson

PO Box 2486

Savannah, Georgia 31402


2012

09/04/2012Special

$500.00 $0.00

Monetary

Friends Of Joe Wilkinson

850 Old Creek Trail NW

Sandy Springs, Georgia 30328


2012

09/27/2012Special

$750.00 $0.00

Monetary

Friends Of Mike Crane

3124 Smokey Road

Newnan, Georgia 30263

(State Senate)

2012

09/25/2012Special

$1,000.00 $0.00

Monetary

Friends Of Ralph Hudgens

6509 Hwy 106 S

Hull, Georgia 30646

(Insurance Commissioner)

2012

10/17/2012Special

$250.00 $0.00

Monetary

Friends Of Steve Gooch

PO Box 600

Dahlonega, Georgia 30533

(State Senate)

2012

09/13/2012Special

$250.00 $0.00

Monetary

Friends Of Wendell Willard

Two Ravinia Dr Suite 1630



2012




09/29/2012Special

$2,500.00 $0.00

Monetary

GA Branch Associated General

Contractors

1940 The Exchange


(Associated General Contractors of

Georgia)

2012

09/06/2012Special

$2,500.00 $0.00

Monetary

GA Forestry Association

PO Box 1217

Forsyth, GA 31029

(Forestry)

2012

09/13/2012Special

$1,500.00 $0.00

Monetary

Georgia Association Of Health

Underwriters

3227 S Cherokee Lane Suite 1320

Woodstock, Georgia 30188

(Health Underwriters Association)

2012

09/27/2012Special

$250.00 $0.00

Monetary

Georgia Auto Credit Corporation

5922 Fairburn Rd


(John Thornton/GACC)

2012

09/07/2012Special

$2,500.00 $0.00

Monetary

Georgia Bankers Association

50 Hurt Plaza Suite 1050


(Bank)

2012

10/06/2012Special

$500.00 $0.00

Monetary

Georgia Better Government Fund

8601 Dunwoody Place Suite 318


(Georgia Apartment Association)

2012

09/15/2012Special

$2,500.00 $0.00

Monetary

Georgia Chiropractor Association

2900 Chamblee-Tucker Road

Building 1

Park Ridge 85


(Chiropractor Association)

2012

09/11/2012Special

$2,500.00 $0.00

Monetary

Georgia Credit Union Political

Action Committee

6705 Sugarloaf Parkway Suite 200


(Credit Union)

2012

09/07/2012Special

$2,500.00 $0.00

Monetary

Georgia Dental Association

7000 Peachtree Dunwoody Suite 200

Bldg 17


(Dentist)

2012

09/13/2012Special

$1,000.00 $0.00

Monetary

Georgia Dermatologists PAC

6134 Poplar Bluff Circle Suite 101

Norcross, GA 30092

(Dermatologists)

2012




09/08/2012Special

$2,500.00 $0.00

Monetary

Georgia Hospital Association

1675 Terrell Mill Road SE


(Hospital Association)

2012

09/18/2012Special

$500.00 $0.00

Monetary

Georgia Independent Automobile

Dealers Association Inc

6903-A Oak Ridge Commerce Way

S.W.

Austell, Georgia 30168

(Automobile Dealers)

2012

10/04/2012Special

$200.00 $0.00

Monetary

Georgia McDonald's Operators

Association PAC

PO Box 80908

Conyers, Georgia 30013

(Restaurant)

2012

09/13/2012Special

$1,000.00 $0.00

Monetary

Georgia Medical Political Action

Committee

1849 The Exchange


(Medical Association Of Georgia)

2012

09/13/2012Special

$1,400.00 $0.00

Monetary

Georgia Mining Association

113 Arkwright Landing


(Mining Association)

2012

09/12/2012Special

$2,500.00 $0.00

Monetary

Georgia Oilmen's Association

1775 Spectrum Dr Suite 100

Lawrenceville, Georgia 30043

(Oilmen's Association)

2012

09/06/2012Special

$2,500.00 $0.00

Monetary

Georgia Optometric Association

1000 Corporate Center Drive Suite

240

Morrow, Georgia 30260

(Optometrics)

2012

09/13/2012Special

$1,500.00 $0.00

Monetary

Georgia Orthopaedic Society

131 Holly Springs Drive

Peachtree City, Georgia 30269

(Orthopaedics)

2012

09/13/2012Special

$2,500.00 $0.00

Monetary

Georgia Pharmacy Association

50 Lenox Pointe NE


(Pharmacy Association)

2012

10/11/2012Special

$500.00 $0.00

Monetary

Georgia Recyclers Assoc Inc

317 Oakview Way

Canton, Georgia 30114

(Recyclers)

2012




09/08/2012Special

$1,250.00 $0.00

Monetary

Georgia Trucking Association

2060 Franklin Way Suite 200


(Trucking Association)

2012

09/07/2012Special

$250.00 $0.00

Monetary

Gerald Greene

5805 US Hwy 82 W

Cuthbert, GA 39840


2012

10/08/2012Special

$500.00 $0.00

Monetary

a. Doctor

b. Resurgeons PCGleason M.D., John R

5675 Long Island Drive


2012

09/15/2012Special

$1,000.00 $0.00

Monetary

Grant for Senate

PO Box 1458

Milledgeville, Georgia 31059

(State Senate)

2012

09/27/2012Special

$238.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

Griffin, Letha Y

2540 Brookdale Dr NW


2012

09/27/2012Special

$1,000.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

Gupta, Anuj

4615 E Conway Dr NW


2012

10/08/2012Special

$500.00 $0.00

Monetary

a. Doctor

b. Resurgeons PCHaltom, Thomas L

2926 Ashebrooke Dr NE


2012

10/11/2012Special

$500.00 $0.00

Monetary

HCC Life Insurance Company

225 Townpark Drive NW

Kennesaw, Georgia 30144

(Life Insurance)

2012

10/17/2012Special

$1,000.00 $0.00

Monetary

Heavy G LLC

1266 West Paces Ferry RD NW

Suite 677


(Entertainment Design)

2012

09/27/2012Special

$238.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

Henry (Jr), John D

4936 Gaskin Walk


2012




10/11/2012Special

$200.00 $0.00

Monetary

a. Funeral Home

b. Hightower Funeral

Home

Hightower JR, R Bryant

PO Box 586


2012

10/17/2012Special

$1,000.00 $0.00

Monetary

Humana Inc

PO Box 740083

Louisville, KY 40202

(Hospital)

2012

08/30/2012Special

$1,000.00 $0.00

Monetary

Independent Insurance Agents of

Georgia

3186 Chestnut Drive Connector

Doraville, Georgia 30340

(Insurance)

2012

09/12/2012Special

$1,500.00 $0.00

Monetary

Independent Insurance Agents of

Georgia PAC

3186 Chestnut Drive Connector

Doraville, Georgia 30340

(Insurance)

2012

09/22/2012Special

$500.00 $0.00

Monetary

Jack Murphy

3830 Adams Road

Cumming, Georgia 30041

(State Senate)

2012

09/13/2012Special

$500.00 $0.00

Monetary

Jackson For Senate Campaign

Account

PO Box 528

Appling, Georgia 30802

(State Senate)

2012

09/15/2012Special

$250.00 $0.00

Monetary

John Bleakley

5285 Edgewood Drive


(Car Dealer)

2012

09/01/2012Special

$500.00 $0.00

Monetary

John Carson Campaign Account

3605 Sandy Plains Rd Suite 240-123



2012

10/08/2012Special

$250.00 $0.00

Monetary

a. Doctor

b. Resurgeons PCJonas MD., Glenn J

3155 Arden Rd NW


2012

10/08/2012Special

$250.00 $0.00

Monetary

a. Doctor

b. Resurgeons PCJoseph M.D., F. R.

1065 Brandon Hall Dr


2012




10/06/2012Special

$500.00 $0.00

Monetary

Judith H Manning DBA Committee

To Elect

PO Box 3393



2012

09/27/2012Special

$238.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

Kelley (MD), Lee A

73 Mt Paran Road


2012

10/08/2012Special

$250.00 $0.00

Monetary

a. Doctor

b. Resurgeons PCKelly, Robert A

2740 Chastain Rd NW

Kennesaw, Georgia 30144

2012

10/08/2012Special

$500.00 $0.00

Monetary

a. Doctor

b. Resurgeons PCKhan, Sami O

2169 Wynnton Pt


2012

10/08/2012Special

$250.00 $0.00

Monetary

a. Doctor

b. Resurgeons PCKim, Stephen

3280 Northside Pkwy NW Apt 308


2012

09/27/2012Special

$238.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

Kimmerly, William S

789 Wilson Rd NW


2012

10/08/2012Special

$250.00 $0.00

Monetary

a. Doctor

b. Resurgeons PCKress, Kenneth James

655 Blakenham Ct

Alpharetta, Georgia 30022

2012

09/27/2012Special

$238.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

Lahiji, Ashkan

9 Bohler Point


2012

09/27/2012Special

$238.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

Langenbeck, Donald F

5125 Baroque Cir


2012

10/08/2012Special

$500.00 $0.00

Monetary

a. Doctor

b. Resurgeons PCLundy MD, Douglas W

1368 Wynbrook Trace

Mableton, Georgia 30126

2012




09/20/2012Special

$2,500.00 $0.00

Monetary

MAG Mutual Insurance Company

3525 Piedmont Road NE Bldg 8-600


(Insurance Company)

2012

10/08/2012Special

$250.00 $0.00

Monetary

a. Doctor

b. Resurgeons PCMakhuli, Brian Z

1748 Woodwalk Creek


2012

09/17/2012Special

$500.00 $0.00

Monetary

Mark Hamilton For State House Inc

108 Colony Park Drive Suite 400

Cumming, Georgia 30040


2012

09/06/2012Special

$250.00 $0.00

Monetary

McBrayer For State House

PO Box 1901

Tifton, Georgia 31793

(State Representatives)

2012

09/27/2012Special

$1,000.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

McCollam, Stephen

4563 Powers Ferry Road


2012

09/27/2012Special

$238.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

McDonald (III), Allen P

1152 Rosedale Rd


2012

10/01/2012Special

$500.00 $0.00

Monetary

Metro Garage Door Inc

PO Box 07

Winston, Georgia 30187

(Garge Door Company)

2012

10/18/2012Special

$250.00 $0.00

Monetary

a. Doctor

b. Resurgeons PCMiddlebrooks MD, E Scott

2574 Thurleston Ln


2012

09/08/2012Special

$1,000.00 $0.00

Monetary

Millar For State Senate

PO Box 88096


(State Senate)

2012

10/08/2012Special

$250.00 $0.00

Monetary

a. President/CEO

b. Greystone Power

Corporation

Miller, Gary A

3620 Hardwick Ct


2012




10/19/2012Special

$500.00 $0.00

Monetary

a. President

b. Morgan Oil

Company

Morgan, James P

166 Wynbrooke Dr


2012

09/27/2012Special

$238.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

Murray, Douglas H

4224 Valley Trail Dr


2012

10/08/2012Special

$250.00 $0.00

Monetary

a. Doctor

b. Resurgeons PCOsborn, Keith D

1840 Ridgefield Dr

Roswell, Georgia 30075

2012

09/27/2012Special

$1,000.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

Pennington, Scott D

350 Peachtree Dunwoody Cir NE


2012

09/27/2012Special

$238.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

Pike, Richard Howard

128 Berkeley Run NE


2012

09/27/2012Special

$238.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

Pollydore, Shevin D

651 Heards Ferry Rd


2012

09/12/2012Special

$1,000.00 $0.00

Monetary

a. Independent

Contractor

b. Self Employed

Poole, John

817 Grogan Street Suite 108

Lavonia, Georgia 30353

2012

09/01/2012Special

$1,000.00 $0.00

Monetary

Powell For Representative

PO Box 188

Camilla, Georgia 31730


2012

09/27/2012Special

$238.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

Reddy, Ashok S

543 Jare Trail NW


2012

10/19/2012Special

$200.00 $0.00

Monetary

Rep Chuck Sims

201 Peterson Ave N

Douglas, Georgia 31533


2012




10/08/2012Special

$1,500.00 $0.00

Monetary

Resurgeons PC

5671 Peachtree Dunwoody Rd Ne


(Doctor)

2012

10/19/2012Special

$250.00 $0.00

Monetary

Robert Dickey State House Rep #136

PO Box 125

Roberta, Georgia 31078


2012

09/12/2012Special

$1,000.00 $0.00

Monetary

a. Independent

Contractor

b. Self Employed

Robinson III, Roy B

1629 Duncan Drive NW


2012

09/04/2012Special

$1,000.00 $0.00

Monetary

Roger Williams Campaign Account

132 Huntington Rd

Dalton, Georgia 30720


2012

09/13/2012Special

$1,000.00 $0.00

Monetary

Ross Tolleson For State Senate

PO Box 605

Perry, Georgia 31069

(State Senate)

2012

09/27/2012Special

$238.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

Royster, Robert M

5550 Bahia Mar Cir

Stone Mountain, Georgia 30087

2012

10/08/2012Special

$250.00 $0.00

Monetary

a. Doctor

b. ResurgeonsSatterwhite, Yvonne E

8010 Shakerag Trace

Suwanee, Georgia 30024

2012

09/27/2012Special

$238.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

Schiff (MD), David A

7615 Treeridge Ct


2012

10/08/2012Special

$250.00 $0.00

Monetary

a. Doctor

b. Resurgeons PCScott, David G

1285 Hembree Rd Ste 200A

Roswell, Georgia 30076

2012

09/08/2012Special

$500.00 $0.00

Monetary

Sean Jerguson For State House

2295 Towne Lake Pkwy Suite 116

Woodstock, Georgia 30189


2012




09/10/2012Special

$500.00 $0.00

Monetary

Senator Jack Hill Campaign

PO Box 486

Reidsville, Georgia 30453

(State Senator)

2012

09/27/2012Special

$1,000.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

Silcox (III), Daniel Hal

725 Tanglewood Trl


2012

09/27/2012Special

$238.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

Smith, Stephen William

207 Lake Forrest Ln SE


2012

10/22/2012Special

$500.00 $0.00

Monetary

Southern Crop Production Assn PAC

#1

PO Box 7000

Dawson, Georgia 39842

(Crop Protectors)

2012

10/19/2012Special

$200.00 $0.00

Monetary

Specialty Contractors Coalition Pac

18 River Trce


(Contractors)

2012

10/04/2012Special

$200.00 $0.00

Monetary

a. Self

Employed/Independent

Contractor

b. Election Resources

Stacy, John

1925 Sage Court


2012

09/07/2012Special

$2,500.00 $0.00

Monetary

State Farm Insurance Company

1355 Peachtree Street NE Suite 300


(Insurance Company)

2012

10/10/2012Special

$200.00 $0.00

Monetary

Stephen R Farris CPA

4260 Yancey Rd


(CPA)

2012

09/28/2012Special

$250.00 $0.00

Monetary

Style Financial Acceptance Co LLC

7504 Bankhead Hwy


(Auto Financing/Automobile

Company)

2012

10/04/2012Special

$250.00 $0.00

Monetary

Suntrust Good Government Group

PO Box 4418 M/C041


(Bank)

2012




09/13/2012Special

$1,500.00 $0.00

Monetary

The Coca Cola Company Georgia

Political Action Fund

PO Box 1734


(Coca Cola)

2012

10/03/2012Special

$250.00 $0.00

Monetary

The Coca-Cola Company

PO Box 1734


(Beverage Company)

2012

10/10/2012Special

$250.00 $0.00

Monetary

The Committee To Elect Butch

Miller

4734 Arapahoe Trail

Gainesville, Georgia 30506

(State Senate)

2012

09/18/2012Special

$1,500.00 $0.00

Monetary

The Georgia Medical Political

Action Committee

1849 The Exchange Suite 200


(Medical Association Of Georgia)

2012

09/28/2012Special

$500.00 $0.00

Monetary

The William Ligon Campaign

Committee

1309 Gloucester St

Brunswick, Georgia 31520

(State Senate)

2012

10/09/2012Special

$500.00 $0.00

Monetary

Tom D Weldon Jr. DBA Committee

To Elect Tom Weldon

PO Box 1459

Ringgold, Georgia 30736


2012

09/22/2012Special

$250.00 $0.00

Monetary

Tommy Davis

5675 Cascade Ct


(Retired State Representative)

2012

10/08/2012Special

$250.00 $0.00

Monetary

a. Doctor

b. Resurgeons PCTucker, Jennifer

2711 Davis Road

Marietta

Georgia, Georgia 30062

2012

09/27/2012Special

$238.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

Ugwonali, Obinwanne

4490 Runnemede Rd NW


2012

10/08/2012Special

$250.00 $0.00

Monetary

a. Doctor

b. Resurgeons PCWalsh, Christopher J

190 Wellborn Chase

Fayetteville, Georgia 30215

2012




10/08/2012Special

$500.00 $0.00

Monetary

a. Doctor

b. Resurgeons PCWertheim, Steven B

70 Old Stratton Chase NW


2012

09/06/2012Special

$2,500.00 $0.00

Monetary

Wholesale Distributors For Good

Government

2 Piedmont Center NE Suite 320


(Wholesalers)

2012

10/02/2012Special

$250.00 $0.00

Monetary

a. VP

Corporate/External

Affairs

b. Greystone Power

Corporation

Williams, Tim W

3571 Todd Drive


2012

09/06/2012Special

$250.00 $0.00

Monetary

Williamson For Walton

PO Box 430

Monroe, Georgia 30655


2012

10/08/2012Special

$250.00 $0.00

Monetary

a. Doctor

b. Resurgeons PCWomack, Michael Shay

440 Oakmont Cirrcle

Marietta, georgia 30067

2012

10/18/2012Special

$1,500.00 $0.00

Monetary

Workplace Injury Network Political

Action Committee

3155 Roswell Rd NE Ste 210


(Attorneys)

2012

09/27/2012Special

$238.00 $0.00

Monetary

a. Medical Doctor

b. Peachtree

Orthopaedic Clinic

York, M Jonathan

3314 Wood Valley Rd

atlanta, Georgia 30327

2012

FILER ID: C2012002459

State of Georgia


Summary of Itemized Contributions Received

In-Kind Total for this period:

Cash Contributions Total for this period:

$0.00

$124,075.24




CFC FORM CCDR

REV 4/12

State of Georgia


Loan Reporting

Person(s) responsible for

repayment of loan

Mailing Address

Date of Loan

Amount of Loan

Election Cycle

Name of Lender

Mailing Address

Occupation &

Place of Employment

Fiduciary Relationship

FILER ID: C2012002459

Hembree, William

4159 Pool Road

Winston,GA 30187

8/27/2012

$10,000.00

Special

2012

William Hembree

4159 Pool Road

Winston,GA 30187

Insurance Agent

Bill Hembree & Associates

Candidate




List Name and Mailing Address of

Recipient

Expenditure Date

Expenditure Type

Occupation &

Employer

Expenditure Purpose Amount

Paid

CFC FORM CCDR

REV 4/12FILER ID: C2012002459

State of Georgia


Itemized ExpendituresMust list expenditures made to a single recipient for which the aggregate total is more than $100.00

$300.00 Fundraising09/10/2012

Expenditure

Caldwell, Brandi

3523 Jones Mill Rd

Carrollton, GA 30116

a. Fundraiser

b. Self

$600.00 Fundraising09/18/2012

Expenditure

Caldwell, Brandi

3523 Jones Mill Rd


a. Fundraiser

b. Self

$1,500.00 Fundraising09/28/2012

Expenditure

Caldwell, Brandi

3523 Jones Mill Rd


a. Fundraiser

b. Self

$400.00 Qualifying Fee09/11/2012

Expenditure

Georgia Republican Party

3110 Maple Dr Suite 150

Atlanta, GA 30305

$4,352.00 Advertising10/03/2012

Expenditure

Gradick Communications

102 Parkwood Circle


$1,000.00 Photography09/10/2012

Expenditure

Harwell Photography

873 County Line Church Rd

Griffin, GA 30223

$116.20 Sign Post10/02/2012

Expenditure

Lowe's

7001 Douglas Blvd

Douglasville, GA 30135

$1,200.00 Advertising10/12/2012

Expenditure

Newspaper Services Of Georgia

PO Box 1400

Paducah, KY 42003

$250.00 Catering10/09/2012

Expenditure

Plates On The Square

301 Adamson Square


$1,500.00 Financial Disclosure

Consulting08/28/2012

Expenditure

R Thompson & Associates LLC

PO Box 1483

Roswell, GA 30077

$1,500.00 Campaign Manager09/28/2012

Expenditure

Roberts, Doug

6645-B Woodrow Ave


a. Campaign Manager

b. Self

$550.00 Advertising10/03/2012

Expenditure

Star News

961 Maple Street





$155.00 Advertising10/17/2012

Expenditure

The Bowdon Intelligence

140 City Hall Ave Suite C

Bowdon, GA 30108

$2,500.00 Consulting10/03/2012

Expenditure

The Brand LLC

970 Great Oaks Drive

Lawrenceville, GA 30045

$2,500.00 Consulting09/10/2012

Expenditure

The Brand LLC

970 Great Oaks Dr

Lawrenceville, GA 30045

$385.04 Sign Post09/15/2012

Expenditure

The Home Depot

7399 Douglas Blvd


$192.07 Sign Post09/18/2012

Expenditure

The Home Depot

7399 Douglas Blvd


$1,321.06 Printing09/06/2012

Expenditure

The Stoneridge Group LLC

4400 North Point Parkway Suite 190

Alpharetta, GA 30022

$8,316.00 Mailing10/04/2012

Expenditure




$7,560.00 Mailing10/11/2012

Expenditure




$7,560.00 Mailing10/12/2012

Expenditure




$4,410.00 Mailing10/19/2012

Expenditure




$10,246.00 Mailing09/21/2012

Expenditure




$2,469.79 Brochures09/13/2012

Expenditure




$6,620.39 Signs09/11/2012

Expenditure




$750.00 Website Design09/20/2012

Expenditure







$1,000.00 Campaign Organizer09/18/2012

Expenditure

Turner, Chantell

309 Cedar Street


a. Campaign Organizer

b. Self

$561.75 T-Shirts10/09/2012

Expenditure

Zig Zag Embroidery

5775 McAdams Dr


FILER ID: C2012002459

State of Georgia


Summary of Itemized Expenditures Made

Paid Expenditures Total for this period: $69,815.30




CFC FORM CCDR

REV 4/12

State of Georgia


Investments StatementInvestment Name There are No Investments this reporting period

Institution/Person

Holding Account

Address

Address

City, State, Zip

Account Number

There are No Investments this reporting period

Investment Transactions

Interest Paid Out

Cash Dividends

Value at end of reporting period

Value at beginning of reporting period




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