Mailing Address: Telephone Number: 03/10/2014 2013 6509 HIGHWAY 106 SOUTH HULL, GA 30646 RALPH T. HUDGENS Telephone Number: Confirmation #F200600077731765 Electronically filed with the Georgia Government Transparency and Campaign Finance Commission on 3/10/2014 2:57:47PM 2013 - Financial Disclosure Statement -- Elected Public Officer (706) 338-2839 (706) 354-4934 STATE OF GEORGIA FINANCIAL DISCLOSURE STATEMENT Original Statement 1he elecLronlc flllng of Lhls documenL consLlLuLes an afflrmaLlon LhaL Lhe sLaLemenL ls Lrue, compleLe, and correcL. As per modlflcaLlons of Lhe LLhlcs ln CovernmenL AcL, flllng a separaLe noLarlzed affldavlL ls no longer requlred. !"" C.C.C.A. 21-3-34.1(e) and 21-3-30(e). CFC Form FD-SW 01/11 - F200600077731765 Page 1 oI 10 RALPH T. HUDGENS SECTION I MONETARY FEES RECEIVED (This section to be completed by Public Officers only) IdentiIy each monetary Iee or honorarium accepted Irom speaking engagements, participation in seminars, discussion panels, or other activities that directly relate to the oIIicial duties oI, or to the oIIice oI the public oIIicer, with a statement identiIying the Iee or honorarium and the person or entity Irom whom it was accepted. Identify Fee or Honorarium Identifying Information of Person or Entity from Whom Accepted Amount Accepted No monetary Iee or honorarium. SECTION II FIDUCIARY POSITIONS Name all Iiduciary positions held by the candidate Ior public oIIice or the public oIIicer at any time during the covered year.. (You may expand this section iI necessary to include all positions.) A fiduciary position is any position imposing a duty to act primarily Ior another`s beneIit as oIIicer, director, manager, partner, guardian, or other designations oI general responsibility oI a business entity. A Iiduciary position may be a paid or unpaid position. A business entity is any corporation, sole proprietorship, partnership, limited partnership, limited liability company, limited liability partnership, proIessional corporation, enterprise, Iranchise, association, trust, joint venture, or other entity, whether profit or nonprofit. Title of Position Name, address, and principal activity of business entity Director First Madison Bank & Trust PO Box 389 Colbert, GA 30628 State Chartered Bank General and Limited Partner Morgan Enterprises oI Palm Beach County, Florida 2261 Glen Mary Place Duluth, GA 30097 Holding LLP Ior Farm Land CFC Form FD-SW 01/11 - F200600077731765 Page 2 oI 10 RALPH T. HUDGENS Direct ownership interest is the holding or possession oI good legal or rightIul title oI property or the holding or enjoyment oI real or beneIicial use oI the property by any person and includes any interest owned or held by a spouse oI the person iI such interest is held jointly or as tenants in common between the person and spouse. IdentiIy the name, address and principal activity oI any business entity and the oIIice held by and the duties oI the candidate Ior public oIIice or public oIIicer within a business entity any time during the covered year in which a direct ownership interest: (A) Is more than 5 percent oI the total interest in the business; or (B) Has a net Iair market value oI more than $5,000.00. SECTION III DIRECT OWNERSHIP INTERESTS IN BUSINESS ENTITY Name, address, and principal activity of business entity Office held by candidate or public officer Duties of the candidate or public officer Ownership Interests ASAP Glenn Company, Inc. PO Box 81471 Athens, GA 30608 Waste Container & Portable Toilet Rental and Service Owner Consulting Ownership interest is more than 5 and has a net Iair market valus oI more than $5,000.00. Diamond Outdoor, Inc. 6509 Hwy 106 South Hull, GA 30646 Outdoor Advertising President CEO Ownership interest is more than 5 and has a net Iair market valus oI more than $5,000.00. First Madison Bank & Trust PO Box 389 Colbert, GA 30628 State Chartered Banks Director Board Member Ownership interest is more than 5 and has a net Iair market valus oI more than $5,000.00. Hudgens Enterprises, Inc. 6509 Hwy 106 South Hull, GA 30646 President CEO Day to Day Activities Ownership interest is more than 5 and has a net Iair market valus oI more than $5,000.00. Hudgens Family Trust 6509 Hwy 106 South Hull, GA 30646 West Texas Oil Interest Trustee Limited Partner Ownership interest is more than 5 and has a net Iair market valus oI more than $5,000.00. Morgan Enterprises oI Palm Beach County, Florida 2261 Glen Mary Place Duluth, GA 30097 Holding Company Ior Farm Land Limited Partner Limited Partner Ownership interest is more than 5 and has a net Iair market valus oI more than $5,000.00. CFC Form FD-SW 01/11 - F200600077731765 Page 3 oI 10 RALPH T. HUDGENS SECTION IV DIRECT OWNERSHIP INTERESTS IN REAL PROPERTY Direct ownership interest is the holding or possession oI good legal or rightIul title oI property or the holding or enjoyment oI real or beneIicial use oI the property by any person and includes any interest owned or held by a spouse oI the person iI such interest is held jointly or as tenants in common between the person and spouse. IdentiIy each tract oI real property in which the candidate Ior public oIIice or public oIIicer has a direct ownership interest as oI December 31 oI the covered year when that interest has a Iair market value in excess oI $5,000.00. 'Fair market value means the appraised value oI the property Ior ad valorem tax purposes. Check one box to show the applicable valuation range Ior each tract. County and State where property is located General description of property (give street address or location, size of tract, and nature or use of property) Value of tract BeauIort County, SC Condo, 319 Admirals Row, Hilton Head Beach & Tennis, Hilton Head Island, SC 29901, JTWROS More than $200,000 Decatur, GA Scenic Arms Apartments, Shotwell Street, Bainbridge, GA, JTWROS More than $200,000 Fulton, GA Condo, Unit 1902, 215 Piedmont Av NE, Atlanta, GA, JTWROS Between $5,000 and $100,000 Jackson, GA 1108 Brock Road, Athens, Ga 30607, 35 Acres with rental house and two rental mobile homes, JTWROS More than $200,000 Madison, GA 1951/1955 Center Street, Comer, GA 30629, Duplex Apartments - Rental Property, JTWROS Between $100,000.01 and $200,000 Madison, GA 6509 Hwy 106 South, Hull, GA 30646, 13 Acres with House and one rental mobile home, JTWROS More than $200,000 Madison, GA 2 - 5 acre tracts in Brush Creek Subdivision on Old Kincaid Road, Colbert, Ga, JTWROS Between $5,000 and $100,000 Palm Beach, FL 320 Acres oI Farm Land, JTWROS More than $200,000 Rabun, GA 355 Saddleback Circle, Sky Valley, GA, house and lot, JTWROS More than $200,000 White, GA 88 Lucerne Place, Sautee-Nacoochee, GA, house and 2 lots JTWROS Between $100,000.01 and $200,000 CFC Form FD-SW 01/11 - F200600077731765 Page 4 oI 10 RALPH T. HUDGENS SECTION V SPOUSE'S DIRECT OWNERSHIP INTERESTS IN REAL PROPERTY IdentiIy each tract oI real property in which the Iiler`s spouse has a direct ownership interest as oI December 31 oI the covered year when that interest has a Iair market value in excess oI $5,000.00. Check one box to show the applicable valuation range Ior each tract. County and State where property is located General description of property (give street address or location, size of tract, and nature or use of property) Value of tract BeauIort, SC More than $200,000 Condo, 319 Admirals Row, Hilton Head Beach & Tennis, Hilton Head Island, SC 29901, JTWROS Decatur, GA More than $200,000 Scenic Arms Apartments, Shotwell Street, Bainbridge, GA, JTWROS Fulton, GA Between $5,000 and $100,000 Condo, Unit 1902, 215 Piedmont Av NE, Atlanta, GA JTWROS Jackson, GA More than $200,000 1108 Brock Rd, Athens, GA, 35 acre Iarm with rental house and two rental mobile homes, JTWROS Madison, GA Between $100,000.01 and $200,000 1951/1955 Center St, Comer, GA, Duplex Apartment - Rental Property, JTWROS Madison, GA Between $5,000 and $100,000 2 - 5 acre lots in Brush Creek Subdivision on Old Kincaid Road, Colbert, GA, JTWROS Madison, GA More than $200,000 6509 Hwy 106 South, Hull, GA 30646, 13 acres with house and rental mobile home, JTWROS Palm Beach, FL More than $200,000 320 Acres oI Farm Land, JTWROS Rabun, GA More than $200,000 355 Sadleback Circle, Sky Valley, GA, house and lot, JTWROS White, GA Between $100,000.01 and $200,000 88 Lucerne Place, Sautee-Nacoochee, GA, house and two lots, JTWROS SECTION VI EMPLOYMENT AND FAMILY MEMBERS Filer's Occupation: Filer's Employer: Employer's Address: Employer's Principal Activity: Filer's Spouse's Name: Spouse's Occupation: Spouse's Employer: Spouse's Employer's Address: Spouse's Employer Principal Activity: Insurance Commissioner State oI Georgia Rm 704, West Tower, 2 MLK Dr., Atlanta, GA 30334 Insurance Commissioner Suzanne Hudgens HousewiIe None N/A N/A CFC Form FD-SW 01/11 - F200600077731765 Page 5 oI 10 RALPH T. HUDGENS SECTION VII INVESTMENT INTERESTS List the name oI any business or subsidiary thereoI or investment in which the Iiler (either individually or with any other legal or natural person or entity) owns a direct ownership interest that: (1) is more than 5 percent oI the total interests in such business or investment, or (2) has a net Iair market value oI more than $5,000.00. (Do not list individual stocks and bonds that are held by mutual Iunds.) Business or Investment Entity Name Edward Jones Money Market Account Wells Fargo Advisors Account SECTION VIII KNOWN BUSINESS OR INVESTMENT INTERESTS OF SPOUSE AND DEPENDENT CHILDREN IdentiIy any business or investment known to the Iiler in which the Iiler`s spouse or dependent children have a direct ownership interest (either individually or with any other legal or natural person or entity) which interest: (1) is more than 5 percent oI the total interest in the business or investment, (2) has a net Iair market value exceeding $10,000.00, or (3) is one in an entity Ior which the Iiler`s spouse or a dependent child serves as an oIIicer, director, equitable partner, or trustee. (Do not list individual stocks and bonds that are held by mutual Iunds.) a. Name of Business or Investment Entity, b. Ownership (spouse/dependent children), c. Indicate if officer, director, equitable partner, or trustee (where applicable) ASAP Glenn Company, Inc. Spouse N/A Diamond Outdoor, Inc. Spouse N/A First Madison Bank & Trust Spouse N/A Hudgens Enterprises, Inc. Spouse N/A Morgan Enterprises oI Palm Beach County Spouse General Partner CFC Form FD-SW 01/11 - F200600077731765 Page 6 oI 10 RALPH T. HUDGENS SECTION IX ANNUAL PAYMENTS RECEIVED FROM THE STATE OF GEORGIA (This section to be completed by Public Officers only) IdentiIy all annual payments in excess oI $10,000.00 received by the public oIIicer, or by any business entity identiIied in Section III above, Irom the State or any agency, department, commission or authority created by the State, and authorized and exempted Irom disclosure under O.C.G.A. 45-10-25. Name, address of state entity making payment, and general nature of the consideration for the payment Amount of annual payment No annual payments in excess oI $10,000.00 Irom any State entity. SECTION X TRANSACTIONS WITH THE GOVERNMENT OF THE STATE OF GEORGIA, OR WITH THE GOVERNMENT OF ANY POLITICAL SUBDIVISION OF THE STATE, OR WITH ANY AGENCY OF SUCH GOVERNMENT IdentiIy Ior the preceding Iive calendar years each transaction or transactions which aggregate $9,000.00 or more in a calendar year in which the candidate (whether Ior himselI or on behalI oI any business), or any business in which the candidate or any member oI his Iamily has a substantial interest or is an oIIicer oI such business, has transacted business with the government oI the State oI Georgia, the government oI any political subdivision oI the State oI Georgia, or any agency oI any such government. Parties to Transaction Date Dollar Amount 2013 DOLLARS RECEIVED FROM UGA ATHELETIC DEPARTMENT FOR PORTABLE RESTROOMS 12/31/2013 $119,403.00 SECTION XI TRANSACTIONS INVOLVING RECEIPT OF INCOME FROM ANY PERSON REPRESENTED BY AN AGENT REGISTERED WITH THE SECRETARY OF STATE UNDER O.C.G.A. 28-7-2 OR INVOLVING RECEIPT OF INCOME FROM ANY PERSON REPRESENTED BY A LOBBYIST REGISTERED WITH THE STATE ETHICS COMMISSION IdentiIy Ior the preceding Iive calendar years each transaction or transactions which aggregate $9,000.00 or more in a calendar year in which the candidate, or any member oI his Iamily, has a substantial interest or is an oIIicer oI such business, received any income oI any nature Irom any person who was at the time oI such receipt oI income represented by an agent registered with the Secretary oI State pursuant to O.C.G.A. 28-7-2 or by a lobbyist registered with the State Ethics Commission. Parties to Transaction Dollar Amount Date Transaction SECTION XII CONTINGENT LIABILITIES Name and address of Debtor or Obligor Name and address of Creditor or Obligee Description and Value of Collateral Date Incurred Date Due Current Amount CFC Form FD-SW 01/11 - F200600077731765 Page 7 oI 10 RALPH T. HUDGENS SECTION XIII STATEMENT OF INCOME Year !"#$% '()"*+ ,+# '()"*+ Expenses Salaries, wages, and commissions from employment Income from dividend & interest Net income from rents, royalties and dividends Other Income 2013 $115,702.00 $25,620.00 $474,475.00 $29,510.00 $645,307.00 $118,064.00 $527,243.00 2014 $30,000.00 $6,405.00 $68,750.00 $7,400.00 $112,555.00 $30,000.00 $82,555.00 7) LiIe insurance (Iace amount ) cash surrender value $214,109.00 $800,000.00 $0.00 $2,095,000.00 $0.00 $75,000.00 $0.00 $0.00 $5,000,000.00 $8,184,109.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $8,184,109.00 1) Cash on hand and in banks 2) Notes, loans and other accounts receivable considered good and collectable 9) Accounts payable 10) Notes payable to banks-Irom Section D $0.00 3) Merchandise and inventory at lower cost or market value 4) Real estate-Irom Section A 6) Marketable securities-Irom Section B 8) Other assets-Irom Section C 5) Machinery and equipment - at cost less depreciation TOTAL ASSETS TOTAL LIABILITIES 11) Notes payable to others-Irom Section E 12) Real estate mortgages-Irom Section F 13) Interest and taxes due and unpaid-Irom Section G 14) Other debts and liabilities-Irom Section H NET WORTH ASSETS LIABILITIES CFC Form FD-SW 01/11 - F200600077731765 Page 8 oI 10 RALPH T. HUDGENS SECTION A Real Estate Owned Description and Location Title in Whose Name Date Aquired Cost Insurance Current Value $45,000.00 $0.00 $32,000.00 07/30/2001 Trinity Heritage Reserve Trust 2 Iive acre lots on Old Kincaid Road, Madison County $275,000.00 $250,000.00 $224,000.00 06/11/2001 Trinity Heritage Reserve Trust 319 Admirals Row, HHB&T, Hilton Head, SC $125,000.00 $100,000.00 $45,000.00 01/11/2002 Trinity Heritage Reserve Trust Duplex on Center Street, Comer, GA $175,000.00 $150,000.00 $167,500.00 12/22/2003 Trinity Heritage Reserve Trust House 88 Lucern Place, Sautee Nacoochee, GA $400,000.00 $350,000.00 $95,000.00 07/19/1990 Trinity Heritage Reserve Trust House on Hwy 106 South, Hull, GA $275,000.00 $225,000.00 $255,000.00 12/29/2003 Trinity Heritage Reserve Trust House, 355 Saddleback Circle, Sky Valley, GA $450,000.00 $100,000.00 $302,000.00 11/05/1997 Hudgens Enterprisess, Inc. Jackson Co Farm,35 acres, Farm House, 2 Mobile Homes $100,000.00 $100,000.00 $107,000.00 11/29/2005 Trinity Heritage Reserve Trust Landmark Cond Unit 1902, 215 Piedmont Ave, Atlanta, GA $250,000.00 $200,000.00 $180,000.00 04/09/1981 Hudgens Enterprises, Inc. Scenic Arms Apts, Sotwell Street, Bainbridge, Ga SECTION B Marketable Securities Amount Description Bulloch Co GA Dev Auth $10,000.00 Dahlonega GA Dwntwn Dev Auth $10,000.00 Fulton Co GA Dev Auth $10,000.00 Gainesville & Hall co Hosp Auth $10,000.00 Gwinett Cnty GA Hosp Auth $10,000.00 Medical Ctr Hosp Auth GA $20,000.00 Richmond Co GA Hosp Auth $5,000.00 CFC Form FD-SW 01/11 - F200600077731765 Page 9 oI 10 RALPH T. HUDGENS SECTION C Other Assets Value Description 1/2 interest in ASAP/Glenn Company $675,000.00 1/2 interest in Diamond Outdoor, Inc. $1,250,000.00 30000 shares oI First Madison Bank stock $450,000.00 320 acres oI Iarm land in Palm Beach County, FL $2,500,000.00 Motor Home, six other vehicle, and Iarm equipment $125,000.00 SECTION D Notes Payable to Banks Amount Date Due Security Name of Creditor SECTION E Notes Payable to Others Name of Creditor Security Date Due Amount SECTION F Real Estate Mortgages Payable Name of Creditor Locations Date Due Amount SECTION G Interest and Taxes Due and Unpaid Description Payable To Date Due Amount SECTION H Other Debts and Liabilities Description Date Due Amount CFC Form FD-SW 01/11 - F200600077731765 Page 10 oI 10 RALPH T. HUDGENS