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CCDR - JUDY BURDS - Original - 9/30/2019
Page 1 of 10 4/I4 CFC-CCDR 1/14 Campaign Contribution Disclosure Report Georgia Government Transparency and Campaign Finance Commission 200 Piedmont Avenue S.E. I Suite 1402 West Tower I Atlanta, GA 30334 1404-463-19801 www.ethics-Ra.gov 1. Report'rype 2. Filing is being made on behalf of (Select One): I, Ise Larlier of Post (Select one) Candidate or Public Official Mark or Office Held or Sought Fulton, City of Milton, District 2, Post 2 a ac (Include etunly, nnuucipalily, district. post or judicial circuit) 0 Original Filer ID (Filer ID that begins with the letter "C") 4 201 El Amendment OCT Organization or Person Other than Candidate's Campaign Committee Committee Name: V �. CCU Amendment # CITY 4 CLER Filer ID: (Filer ID that begins with the letter "NC") M tLTO . Identifying and Contact Information (1) Judy L Burds _ 2 — -- Full Name ofC'andidate orOther 7hc117 7'v ay's Data (3) 1165 Bream Drive Milton GA 30004 Availing Address Cily Stale liar Code e (4) (770) 331-7608 and/ or burds4milton@gmail.com Primary Contact Phone Number F' 't 7ctr (5) if a Candidate or Public Official is there a campaign committee (one or more persons) to make campaign transactions, keep financial records of the campaign or file the reports? 0 Yes ❑ No (6) If yes, is the committee registered with the Commission? i] Yes ❑ No Barbara Sumrell I (7) if yes, complete the following. Debbie Beauchamp_ .__._..... -.___...... Nrcutrc, u/ ( 'ommil[c'c l'hcnrperson ' , rr; r� � � " (untrytitlee ireianu c r . Period for which you are Reporting You Must Check 0 ly One Box My Non Election Year My Election Year Run -Offs Special Election (Report required only if you are in a Run -Off Election) ❑ 6 days before Primary ❑ January31, (year ❑ January 31, (year) ❑ 15 days before ) Run -Off (year) Special Primary, ❑ June 30, (year) ❑ March 31, (year) 116 days before General Run -Off (year) (year) Supplemental Reporting Tune 30, (year) ❑ ec days beforo 116 days before Special © 2019 ear(year)Special, (year) ❑ June 30, (year) September 30, (year) Primary Run -Off ❑ December 31, (year) ❑ October 25, (year) ❑ 6 days before Special ❑ Dec. 31, (year) Run -Off (year) "Persons leaving office with excess funds until El Dec. 31, (year) 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 filingonl State of Georgia County of Fulton ,.Judy L. Burds being duly sworn (affirm), depose and say that the information in this report form is complete• true, and correct. Further. I affirm that the contents in this report are the same as the contents in the electronic filing submitted. if also electronically filed. ``a````""�ptnunuvhgryi 4� ��i t�,tQk�i'kjyed before Inc on \JVe I 20 �'•' n i. - ;o _ Uhl rn bey 12 1 �j �tic C;vnnnissivrr t..ixpircrtion . gnnrtr of r atido[r b.Orgctnizcrlion.'('lrcrirj�er.rnrr'7iaa.+urcr Judy Burds Page Public"NMC AeII%YiYii``c/Other Than CandidateC'ommitteeName __1_of Page 2 of 10 State of Georgia Campaign Contribution Disclosure Report Summary Report CONTRIBUTIONS RECEIVED 1 I haveno contributions to report. I have the following contributions, including Common Source, to report: In -Kind Estimated Value Cash Amount 2 A. if this is the first time to file it disclosure report for the current office, sought, ENTER 0 in both columns (one time only); or B. If thus is the First report of this Election C'ycle*, ENTER 0 in the in -hind column and list any net balance on hand brought forward from the previous 0 0 election cycle in the cash amount column (Line 15 of previous report, or total funds left over at year end of previous cycle); or C. If this tiling is the second or subsequent tiling of this Election n Cycle, list totals from Line 6 of previous report in both the in -land and cash amount coluntlts. Total of all itemized contributions received in this reporting period which 3335 3 amount 200 is listedon the "Itemized Contributions" page.. 3a All locals received this reporting period• 4000 3b latterest earned on campaign account this reporting, period. 3e Total amount gfinvestments sold this reporting period. 0 3d Total amount of cash dividends and interest paid out this reporting period. 4 Total amount ol; till( separate contributions of $ 100 or less received in this 50 497 reporting period and not listed on the "Itemized Contributions" page. "Contnton Source" contributions must be aggregated on the "Iterized Contributions" page. 5 'Total contributions reported this period. 250 7832 (Line 3 1- 3a + 3b F 3c -i 3d 1 4) 6 Total contributions to date. Total to he carried forward to next report o'ftills election cycle*.250 7832 (Line 2 -+- 5) EXPENDITURES MADE 7 L have no expenditures to report. Q I have the followirul expenditures to report; 8 Total expenditures made and reported prior to this reporting,, period. If this is the A. First report of this Eiection C"ycle*, ENTER 0, 0 0 B. Second or subsequent filing ENTER Line 12 of previous report. _ 9 Total amount of all itemized expenditures made- in this reporting period which arc 0 3487.19 listed on the "Itemized Expenditures" page. 10 Total amount of all separate expenditures of $100.00 or less that were made 0 496.37 in this reporting period and not listed on the "Itemized Expenditures" page I I Total expenditures reported this period. 0 3983.56 (Line 9 d 10) 12 Total expenditures to date. Total to be carried forward to next report of this election cycle'''. 0 3cJ83.56 (Line 8 + I I INVESTMENTS L3 Total value of investments held at the beginning ofthis report ing pentad. 0 14 Total value of investments held at the end of this reporting period. 0 TO'T'AL NET BALANCE; ON HAND 15 Net balance on hand. 250 3848.44 (Line 6- 12 1-14) ai �hi�T ,af i; ih.......h ;inri '_ - 0,C G_A, I S 3(18) I9ectunl �y'c!c irteanc Inc permo from the u,1V ruuuwuir. ui� u.ni.< vi u.. �� �.�;�� . .., _.. _ of the next such election ofa person to the same public office. and shall he construed and applied se[mraicTy for cash cicctitic nliice uic;ludinu, the date. lea-e 2, or d� Public OfticerlCmtdiclutclUtper (Trait Candidate Committee Name Judy Burds _ Page 3 of 10 l-Vk AA, UK UI State of Georgia Campaign Contribution Disclosure Report Outstanding Indebtness Election Cycle*: General Election Year: 2019 Amount 1 Outstanding indebtedness at the beginning of this reporting period. 2 Loans received this reporting period. 4M 3 Deferred payment of expenses this reporting period 0 4 Payments made on loans this reporting period. 0 5 Credits received on loans this reporting period 0 6 Payments this reporting period on previously deferred expenses. 0 7 Total indebtedness at the close of this reporting period. (Line l + 2 + 3 - 4 - 5 - 6) 4000 Election Cycle*: Election Year: Amount 1 Outstanding indebtedness at the beginning of this reporting period. 2 Loans received this reporting period. 3 Deferred payment of expenses this reporting period 4 Payments made on loans this reporting period. 5 Credits received on loans this reporting period 6 Payments this reporting period on previously deferred expenses. 7 Total indebtedness at the close of this reporting period. (Line 1 + 2 + 3 - 4 - 5 - 6) Election Cycle*: Election Year: Amount 1 Outstanding indebtedness at the beginning of this reporting period. 2 Loans received this reporting period. 3 Deferred payment of expenses this reporting period 4 Payments made on loans this reporting period. Credits received on loans this reporting period 6 Payments this reporting period on previously deferred expenses. 7 Total indebtedness at the close of this reporting period. (Line l + 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 Otticer/Candidate/Other Than Candidate Committee Name Public Otlicer/Candidate/Othcr'1'han Candidate Committee Name D rdr��5 ............. Page _... of Page 4jof 10 CPC-CCDR llla State of Georgia Campaign Contribution Disclosure Report Itemized Contributions Must list contributions received by a single contributor for which the aggregate total more than $100.00. Note: Loans are no longer reported in "Itemized Contributions" section. See Loan Reporting section below. Full Name of Contributor Contributor Election Cash In -Kind Cycle" Amount Contributions Mailing Address (Affiliation of Committee if any) Received Date Occupation & Estimated Value Contribution Type* Employer Description Date Occupation Cash Amt. Est. Value First Name or Business Name 08/27/2019 Retired 249 Debbie ❑Primary R General Last Name ElSpecial Beauchamp ❑ Special Primary ❑ Run -Off Primary Address ❑ Run -Off General 500 Hickory Mill Lane ❑ Run -Off Special ❑ Run -Off Special Description Address2 ❑� N4onetary Employer ElIn-Kind Primary City Milton ❑ Common Source State Zip GA ❑Credit Received on Loan Aff. Comm. First Name or Business Name Date Occupation cshl"t Est. Value Gregg 08/27/2019 249 ❑ Primary ® General Last Name ❑ Special Beauchamp ❑ Special Primary ❑ Run -Off Primary Address 500 Hickory Mill Lane ❑Run -Off General ❑ Run -Off Special ❑Run -Off Special Description Address2 ❑■ Monetary Employer ElIn-Kind Primary City Milton ❑ Common Source ❑Credit Received on Loan State Zip G 30 004 Aff. Comm. First Name or Business Name Date Occupation cash Amt. Est. Value 08/27/2019 CPA 249 Barbara ❑Primary ❑� General Last Name ❑ Special Sumrell ❑ Special Primary ❑ Run -Off Primary Address ❑Run -Oft General 1350 Nix Road ❑ Run -Off Special � Monetary Employer ❑ Run -Off Special Description Address2 Self Primary ElIn-Kind City Milton ❑ Common Source ❑ Credit Received on Loan State GA Zip 30004 Aff Comm. Itemized Contributions Page Total $ 747 $ Public Ofticer/Candidate/Other "Phan Candidate Committee Name _ Page 4►,__ of Page 4 of 10 CPC-CCDR 1?14 State of Georgia Campaign Contribution Disclosure Report Itemized Contributions Must list contributions received by a single contributor for which the aggregate total more than $100.00. Note: Loans are no longer reported in "Itemized Contributions" section. See Loan Reporting section below. Full Name of Contributor Contributor Election Cash In -.Kind Mailing Address Cycle* * Amount Contributions Received Date Occupation & Estimated Value (Affiliation of Committee if any) Description Contribution Type* Employer First Name or Business Name Date Occupation Cash Am' Est. Value 09/17/2019 Executive 99 Stephanie ❑Primary FMGeneral Last Name El Special Rabin ❑ Special Primary ❑ Run -Off Primary Address ❑ Run -Off General 2 Ellis Rd ❑Run -Off Special ❑ Run -Off Special Address2 ❑Monetary Employer Description ❑ In -Kind Comcast Primary City Haverton Common Source State Zip PA 19083 ElCredit Received on Loan Aff, Comm. First Name or Business Name Date Occupation Cash Amt. Est. Value 09/17/2019 Stay at home dad 99 Scott ❑Primary ❑General Last Name Babin ❑ Special El Special Primary ❑ Run -Off Primary Address 2 Ellis Rd ❑ Run -Off General ❑ Run -Off Special ❑Rim-OffSpecial Address2 ❑S Monetary Em to er p y Description ❑ In -Kind Primary City Haverton Common Source ❑ Credit Received on Loan State Zip PA 1'9083 Aff. Comm. First Name or Business Name Date Occupation Cash Amt. Est. Value 09/26/2019 Furniture Restorer 500 Martha El Primary ❑ General Last Name ❑ Special Murphy ❑ Special Primary ❑ Run -Off Primary ❑Rim -Off General Address 16445 Westbrook ❑Rein -Off Special El Run -Off Special Address2 Monetary ryPrimary Employer Description Self ❑ In -Kind City Milton ❑ Common Source ❑ Credit Received on Loan State GA Zip 30004 Aff. Comm. Itemized Contributions Page Total $ 698 $ Public Officer/Candidate/OtherI'lian Candidate Committee N:une Page _, of Page 4 of 10 C. cre-CCDR in4 State of Georgia Campaign Contribution Disclosure Report Itemized Contributions Must list contributions received by a single contributor for which the aggregate total more than $100.00. Note: Loans are no longer reported in"Itemized Contributions" section. See Loan Reporting section below. Full Name of Contributor Contributor Election Cash In -bind Mailing Address Cycle** Amount Contributions (Affiliation of Committee if any) Received Date Occupation & Estimated Value Contribution Type* Employer Description First Name or Business Name Date Occupation C�h Amt. Est. Value 09/25/2019 Owner 200 Mary ❑Primary Last Name ❑ General ❑ Special Mayer ❑ Special Primary Address ❑ Run -Off Primary ❑Run -Off General 16070 Henderson Rd ❑ Run -Off Special Address2 ❑ Monetary Employer ❑ Run -Off Special Description Cheeses & Mary Primary Meet/Greet ❑ In -kind City Milton ❑ Common Source State Zip GA 30004 ❑ Credit Received on Loan Aff. Comm. First Name or Business Name Date Occupation CAI' AmL Est. Value ❑ Primary Last Name ❑ General ❑ Special ❑ Special Primary Address ❑ Run -Off Primary ❑ Run -Off General ❑ Run -Off Special Address2 ElMonetary Employer ElRun-OffSpecial Description ❑ In -Kind Primary City ❑ Common Source State Zip ❑Credit Received on Loan Aff, Comm. First Name or Business Name Date Occupation Cast' Amt. Est. Value ❑ Primary ❑ General Last Name ❑ Special ❑ Special Primary ❑Run -Off Primary Address ❑ Run -Off General ❑ Run -Off Special ElRun-OffSpecial Description Address2 monetary Elp Employer Y Primary ❑ In -Kind City ❑ Common Source State Zip ❑ Credit Received on Loan Aff. Comm. Itemized Contributions Page Total $ 0 $200 Public Ofticer/Candit] ate/Other ThLin Candidate Committee Naive Pa�c of Page 5 of 10 CFC-CCbx 1/14 First Name or Business Name Date Occupation Cnh A.V. 200 Est. Value Kathryn Burds 09/06/2019 Retired ❑ Primary ❑ General Last Name ❑ Special DVM OetjenEia ❑ Special Primary ❑ Run -Off Primary El Run -Off General Employer ❑ Run -Off Special Description ❑ Monetary ❑ Run -Off Special ❑ In -Kind Primary ❑ Common Source54935 ❑ Credit Received on Loan Aff. Comm. First Name or Business Name Date Occupation cash ^"" 249 Est. Value John "Chris" 09/10/2019 VP Regulatory Affairs ❑ Primary General ❑Special Last Name Prue ❑Special Primary ❑ Run -Off Primary Address ❑Run -Off General 1159 Bream Drive Employer ElRun-OffSpecial El Run-Off'Specialprimary Description Address n Monetary El in -Kind Vizuri Health Services City Milton ❑ Common Source State Zip GA 30004 ❑ Credit Received on Loan Aff. Comm. Date Occupation can Am,v 249 Est, Value First Name or Business Name Wendy 09/16/2019 Retired ❑ primay General ❑ Special Last Name Kremeier ❑ Special Primary ❑ Run -Off Primary Address El Run -Off General 676 Glenover Dr El Run -Off Special Description Address2 (]Monetary Employer ❑ Run -Off Special ❑ In -Kind Primary City Milton ❑ Common Source Zip State GA 30004 ElCredit Received on Loan Aff. Comm. Date Occupation p C t'A"" Est. Value First Name or Business Name Judith 09/06/2019 Retired Primary 200 General ❑Special Last Name Lyon ❑ Special Primary ❑ Run -Off Primary Address 620 Flying Scot Way ❑ Run -Off General Description Employer ❑Run -Off Special ❑ Run -Off Special Address2 ■ Monetary ElIn-KindPrimary City Alpharetta Common source State Zip GA 30005 ❑ Credit Received on Loan Aff. Comm. 898 itemized Contributions Page Total $ $ * Contribution Type (Monetary, In -Kind, Common Source, Credit Received on Loan) General, Special, Special Primary, Run -Off Primary, Run -Off General, Run -Off Special, Run -Off Special Primary ** Election Cycle (Primary, If any such person(s) shall have a fiduciary relationship to the lending institution or party making the advance or extension of credit Judy Burds Pa'. of 4_"°T Puhlic Officcr/Candidatc/OthcrThan Candtdute Committee Name Page 5 of 10 CBC-CCDR Lid First Name or Business Name Date Occupation Cash Ami. 249 Est. Value. 09/26/2019 Cameron Executive ❑Primary ❑ General Last Name El Special Crow El Special Primary ❑ Run -Off Primary Address 1153 Bream Drive El Run-off General Description Monetary Employer ❑ Run -Oft Special Address2 ❑.Rim -Off Special ❑ In -Kind Wellstar Primary City Milton ❑ Common Source State Zip GA 30004 ElCredit Received on Loan Aff: Comm. Date Occupation cash Anit. 245 Est. Value First Name or Business Name Melissa 09/26/2019 Homemaker ❑Primary General ❑ Special Last Name Cohen ❑ Special Primary El Run -Off Primary Address 16115 Segwick Dr ❑ Run -Off General Description ❑ Run -Off Special ❑ Run -Off Special Address2 � Monetary Employer ❑ In -Kind Primary City Milton ❑ Common Source Zip State GA 30004 ❑ Credit Received on Loan Aff, Comm. First or Business Name Date Occupation P Cast, Ant 249 Est. Value, Steven 09/26/2019 Attorney ❑Primary General ❑ Special Last Name Barnett ❑ Special Primary ❑ Run -Off Primary Address 112 Slide Ct ElRun-OffGeneral ! Description ElRun-Off Special El Run -Off Special Address2 Monetary Employer El In -Kind Steven Barnett Law Primary city Milton ElCommon Source State Zip GA 30004 ❑ Credit Received on Loan Aff. Comm. First Name or Business Name Date Occupation P Amt c sh . Est. Value Melissa 09/26/2019 Paralegal ❑ Primary 249 (] General Last Name ❑ Special Barnett ❑ Special Primary ❑ Run -Off Primary Address 112 Slilde Ct ❑ Run -Off General Description El Run -Off Special El Address2 0 Monetary Employer Steven Barnett taw Run -Off Special ❑ In -Kind Primary City Milton ❑ Common Source State Zip GA 30004 ❑ Credit Received on Loan Aff. Comm. 992 Itemized Contributions Page Total $ $ * Contribution Type (Monetary, In :Kind, Common Source, Credit Received on Loan) ** Election Cycle (Primary, General, Special, Special Primary, Run -Off Primary, Run -Off General, Run -Off Special, Run-Utf Special Primary) *** If any such person(s) shall have a fiduciary relationship to the lending institution or party making the advance or extension of credit Judy Burds Page of LT Public Officer/Candidate/Otller'Chan Candidate Commuter Name Page 6Aof 10 Loan Re orting Persons) responsible for repayment of loan & Mailin Address First Name Name of Lender & Mailin Address ate of Loan :2.Amountof Loan ection C cle** I , Lender Name (First Name, Business, Inst.) Judy 8/20/19 Judy Lender Last Name 2, Last Naive Burds 1,000 Burds Address 1165 Bream Drive 3, ❑ Primary OG 1 Address 1165 Bream Drive enera ❑ Special ❑ Special Primary Address2 Address2 ❑ Run -Off Primary El Run -Off General City City Milton [I Run -Off Special ❑Run -Off Special Primary Milton State GA Ztp 30004 State GA Zip p 30004 T,enderName (First Name, Business,inst.) I , First Name Judy 8/22/19 Judy 2. Last Name Lender Last Name Burds 1,000 Burds 3, Address Address 1165 Bream Drive ❑ Primary 0 General ❑ Special ❑ Special Primary 1165 Bream Drive Address2 Address2 ❑ Run -Off Primary ❑ Run -Off General City City Milton ❑ Run -Off Special ❑ Run -Off Special Primary Milton State GA Zip 30004 State GA ZiP 30004 EOccupation & 2.Place of Employment 3 Fiduciary Relationship*** I. Consultant 2. Self 3. ❑ Public 01TiCCr ❑ Camdidate ❑ 01ber Than candidate Committee Name L. Consultanta 2. Self 3. ❑ Public Officer ❑ Cand idate ❑ Other Than CandidateCommdiec Name Reference; OCGA § 21-5-34(b)(1) Loan Page Total $ 2000 * Contribution Type (Monetary, In -Kind, Common Source, Credit Received on Loan) ** Election Cycle (Primary, General, Special, Special Primary, Run -Off Primary, Run -Off General, Run -Off Special, Run -Off Special Primary) ** If any such person(s) shall have a fiduciary relationship to the lending institution or party making the advance or extension of credit Judy Burds Page of Public Otficer/Candidate/Other Than Candidate Cinmmiuce Name_..r ___ Page 6 of 10 crC-CeDti i, is Loan Ke orting Name of Lender 1.Date of Loan Persons) responsible for l Occupation & & 2.Arnount of Loan repayment of loan & 2.Place of Employment Mailing Address 3.Election Cycle** Mailing Address 3.Fiduciary Relationship"* Lender Name (First Name, Business, Inst.) ] . First Name 1. Judy 9/17/19 Judy Consultant Lender Last Name 2. Last Name 2. Burds 2,000 Burds Self Address 3. Address 3. 1165 Bream Drive ❑ Primary OGeneral ❑ Special 1165 Bream Drive ❑Public (.)lircr ❑ Czmd idate Address2 Address2 El Special Primary ❑ Run -Off Primary ElRun-OffGeneral El Other Than Candidate Committee Name City City Milton El Run -Off Special Elp Run -Off 'S ecial Milton State Zip State GA Zip 30004 GA 30004 Primary Lender Name (First Name, Business, Inst.) j , First 1 . Lender Last Name 2, Last Name 2. Address 3--. Address �. ❑ Primary ❑ General ❑ Special ❑Public Officer ❑ Candidate Address2 Address2 El Special Primary ❑ Run -Off Primary ❑ Rup-Off General El(Abr+rfhan CandidateCommittee Name City ❑ Run -Off Special El Run -Off Special State Zip State Zip Primary Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ 2000 * Contribution Type (Monetary, In -lima, Common oource, F.reUll ncecivc I- �u J ** Election Cycle (Primary, General, Special, Special Primary, Rum -Off Primary, Run -Off General, Run -Off Special, Run -Off Special Primary) ***if any such person(s) shall have a fiduciary relationship to the lending institution or party making the advance or extension of credit Public Ot3icer/Candidate/Other'Fhan Candidate Committee Name Judy Burds Pa{0 of / Page 7 of 10 CFC-C('t)itI.114 State of Georgia Campaign Contribution Disclosure Report Itemized Expenditures Must list expenditures made to a single recipient For which the a g Tre ate total more than $100,00. List Name and Exp. Date Occupation & Expenditure Amount Mailing Address of Recipient Exp. Type* Employer Purpose ["aid First Name Date Occupation Legal filing fees to set 172.00 Judy 08/22/2019 Consultant up campaign Last Name Burds Address Expenditure ❑ In -Kind 1165 Bream Dr ❑Loan Repayment ❑Refund Address2 I?mployer ION Reimbursement Self ❑Credit Card ❑3rd Parry city ❑Deferred Payment Milton ❑Payment on Deferred Expense ❑Investment State Zip GA 30004 First Name Date Occupation Advertising/Donation 1000.00 Milton First Responders Foundation 08/22/2019 NA Last Name Address ■ Expenditure ❑In -Kind 980 Birmingham Highway []Loan Repayment ❑Refund Employer Address2 ❑Reimburseent NA Suite 501 ❑Credit Card ❑3rd Party City El Deferred Payment Milton ❑Payment on Deferred Expense ❑Investment State GA p Zt 30004 First Name Date occupation Printed Materials 2315.19 09/24/2019 Graphic Design/Print Donna Last Name Broker Savas Address LqExpenditure ln-12275 ❑❑ Greenmont Walk Loan Repayment Address2 El Refund Employer ❑Reimbursement Self ❑Credit Card City ❑3rd Party El Deferred Payment Alpharetta ❑Payment on Deferred Expense State GA Zip 30009 Investment 3487.19 Page Total $ * Expenditure Type (Expenditure, In -Kind, Loan Repayment; Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment on Deferred Expense, Investment) Public Oflicer/Candidate/Otber'I'han Candidate Committee Name Judy Burds Pace Public Orliccr/CanditlatcK7therThan n Candidate Convutee Narne -. -- Page 8 of 10 tTc-Ccurt iria List Name and Exp. Date Occupation & Expenditure Amount Mailing Address of Recipient Exp. Type„ Employer Purpose Pahl First Name Date occupation Last Name Address Expenditure ❑lip -Kind ❑Loan Repayment El Refund Address2 Employer ❑Reimbursement ❑Credit Card ❑3rd Party City ❑Deferred Payment ❑Payment on Deferred Expense ❑Investment State Zip First Name Date Occupation Last Name Address Expenditure ❑ln-Kind ❑Loan Repayment ❑Refund Address2 Icmployer ❑Reimbursement ❑Credit. Card ❑3rd Party City ❑Deferred Payment ❑Payment on Deferred Expense ❑ Investment State Zip FirstName Date occupation Last Name Address El Expenditure ❑tn-Kind ❑Loan Repayment ❑Refund Address2 Employer ❑Reimbursement ❑C.redit Card 03rd Party city ❑Deferred Payment ❑Payment on Deferred Expense ❑Invesnnent State Zip First Name Date Cceupation Last Name Address Expenditure ❑ln-Kind [:]Loan Repayment Address2 Employer ❑Refund ❑Reimbursement ❑Credit Card ❑3rd Party City ❑Deferred Payment ❑Payment on Deferred Expense ❑ In vestment State Zip * Expenditure Type (Expenditure, In -Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment on Deferred Expense, Investment)Public ot`ficcu`Candidate/other "Phan Candidate Committee Name Page Total $ 0 q Judy BUrdS Pa�2— nl ne 6 Public officer/Candidate/Other "than Candidate Commatee Name Page 9 of 10 (TC-(('DR 1/14 State of Georgia Campaign Contribution Disclosure Report Investments Statement 1. Investment Name AccountY Institution/Person Holding Account Mailing Address 1165 Bream -- Dr , ive Address2 City ------- State Zip Value at beginning of reporting period Value at end of reporting period Difference in value Interest Paid Out $ Cash Dividends $ Investment Transactions Date Person(s) Involved in Transaction Value of investment purchased Value of investmentsoldProfit Loss 2. Investment Name Account 9 Institution/Person Holding Account Mailing Address Address2 City State Zip Value at beginning of reporting period Value at end of reporting period Difference in value $ Interest Paid Out $ Cash Dividends $ Investment Transactions Profit Loss Date Person(s) Involved in Transaction Value of investment purchased Value of investment sold Total value of investments at beginning of reporting period $ Page Total Cash Dividends: $ Page Total Interest Paid Out: $ Page Total Profit: $ Page Total Loss: $ Total value of investments at end of reporting 1)eriod.,.,$ Total difference in value $ I'Liblic Officer/Candidate/Chher I'llar, Candidate Conunittce Name ]'a,—,e Page 10 of 10 Judy Burds Page ,I - public °f Offlcer(Ctuidi(lote/Otherr'1'hanCandidateCommitteeName _.__.__ __ -- -- � -�