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HomeMy WebLinkAboutCCDR - PAUL MOORE - 12/31/201910/l9 l.Yl,i.l.Vtt Campaign Contribution Disclosure Report Georgia Government Transparency and Campaign Finance Commission 200 Piedmont Avenue S.E. I Suite 1416 West Tower I Atlanta, GA 30334 1 404-463-1980 1 www.ethics.ga.gov 1. Report Type 2. Filing is being made on behalf of (Select One): RE cEivEarlier of Post (Select One) Candidate or Public Official Mark or Hand -Delivered Office Held or Sought Milton City Council Date ❑■ Original (include county, municipality, district, post or judicial circuit) D E C 1 6 2019 Filer ID (Filer ID that begins With the letter "C") ❑ Amendment Organization or Person Other than Candidate's Campaign Committee C Committee Name: Moore for Milton CITY wr CCLERK F .Amendment k Filer ID: (Files ID that begins with the letter "W) 3. Identifying and Contact Information (j) Paul B Moore (2) 12/10/19 Full Name of Candidate or Other Than Candidate Campaign Committee Name Today's Date (;) 15290 White Columns Drive. Milton. GA. 30004 Mailing Address City State Zip Code L) l 404 556 3074 and/ or paulQmooreformilton.com Primary Contact Phone Number E-Mail (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? ® Yes ❑ No (6) If yes, is the committee registered with the Commission? ❑ Yes ❑ No (7) If yes, complete the following: Jack Miller I Ronald Gilbert Name of Committee Chairperson I Name of Committee Treasurer 4. Period for which you are Reporting You Must Check Only One Box My Non Election Year My Election Year Run -Offs Special Election (Report required only if you are in a Run -Off Election) ❑ January 31, (year) ❑ January 31, (year) 6 days before Primary Run -Off (year) ❑ 15 days before S ❑ June 30, (year) ❑ April 30, (year) ❑ 6 days before General ecial Frim P �' ❑ December 31, (year) El June 30, (year) Run -Off (year) (year) ❑ 6 days before Special 15 days before ElSpecial, Supplemental Reporting El30 (Year September P ) Primary Run -Off (year) (year) ❑ June 30, (year) ❑ October 25, (year) ❑ 6 days before Special ❑ Dec. 31, (year) ❑ December 31, (year) ® Dec. 31, (year) Run-Off(year) `Supplemental reports are required of candidates who have unsuccessfully campaigned for office or have resigned from office. See O.C.G.A. § 21-5- A State of Georgia County of Fulton , A_` C ebDn A—, .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. Sworn to and subscribed before me on 20 1 cl SS111PTE 't' J. K E M P Itl Doi . r at re o ary Public •:. , mt-sion 10ftsuatee County a. Signature of Candidate My Commission Expires b. Organization/Chairperson/Treasurer Au ust 1 2, 2023 Public Officer/Candidate/Other Than Candidate Committee Name a^ 3 { 1 " z Page I of a� . -I- - _.. State of Georgia Campaign Contribution Disclosure Report Summary Report CONTRIBUTIONS RECEIVED I I have no contributions to report. In -Kind Cash Amount ✓ I have the followingcontributions includingCommon Source to report: Estimated Value 2 A. If this is the first time to file a disclosure report for the current office sought, 1,000.35 22,668.47 ENTER 0 in both columns (one time only); or B. If this is the first report of this Election Cycle*, ENTER 0 in the in -kind column and list any net balance on hand brought forward from the previous election cycle in the cash amount column (Line 15 of previous report, ortotal funds left over at year end of previous cycle); or C. If this filing is the second or subsequent filing of this Election Cycle, list totals from Line 6 of previous report in both the in -kind and cash amount columns. 3 Total amount of all itemized contributions received in this reporting period which 426.00 4,349.00 is listed on the "Itemized Contributions" page. 3a All loans received this reporting period. 5,016.20 3b Interest earned on campaign account this reporting period. 0 3c Total amount of investments sold this reporting period. 0 3d Total amount of cash dividends and interest paid out this reporting period. 0 4 Total amount of all separate contributions of $100 or less received in this 0 500.00 reporting period and not listed on the "Itemized Contributions" page. "Common Source" contributions must be aggregated on the "Itemized Contributions" page. 5 Total contributions reported this period. 426.00 9,865.20 (Line 3 +3a+3b+3c+3d+4) 6 Total contributions to date. Total to be carried forward to next report of this 1,426.35 32,533.67 election cycle*. (Line 2 + 5) EXPENDITURES MADE 7 I have no expenditures to report. ✓ I have the following expenditures to report: 8 Total expenditures made and reported prior to this reporting period. If this is the 1 000.35 13 421.46 A. First report of this Election Cycle*, ENTER 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 are 426.00 17,582.68 listed on the "Itemized Expenditures" page. 10 Total amount of all separate expenditures of $100.00 or less that were made 0 1,529.53 ' in this reporting period and not listed on the "Itemized Expenditures" page 11 Total expenditures reported this period. 426.00 18,112.21 (Line 9 + 10) Total expenditures to date. Total to be carried forward to next report of this 1 426.35 32 533.67 election cycle*. (Line 8 + 11) INVESTMENTS 13 Total value of investments held at the beginning of this reporting period. - 0 14 Total value of investments held at the end of this reporting period. 0 TOTAL NET BALANCE ON HAND 15 Net balance on hand. 0 0 (Line 6 - 12 + 14) * O.C.G.A. 21-5-3(10) : Election cycle means the period from the day following the date of an election or appointment of a person to elective public office through and of the next such election of a person to the same public office and shall be construed and applied separately for each elective office including the date. Paul B Moore Public Officer/Candidate/Other Than Candidate Committee Name Page 4- of 2-1 —b.. — crrrrnv Irmo State of Georgia Campaign Contribution Disclosure Report Outstanding Indebtness Election Cycle*: General Election Year: 2019 (9/30/19) Amount 1 Outstanding indebtedness at the beginning of this reporting period. 0 2 Loans received this reporting period. 3920.15 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 1 + 2 + 3 - 4 - 5 - 6) 3920.15 Election Cycle*: General Election Year: 2019 (10/25/19) Amount 1 Outstanding indebtedness at the beginning of this reporting period. 3920.15 2 Loans received this reporting period. 5444.38 3 Deferred payment of expenses this reporting period 0 4 Payments made on loans this reporting period. 3715.22 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 1 + 2 + 3 - 4 - 5 - 6) 5649.31 Election Cycle*: General Election Year: 2019 (12/31/19) Amount 1 Outstanding indebtedness at the beginning of this reporting period. 5649.31 2 Loans received this reporting period. 5016.20 3 Deferred payment of expenses this reporting period 0 4 Payments made on loans this reporting period. 8790.33 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 1 + 2 + 3 - 4 - 5 - 6) 1875.18 * Election Cycle (Primary, General, Special, Special Primary, Run -Off Primary, Run -Off General, Run -Off Special, Run -Off Special Primary) Public Officer/Candidate/Other Than Candidate Committee Name Public Officer/Candidate/Other Than Candidate Committee Name Paul B Moore Pa'-'c 3 of ;2`, 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) Contribution Type* Employer Description First Name or Business Name Date Occupation Cash Aml Est. Value Gregory 10/30/19 Self Employed El Primary N General Last Name Swayne ❑ special ❑ Special Primary ❑ Run -Off Primary Address 760 Lake Mist Cove ❑Run -Off General xun-km Npectal ❑ Run -Off Special Address2 M Monetary Employer I )escription ❑ In -Kind Primary City Milton ❑ Common Source State Zip GA 30004 ❑ Credit Received on Loan Aff. Comm. First Name or Business Name Date Occupation Cash Amt I st. VaIUC Robert 10/31 /19 Self Employed ❑Primary ®General Last Name Jamison ❑ Special ❑ Special Primary ❑Run -Off Primary Address 260 Shady Grove Lane ❑ Run -Off General Kun-Lm Jpecial ❑ Run -Off Special Address2 ■❑ Monetary Employer I)c,criptin ElIn-KindPrimary City Alpharetta ❑ Common Source ❑ Credit Received on Loan State GA I.ip 30004 Aff. Comm. First Name or Business Name I )aic Occupation Cash Amr Est. Value Ried 10/31 /19 Realtor ❑ Primary ® General ZOO,OG Last Name Casey ❑ Special ❑ Special Primary ❑ Run -Off Primary Address 13180 Bethney Road ❑Run -Off General ❑ Run -Off Special ❑Run -Off Special Address2 ©Monetary Employer Description Primary ❑ In -Kind City Milton ❑ Common Source State Zip GA 30004 ❑ Credit Received on Loan Aff. Comm. Itemized Contributions Page Total $ 9W $ Public Officer/Candidate/Other Than Candidate Committee Name Paul B Moore _ Page —it. of 4a —I— __ First Name or Business Name Date Occupation Cash Amt I �t. Value Chuck 10/30/19 Small Business ❑ Primary Last Name ® General Campbell Owner ❑ Special ❑ Special Primary Run -Off Primary Primary Address 550 Kensington Farms Dr [:]Run-OffGeneral ❑ Run -Off Special Address2 ❑■ Munetan Employer I )escription ❑ In -land ❑ Run -Off Special Primary City Milton ❑ Common Source State Zip GA 30004 ❑ Credit Received on Loan Aff. Comm. First Name or Business Name Date Occupation Cash Amt I{st. Value Marjorie 10/30/19 President ❑ Primary ® General , Last Name Greene ❑ Special ❑ Special Primary ❑ Run -Off Primary Address 16083 Old Henderson Rd ❑Run-0ff General ❑ Run -Off Special ❑ Address2 © Monetary Employer Description ❑ In -Kind Taylor Commercial Run -Off Special Primary City Milton ❑Common Source Inc. State zip GA 30004 ❑ Credit Received on Loan Aff. Comm. First Name or Business Name Date Occupation Cash Amt I'.st. Value Peyton 11/5/19 Investments El Primary R General 1000 Last Name Jamison ❑ Special ❑ Special Primary ❑ Run -Off Primary Address 13790 Birmingham Highway ❑ Run -Off General Run -Off Special Special El Address2 0 Monetary Employer Description ❑ In -Kind Jamison Private Run -Off Special Primary City Milton ❑ Common Source Wealth State Zip GA 30004 ❑ Credit Received on Loan Management Aff. Comm. First Name or Business Name Date Occupation Ca,h ,%� t I Lst. Value Curtis 11 /1 /19 Consultant ❑ Primary 9 General Last Name Mills ❑ Special ❑ Special Primary ❑ Run -Off Primary❑Run-0ff Address 16355 Birmingham Highway General ❑ Run -Off Special ❑ Run -Off Special Primary Address2 Monetary ❑ In -Kind Employer I )escription City Milton ❑ Common Source State 7 i p GA 30004 ❑ Credit Received on Loan Aff. Comm. 3,000 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 -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 Paul B Moore Public Officer/Candidate/Other Than Candidate Committee Name Page S of First Name or Business Name Date Occupation Est. Value David Hodges 11 /2/19 Real Estate Investor ❑ Primary Last Name ®General ❑ Special ❑ Special Primary ❑Run -Off Primary Address 13525 Holly Way ❑ Run -Off General ❑Run -Off Special Address2 Monetary Employer I)escription ❑ In -Kind Self ❑ Run -Off special Primary City Milton El Common Source State Z' pp� � GA 30004 ❑ Credit Received on Loan Aff. Comm. First Name or Business Name Date OCCupation Cash Amt F.st. Value Jake 10/30/19 Sales ❑ Primary ® General t -,in . o 0 Last Name Ward ❑ Special ❑ Special Primary ❑ Run -Off Primary Address 14200 Cogburn Rd ❑ Run -Off General ❑ Run -Off Special ❑Run -Off Special Primary Address2 Monetary ❑ In -Kind ❑ Common Source Employer Victorian Solutions Description City Milton State Zip GA 30004 ❑ Credit Received on Loan Aff. Comm. First Name or Business Name Date Occupation Cash Arnt I ,t ❑ Primary ❑ General Last Name ❑ Special ❑ Special Primary ❑ Run -Off Primary Address ❑ Run -Off General ❑ Run -Off Special ❑ Run -Off Special Primary Address2 ❑ Monetary ❑ In -Kind Employer Description City ❑ Common Source State Zip ❑ Credit Received on Loan Aff. Comm. First Name or Business Name Date Occupation Cash Amt I st. Value ❑ Primary ❑ General Last Name ❑ Special ❑ Special Primary ❑ Run -Off Primary Address ❑ Run -Off General ❑ Run -Off Special ❑ Run -Off Special Primary Address2 Monetary ❑ In -Kind Employer Description City ❑ Common Source State / i p ❑ Credit Received on Loan Aff. Comm. 449 Itemized Contributions Page Total $ $ • Contribution Type (Monetary, In -Kind, Common Source, Credit Received on Loan) ss Election Cycle (Primary, General, Special, Special Primary, Run -Off Primary, Run -Off General, Run -Off Special, Run -Off Special Primary) sss If any such person(s) shall have a fiduciary relationship to the lending institution or party making the advance or extension of credit Paul B Moore Public Officer/Candidate/Other Than Candidate Committee Name Page to of 2-1 —I— — __ First Name or Business Name Date Occupation Cash Arm Est. Value Joseph 10/30/19 Builder 426.00 ❑Primary ® General Last Name Lockwood ❑ Special ❑ Special Primary ❑ Run -Off Primary Address 375 Dorris Rd ❑ Run -Off General ❑Run -Off Special Address2 0 Monetary Employer Description In -Kind Lockwood Construction ❑Run -Off special Prim ar Meet and Greet City Milton ❑ Common Source State Zip GA 30004 ❑ Credit Received on Loan Aff. Comm. First Name or Business Name Date Occupation Cash Anil I ,t uluc ❑ Primary ❑ General Last Name ❑ Special ❑ Special Primary ❑ Run -Off Primary Address ❑ Run -Off General ❑ Run -Off Special Address2 ❑ Monetary Employer Description ❑ In -Kind ❑ Run -Off Special Primary City ❑ Common Source State Zip ❑ Credit Received on Loan Aff. Comm. First Name or Business Name Date Occupation Cash .Amt I st- aluc ❑ Primary ❑ General Last Name ❑ Special ❑ Special Primary ❑ Run -Off Primary Address ❑ Run -Off General ❑ Run -Off Special ❑ Run -Off Special Primary Address2 ❑ Monetary ❑ In -Kind Employer Description City ❑ Common Source State Zip ❑ Credit Received on Loan Aff. Comm. First Name or Business Name Date Occupation Cash Ann list. Valuc ❑ Primary ❑ General Last Name ❑ Special El Special Primary ❑ Run -Off Primary Address ❑ Run -Off General ❑ Run -Off Special ❑ Run -Off Special Primary Address2 Monetary ❑ In -Kind Employer Description City ❑ Common Source State Zip ❑ Credit Received on Loan Aff. Comm. 426.00 Itemized Contributions Page Total $ S 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 Paul B Moore Public Officer/Candidate/Other Than Candidate Committee Name Paee of �1 Loan Reporting Name of Lender 1. Date of Loan Person(s) responsible for 1.0ccupation & & 2. Amount of Loan repayment of loan & 2.Place of Employment Mailing Address 3.Election cle** Mailing Address 3.Fiduciary Relationshi *** Lender Name (First Name, Business, Inst.) 1, First Name 1, Paul 11 /3/19 Moore for Milton Lender Last Name ? Last Name 2, Moore 215.31 Address 3. Address 3, 15290 White Columns Dr ❑Primary 15290 White Columns Dr ® General ❑ Special ❑ Special Primary ❑ Public Officer Candidate Address2 Address2 ❑ Run -Off Primary ❑Run -Off General ❑Other Than Candidate Committee City Milton ❑ Run -Off Special ❑ ff Special Milton Name State 3�& GA 3904 cn Primary Lender Name ( First Name, Business, Inst.) ] , First Name j . Same as Above 11 /4/19 Same as Above Lender Last Name 7 Last Name I 186.63 Address 3, Address 3, ❑ Primary ® General ❑ Special ❑ Public Officer Address2 Address2 ❑ Special Primary Candidate City City ❑ Run -Off Primary ❑ Run -Off General ❑Other Than Candidate Committee City ❑ Run -Off Special ❑ Run -Off Special Name State Lip State "Lip Primary Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ 401.94 * 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 Public Officer/Candidate/Other Than Candidate Committee Name Paul B Moore Page $ of 1j Loan Reporting Name of Lender 1. Date of Loan Person(s) responsible for 1.0ccupation & & 2. Amount of Loan repayment of loan & 2.Place of Employment Mailing Address 3.Election C cle** Mailing Address 3.Fiduciary Relationshi *** Lender Name (First Name, Business, Inst.) l , First Name 1, Paul 11 /4/19 Moore for Milton Lender Last Name 2. I.ast Name 2. Moore 396.92 Address 3. Address 3 15290 White Columns Dr ❑Primary 15290 White Columns Dr ® General ❑ Special ❑ Special Primary ❑ Public Officer ®Candidate Address2 Address2 City ❑ Run -Off Primary ❑ Run -Off General ❑Other Than Candidate Committee City Milton ❑ Run -Off Special ❑ Run -Off Special Milton Name State p04 State GA 39M Primary Lender Name (First Name, Business, Inst.) l , First Name 1, Same as Above 10/31 /19 Same as Above Lender Last Name 2. Last Name 2. 1936.65 Address 3, Address 3, ❑ Primary ® General ❑ Special ❑ Public Officer Address2 Address' ❑ Special Primary Candidate City ❑ Run -Off Primary El Run -Off General ❑Other Than Candidate Committee city ❑ Run -Off Special ❑Run -Off Special Name State Zip State Zip Primary Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ 2.333.57 ' 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 Public Officer/Candidate/Other Than Candidate Committee Name Paul B Moore Page_ `1 11f.27 ...b....... -- CFC-CCDR 10/19 Loan Reporting Name of Lender 1. Date of Loan Person(s) responsible for 1.0ccupation & & 2. Amount of Loan repayment of loan & 2.Place of Employment Mailing Address 3.Election C cle** Mailing Address 3.17iduciary Relationship*** Lender Name (First Name, Business, Inst.) 1, First Name 1 Paul 10/31 /19 Moore for Milton Lender Last Name I Last Name 2. Moore 1085.84 Address 3. Address 3, 15290 White Columns Dr ❑Primary 15290 White Columns Dr ❑■ General ❑ Special ❑ Public Officer Address2 Address2 ❑ Special Primary ® Candidate 't ❑ Run -Off Primary ❑ Run -Off General ❑Other Than Candidate Committee City Milton ❑Run -Off special ❑ Run-Off u-Off Special Milton Name St to StateZip 3o�'oa Primary GA Lender Name (First Name, Business, Inst.) 1, First Name 1 Same as Above 11 /2/19 Same as Above Lender Last Name 2. Last Name 2. 26.39 Address 3, Address 3, ❑ Primary M General ❑ Special ❑ Public Officer Address2 Address2 ❑ Special Primary M Candidate City ❑ Run -Off Primary ❑ Run -Off General ❑Other Than Candidate Committee City ❑ Run -Off Special ❑Run-OffSpecial Name State _7 Zip State Lip Primary Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ 1112.23 * Contribution Type (Monetary, In -Kind, Common Source, Credit Received on Loan) ** Election Cycle (Primary, General, Special, Special Primary, Run-OffPrimary, 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 Officer/Candidate/Other Than Candidate Committee Name Paul B Moore Page I Q of —t, __ Loan Reporting Name of Lender 1. Date of Loan Person(s) responsible for 1.0ccupation & & 2. Amount of Loan repayment of loan & 2.Place of Employment Mailing Address 3.Election C cle** Mailing Address 3.17iduci Relationship*** Lender Name (First Name, Business, Inst.) I . First Name 1, Paul 11 /2/19 Moore for Milton Lender Last Name 2. Last Name 2. Moore 52.21 Address 3. Address 3. 15290 White Columns Dr ❑Primary 15290 White Columns Dr ® General ❑ Special ❑ Special Primary ❑ Public Officer M Candidate Address2 Address2 ❑ Run -Off Primary ❑Run -Off General ❑Other Than Candidate Committee city U 't> Milton ❑ Run -Off Special ❑ Run -Off Special Milton Name GA to ��pp 30004 GA 1e �p 3000a Prim Primary Lender Name (First Name, Business, Inst.) I , First Name 1, Same as Above 11 /4/19 Same as Above Lender Last Name I Last Namc 2, 15.51 Address 3, Address 3. ❑ Primary 9 General ❑ Special ❑ Special Primary ❑ Public Officer ® Candidate Address2 Address2 city ❑ Run -Off Primary ❑ Run -Off General ❑Other Than Candidate Committee C't` ❑ Run -Off Special ❑Run -Off Special Name State Zip State lip Primary Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ 67.72 * 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 Public Officer/Candidate/Other Than Candidate Committee Name Paul B Moore Page 1 t of Loan Reporting Name of Lender 1. Date of Loan Person(s) responsible for 1.0ccupation & & 2. Amount of Loan repayment of loan & 2.Place of Employment Mailing Address 3.Election C cle** Mailing Address 3.Fiduciary Relationship*** Lender Name (First Name, Business, Inst.) 1, First Name 1, Paul 11 /4/19 Moore for Milton Lender Last Name 2. Last Name 2. Moore 45.17 Address 3, Address 3, 15290 White Columns Dr ❑Primary 15290 White Columns Dr ®General ❑ Special ❑ Special Primary ❑ Public Officer 0Candidate Address2 Addres,? City ❑ Run -Off Primary ❑ Run -Off General ❑Other Than Candidate Committee City Milton ❑Run -Off Special ❑ Run -Off Special Milton Name State Zipp State 7 i GA 30004 Primary_ GA 30�04 Lender Name (First Name, Business, Inst.) ] , First Name I . Same as Above 11 /4/19 Same as Above Lender Last Name 2. I .ast Name I 16.15 Address 3, Address 3. ❑ Primary ® General ❑ Special ❑ Special Primary ❑ Public Officer Candidate Address2 Address2 City❑ ❑ Run -Off Primary Run -Off General ❑Other Than Candidate Committee ciq ❑ Run -Off Special El Run -Off Special Name State Lip State Zip Primary Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ 61.32 • Contribution Type (Monetary, to -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 Public Officer/Candidate/Other Than Candidate Committee Name Paul B Moore Page I �- of ...-b.- — —. __ Loan Reporting Name of Lender 1. Date of Loan Person(s) responsible for 1.0ccupation & & 2. Amount of Loan repayment of loan & 2.Place of Employment Mailing Address 3.Election cle** Mailing Address 3.Fiduciary Relationship*** Lender Name (First Name, Business, Inst.) 1, First Name 1, Paul 11 /5/19 Moore for Milton Lender Last Name Last Name 2. Moore 75.62 Address 3, Address 3, 15290 White Columns Dr ❑Primary 15290 White Columns Dr RGeneral ❑ Special ❑ Special Primary ❑ Public Officer ®Candidate Address2 Address2 City ❑ Run -Off Primary ❑Run -Off General ❑Other Than Candidate Committee City Milton ❑Run -Off Special ❑ Pnff Special Milton Name State 1eGA GA Lender Name (First Name, Business, Inst.) 1, First Name j . Same as Above 11 /4/19 Same as Above Lender Last Name 2. Last Namc 2. 91.84 Address 3, Address 3, ❑ Primary ® General ❑ Special ❑ Public Officer Address2 Address2 ❑ Special Primary ® Candidate City ❑ Run -Off Primary ❑ Run -Off General ❑Other Than Candidate Committee C its ❑ Run -Off Special ❑ Run -Off Special Name State Zip State /ip Primary Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ 167.46 • 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 Public Officer/Candidate/Other Than Candidate Committee Name Paul B Moore Page 0 of 2-1 —I— — _. __ Loan Reporting Name of Lender 1. Date of Loan Person(s) responsible for 1.0ccupation & & 2. Amount of Loan repayment of loan & 2.Place of Employment Mailing Address 3.Election C cle** Mailing Address 3.Fiduciary Relationship*** Lender Name (First Name, Business, Inst.) 1, First Name l , Paul 11 /4/19 Moore for Milton Lender Last Name 2. Last Name 2. Moore 71.41 Address 3, Address 3, 15290 White Columns Dr [I Primary 15290 White Columns Dr ® General ❑ Special ❑ Special Primary ❑ Public Officer ® Candidate lddre„2 Addre„2 ❑ Run -Off Primary ❑Run -Off General ❑Other Than Candidate Committee City City Milton ❑Run -Off Special ❑ Special Milton Name GA 1e ��pp 30& Ye nn 30004 Primary GA Lender Name (First Name, Business, Inst.) 1, First Name I . Same as Above 11 /5/19 Same as Above Lender Last Name I Last Name I 20.18 Address 3, Address 3, ❑ Primary M General ❑ Special ❑ Public Officer Address2 Address2 ❑ Special Primary Candidate City ElRun-OffPrimary ❑ Run -Off General ❑Other Than Candidate Committee City ❑ Run -Off Special ❑ Run -Off Special Name State Zip State Zip Primary Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ 91 59 • 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 Public Officer/Candidate/Other Than Candidate Committee Name Paul B Moore Page 14 of Al- Loan Reporting Name of Lender 1. Date of Loan Person(s) responsible for 1.0ccupation & & 2. Amount of Loan repayment of loan & 2.Place of Employment Mailing Address 3.Election cle** Mailing Address 3.Fiduciary Relationship*** Lender Name (First Name, Business, Inst.) 1, First Name 1, Paul 10/28/19 Moore for Milton Lender Last Name 2, Last Name 2. Moore 99.00 Address 3, Address 3. 15290 White Columns Dr ❑Primary 15290 White Columns Dr 9 General ❑ Special El Special Primary ❑ Public Officer ®Candidate Address2 Address2 ElRun-OffPrimary El Run -Off General ElOther Than Candidate Committee city t 't> Milton ❑ Run -Off Special ElP Special Run�p Milton vame St to 3oD State zi 0a m-0ff Lender Name (First Name, Business, Inst.) 1, I: irst Name I . Same as Above 10/26/19 Same as Above Lender Last Name I last Name I 99.00 Address 3, Address 3. ❑ Primary 0 General ❑ Special ❑ Special Primary ❑ Public Officer I]Candidate Address2 Address2 city ❑ Run -Off Primary ❑ Run -Off General ❑Other Than Candidate Committee Co ❑ Run -Off Special ❑ Run -Off Special Name State State Zip State Zip T;i Primary Reference: OCGA § 21-5-34(b)(1) Loan Page Total S 198 00 ' 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 Public Officer/Candidate/Other Than Candidate Committee Name Paul B Moore I,agc t ; I 21 I., rrno innn Loan Reporting Name of Lender 1. Date of Loan Person(s) responsible for 1.0ccupation & & 2. Amount of Loan repayment of loan & 2.Place of Employment Mailing Address 3.Election C cle** Mailing Address 3.Fiduciary Relationship*** Lender Name (First Name, Business, Inst.) 1, First Name 1, Paul 10/30/19 Moore for Milton Lender Last Name 2, Last Name 2. Moore 29.00 Address 3, Address 3. 15290 White Columns Dr ❑Primary 15290 White Columns Dr ® General ❑ Special ❑ Special Primary ❑ Public Officer 0 Candidate Address2 Address2 ❑ Run -Off Primary ❑ Run -Off General ❑Other Than Candidate Committee city 't` Milton ❑ Run -Off Specia► ❑ Special Milton Name State 39 State 3/A64 Primary Lender Name (First Name, Business, Inst.) l , First Name t , Same as Above 11 /4/19 Same as Above Lender Last Name �. I.ast Name 2. 57.24 Address 3. Address 3, ❑ Primary ❑■ General ❑ Special ❑ Public Officer Address2 Address2 ❑ Special Primary (� Candidate City ❑ Run -Off Primary ❑ Run -Off General ❑Other Than Candidate Committee l'it} ❑ Run -Off Special ❑Run -Off Special Name State Zip State Zip Primary Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ 86.24 * 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 Public Officer/Candidate/Other Than Candidate Committee Name Paul B Moore Page I (I _of 1� Loan Reporting Name of Lender 1. Date of Loan Person(s) responsible for 1.0ccupation & & 2. Amount of Loan repayment of loan & 2.Place of Employment Mailing Address 3.Election cle** Mailing Address 3.17iduciary Relationship*** Lender Name (First Name, Business, Inst.) 1, First Name 1, Paul 11 /6/19 Moore for Milton Lender Last Name 2. Last Name I Moore 82.52 Address 3, Address 3. 15290 White Columns Dr ❑Primary 15290 White Columns Dr ® General ❑ Special ❑ Special Primary ❑ Public Officer ❑■ Candidate Address2 Address2 City ElRun-OffPrimary ❑ Run -Off General El Other Than Candidate Committee city Milton ❑Run -Off Special ❑ Run -Off Special Milton Name pp GStateA Primary GState A 39M Lender Name (First Name, Business, Inst.) 1, First Name I - Same as Above 11 /5/19 Same as Above Lender Last Name 2. Last Name I 16.88 Address 3, Address 3. ❑ Primary ®General ❑ Special ❑ Public Officer Address2 Address2 ❑ Special Primary ® Candidate City ❑ Run -Off Primary ❑ Run -Off General ❑ Other Than Candidate Committee Caq ❑ Run -Off Special ❑Run -Off Special Name State Zip State Zip Primary Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ 99-40 • 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 Public Officer/Candidate/Other Than Candidate Committee Name Paul B Moore Page i'l ail 2) . _t'_ — __ rcrrrno Irmo Loan Reporting Name of Lender 1. Date of Loan Person(s) responsible for 1.0ccupation & & 2. Amount of Loan repayment of loan & 2.Place of Employment Mailing Address 3.Election C cle** Mailing Address 3.Fiduciary Relationship*** Lender Name (First Name, Business, Inst.) I . First Name 1, Paul 11 /4/19 Moore for Milton I under Last Name 2. Last Name 2. Moore 99.00 Address 3. Address 3, 15290 White Columns Dr El Primary 15290 White Columns Dr ® General ❑ Special ❑ Public Officer Address2 Address2 ❑ Special Primary ■❑ Candidate City ❑ Run -Off Primary ❑ Run -Off General ❑Other Than Candidate Committee �' t` Milton ❑Run -Off Special ❑ Run -Off Special Milton Name 3 :_ State 3Z& Gee Primary GA Lender Name (First Name, Business, Inst.) l , First Name I Same as Above 10/31 /19 Same as Above Lender Last Name 2. Last Name 2. 99.00 Address 3, Address 3, ❑ Primary ❑■ General ❑ Special ❑ Public Officer Address2 Address2 ❑ Special Primary Candidate City ❑ Run -Off Primary ❑ Run -Off General ❑Other Than Candidate Committee City ❑ Run -Off Special ❑ Run -Off Special Name State Zip State Primary Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ 198.00 • 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 Public Officer/Candidate/Other Than Candidate Committee Name Paul B Moore 1, , l k „I 2I _C'_ CFC-CCDR 10/19 Loan Reporting Name of Lender 1. Date of Loan Person(s) responsible for 1.0ccupation & & 2. Amount of Loan repayment of loan & 2.Place of Employment Mailing Address 3.Election C cle** Mailing Address 3.Fiduciary Relationship*** Lender Name (First Name, Business, Inst.) 1. First Name I . Paul 11 /3/19 Moore for Milton Lender Last Name I Last Name 2. Moore 99.00 Address 3. Address 3. 15290 White Columns Dr ❑Primary 15290 White Columns Dr ❑■ General ❑ Special ❑ Public Officer Address2 Address2 ❑ Special Primary ❑� Candidate � 11� ❑ Run -Off Primary ❑Run -Off General ❑Other Than Candidate Committee city Milton ❑Run-0ff Special ❑ Run -Off Special Milton Name State Zipp State 7i1 Z L4 GA 306 Primary GA Lender Name (First Name, Business, Inst.) i . First Name i . Same as Above 10/29/19 Same as Above Lender Last Name Last Name I 19.99 Address 3, Address 3. ❑ Primary ® General ❑ Special ❑ Public Officer Address2 Address2 ❑ Special Primary 0 Candidate City ❑ Run -Off Primary ❑ Run -Of General ❑Other Than Candidate Committee City ❑ Run -Off Special ❑ Run -Off Special Name State Zip State "Zip Primary Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ 118-99 • 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 Public Officer/Candidate/Other Than Candidate Committee Name Paul B Moore Page 1 g of X-1 Loan Reporting Name of Lender 1.Date of Loan Person(s) responsible for 1.0ccupation & & 2. Amount of Loan repayment of loan & 2.Place of Employment Mailing Address 3.Election C cle** Mailing Address 3.Fiduciary Relationship*** Lender Name (First Name, Business, Inst.) I . First Name 1, Paul 11 /9/19 Moore for Milton Lender Last Name I Last Name 2. Moore 23.11 Address 3. Address 3, 15290 White Columns Dr ❑Primary 15290 White Columns Dr M General ❑ Special ❑ Public Officer Address2 Address2 ❑ Special Primary ■❑ Candidate City ❑ Run -Off Primary ❑Run -Off General ❑Other Than Candidate Committee city Milton ❑ Run -Off Special ❑ Run -Off Special Milton Name State ate GA 3GA odaa )M Primary Lender Name (First Name, Business, Inst.) I First Nana I Same as Above 11/30/19 Same as Above Lender Last Name 2. I.ast Name I 29.00 Address 3. Address 3. ❑ Primary ® General ❑ Special ❑ Public Officer Address2 Address2 ❑ Special Primary ❑� Candidate City ❑ Run -Off Primary ❑ Run -Off General ❑Other Than Candidate Committee City ❑ Run -Off Special ❑Run -Off Special Name State Zip State Zip Primary Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ 52.11 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 Public Officer/Candidate/Other Than Candidate Committee Name Paul B Moore Page 20 of a-1 Loan Reporting Name of Lender 1. Date of Loan Person(s) responsible for 1.0ccupation & & 2. Amount of Loan repayment of loan & 2.Place of Employment Mailing Address 3.Election C cle** MailinR Address 3.Fiduciary Relationship*** Lender Name (First Name, Business, Inst.) 1, First Name 1, Paul 11 /4/19 Moore for Milton Lender Last Name 2. Last Name 2, Moore 27.63 Addres5 3. Address 3. 15290 White Columns Dr ❑Primary 15290 White Columns Dr ❑■ General ❑ Special ❑ Special Primary ❑ Public Officer 0 Candidate Address2 Address2 ❑ Run -Off Primary ❑Run -Off General ❑Other Than Candidate Committee City C 't� Milton ❑ Run -Off Special ❑Run -Off Special Milton Na<ne Stepp 90004 State %i GA Primary GA 30R04 Lender Name (First Name, Business, Inst.) 1, First Name i . Lender Last Name 2, Last Name ? . Address 3. Address 3, ❑ Primary ❑ General ❑ Special ❑ Public Officer Address2 Address2 ❑ Special Primary ❑ Candidate city ❑ Run -Off Primary El Run -Off General ❑Other Than Candidate Committee t i t> ElRun-OffSpecial ❑ Run -Off Special Name State Zip State / I Primary Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ 27.62 * 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 Public Officer/Candidate/Other Than Candidate Committee Name Paul B Moore Page a,) of .21 rvrrrno inno State of Georgia Campaign Contribution Disclosure Report Itemized Expenditures Must list expenditures made to a single recipient for which the 4ggre ag_te total more than $100.00. List Name and Exp. Date Occupation & Expenditure Amount Mailing Address of Recipient Exp. Type* Employer Purpose Paid First Name Date Occupation Political Jack 11 /8/19 Consultant Soon w- Consulting Last Name Miller Address ✓ Ex enditure 615 Congaree Court In -Find ❑ Loan Repayment ❑ Refund Address2 Employer ❑Reimbursement Self Credit Card 3rd Party City Milton Deferred Payment Payment on Deferred Expense Investment State GA 30004 First Name Date Occupation Campaign ATL Business Circulators 10/31/19 Delivery Services Materials Name Last Address Expenditure In- in 850 Pickens Industrial Dr ❑ Loan Repayment ❑ Refund Address2 Employer Suite Ci ❑Reimbursement ❑Credit Card 3rd Party City Marietta Deferred Payment Payment on Deferred Expense Investment State Zip GA 30062 First Name Date e 1cculx 0011 Ads Appen Media Group 10/31/19 Media Last Name Address LI Expenditure 319 North Main Street ❑In -Kind Loan Repayment Refund Address2 Employer ❑ Reimbursement Credit Card 3rd Party City Alpharetta Deferred Payment Payment on Deferred Expense Investment State GA 30009 8022.4 5 Page Total $ ' Expenditure Type (Expenditure, In -Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment on Deferred Expense, Investment) Public Officer/Candidate/Other Than Candidate Committee Name Paul B Moore Public Officer/Candidate/Other Than Candidate Committee Name Page 2 Z of 1� . -t) „. __ r rJrn0 Milo List Name and Exp. Date Occupation & Expenditure Amount Mailing Address of Recipient Exp. Type* Employer Purpose Paid First Name Date Occupation Campaign 215.31 Costco 11 /3/19 Retailer Supplies Last Name Address Expenditure 2855 Jordan Court []In -Kind ❑ Loan Repayment ❑ Refund Address2 Employer ❑ Reimbursement ❑Credit Card 3rd Party City —I Alpharetta Deferred Payment Pa ment on Deferred Expense gtat G a ��pp 3tn104 Investment First Name Date Occupation Campaign 186.63 Publix 11 /4/19 Retailer Supplies Last Name Address ® Expenditure 11800 Haynes Bridge Road [:]In -Kind ❑ Loan Repayment ❑ Refund Address2 Employer Reimbursement redit Card rd Party City Alpharetta Deferred Payment Payment on Deferred Expense Investment State Zip GA 30009 First Name Date ( )ccupation Campaign 396.92 Total Wine 11/4/19 Retailer Supplies Last Name Address N Expenditure 380 North Point Circle ❑In -Kind ❑ Loan Repayment ❑ Refund Address2 Employer ❑ Reimbursement ❑Credit Card 3rd Party City Alpharetta Deferred Payment ]investment Payment on Deferred Expense State 'Zip GA 30022 First Name Date Occupation Loan 4251.1 Paul 11 /22/19 Marketing Repayment Last Name Moore Address Q Expenditure 15290 White Columns Dr []In -Kind ® Loan Repayment ❑ Refund Address2 Employer ❑ Reimbursement Self ❑Credit Card 3rd Party City Milton Deferred Payment Payment on Deferred Expense Investment State GA Zip 30004 * Expenditure Type (Expenditure, In -Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment on Deferred Expense, Investment)Public Officer/Candidate/Other Than Candidate Committee Name Page Total $ 5050.0 2 Public Officer/Candidate/Other Than Candidate Committee Name Paul B Moore Page a3 of :1`1 rcrrrnc cnno List Name and Exp. Date Occupation & Expenditure Amount Mailing Address of Recipient Exp. Type* Employer Purpose Paid First Name Wells Fargo 1)alc 11 /8/19 Occupation Lender Loan 35t 3 3t Repayment Last Name Address LJ Expenditure 15800 Birmingham Highway ❑In -Kind ®Loan Repayment ❑ Refund Address2 Employer Building 700 El Reimbursement ❑Credit Card 3rd Party City Milton Deferred Payment Payment on Deferred Expense Rr /Aoa Investment First Name Date Occupation Loan Paul 12/16/19 Marketing Repayment Last Name Moore Address ❑ Expenditure 15290 White Columns Drive ❑In -Kind © Loan Repayment ❑Refund Address2 I ni1,I .}cr Reimbursement Self redit Card rd Party City Milton Deferred Payment Payment on Deferred Expense Investment State Zip GA 30004 First Name Date Occupation Last Name Address LJ Expenditure [In -Kind ❑ Loan Repayment ❑ Refund Address2 Employer ❑ Reimbursement []Credit Card 3rd Party City Deferred Payment ]Investment Payment on Deferred Expense State Zip First Name Date Occupation Last Name Address LJ Expenditure ❑ In -Kind ❑ Loan Repayment ❑ Refund Address2 Employer ❑ Reimbursement []Credit Card 3rd Party City Deferred Payment Payment on Deferred Expense Investment State Zip * Expenditure Type (Expenditure, In -Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment on Deferred Expense, Investment)Public Officer/Candidate/Other Than Candidate Committee Name Page Total $ 4510.11 Public Officer/Candidate/Other Than Candidate Committee Name Paul B Moore Page '` \ of-L7 List Name and Exp. Date Occupation & Expenditure Amount Mailing Address of Recipient Exp. Type* Employer Purpose Paid First Name Date Occupation Meet and 426.0 Joseph 10/30/19 Builder Greet Last Name Lockwood Address Expenditure 375 Dorris Rd Min -Kind [:]Loan Repayment ❑ Refund Address2 Employer ❑ Reimbursement Lockwood []Credit Card 3rd Party Construction City Milton Deferred Payment 11'ayment on Deferred Expense gate nvestment First Name Date ()CCupatiun Last Name Address ❑ Expenditure ❑ In -Kind ❑ Loan Repayment ❑ Refund Address2 Employer Reimbursement redit Card rd Party City Deferred Payment Payment on Deferred Expense Investment State Zip First Name I )ate Occupation Last Name Address Expenditure ❑ In -Kind ❑ Loan Repayment ❑ Refund Address2 Employer ❑ Reimbursement ❑ Credit Card 3rd Party City Deferred Payment ]investment Payment on Deferred Expense State Zip First Name Date Occupaion Last Name Address U Expenditure ❑In -Kind ❑ Loan Repayment ❑ Refund Address2 Employer ❑ Reimbursement []Credit Card 3rd Party City Deferred Payment Payment on Deferred Expense Investment State Zip * Expenditure Type (Expenditure, In -Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment on Deferred Expense, Investment)Public Officer/Candidate/Other Than Candidate Committee Name Page Total $ 426.00 Public Officer/Candidate/Other Than Candidate Committee Name Paul B Moore Page 25 of . `^b" — -- cFr.rrnR imo State of Georgia Campaign Contribution Disclosure Report Investments Statement 1. Investment Name NONE Account # 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 Date Person(s) Involved in Transaction Value of investment purchased Value of investment sold Profit Loss 2. Investment Name Account # 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 Date Person(s) Involved in Transaction Value of investment purchased Value of investment sold Profit LOSS 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 reportingperiod $ Total difference in value $ Paul B Moore Public Officer/Candidate/Other Than Candidate Committee Name __ Page '2j of 21 CFC-CCDR 10/1 -0- -- - -- State of Georgia Campaign Contribution Disclosure Report Addendum Statement The Addendum Statement should be used for explanation of any additional information needed to complete an accurate filing of this report. Information that is to be reported in the body of the report should not be listed on Addendum Statement. NONE Paul B Moore Public Officer/Candidate/Other Than Candidate Committee Name Page 21 of 2.�