Loading...
HomeMy WebLinkAboutCCDR - JUDY BURDS - 09/30/2019Page 1 of 10 l/ 14 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 syssw.Phics.t*a.gov 1. Report Type 2. Filing is being made on behalf of (Select One): Use Earlier of Post (Select one) Candidate or Public Official Mark or Office Held or Sought Fulton, City of Milton, District 2, Post 2l WED (Include county, nuuueipality, district, post orjudietal circuit) * Original Filer ID (Filer ID that begins with the letter "C") O C T 4 2 O ❑ Amendment Organization or Person Other than Candidate's Campaign Committee Committee Name: - .Amendment N CITY CLER Filer ID: --- (Filer ID that begins with the letter •'NC") M ILT� 3. Identifying and Contact Information (,) Judy L Burds G ) Full Yame of Candidate or Other Than Candidate Campaign Committee Today s bate (3) 1165 Bream Drive Milton GA 30004 I luiling Address City State Zip Code (4) (770) 331-7608 and/or burds4milton@gmail.com Primary Contact Phone Number >`-Atari (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? [j) Yes ❑ No (7) If yes, complete the following: Debbie Beauchamp Barbara Sumrell Name of Committee Chairperson Name of Committee Treasw-er 4. 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, ear) ❑January 31, (year) ❑ 15 days before (Y Run -Off (year) ❑ June 30, (year) El March 31, (year) ❑ 6 days before General Special Primary, (year) ❑ June 30, (year) Run -Off (year) El 15 days before Supplemental Reporting ❑ 6 days before Special ❑■ September 30, 2019 (year) Primary Run -Off (year) Special, (year) ❑ June 30, (year) ❑ ❑ Dec. 31, El December 31, (year) El October 25, (year) 6 days before Special (year) Run -Off (year) *Persons leaving office with excess funds until ❑ 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 filin onl State of Georgia County of Fulton ,,Judy L. Burdsbeing duly sworn (affirm), depose and say that the information in this report form is complete, true. and correct. Further. I affinn that the contents in this report are the same as the contents in the electronic filing submitted, if also electronically filed. ```, `tuMtuumrnrprr �.` �Y�..t)E� •Iw:•�;h�d before me on Wax V .20 p�Ak} CK /I 2 d 1 v � P _tic Commission F.xpirahon 'igncrru of didcrte ` b. Organization ('hnirpersoar-"Treasurer r• `X Judy Burds l'a�e of I'uhlirt�(1tkM4t!Mt'1�ILI to/Other Than Candidate Committee Name Page 2 of 10 CFC-CCDR 1/14 State of Georgia Campaign Contribution Disclosure Reht)rt Summary Report CONTRIBUTIONS RECEIVED ❑ I have no contributions to report. Q I have the following contributions, including Common Source, to report: In -Kind Estimated Value Cash Amount I A. If this is the first time to file a disclosure report for the current office sought, 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 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 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. Total amount of all itemized contributions received in this reporting period which 200 3335 is listed on the "Itemized Contributions" page. 3a All loans received this reporting period. 4000 1, Interest earned on campaign account this reporting period. p 3c Total amount of investments sold this reporting period. 0 3d Total amount of cash dividends and interest paid out this reporting period. p 4 Total amount of all separate contributions of $100 or less received in this 50 497 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. 250 7832 Line3+3a+3b+3c+3d+4) 6 Total contributions to date. Total to be carried forward to next report of this election cycle*. 250 7832 (Line 2 + 5) EXPENDITURES MADE 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 A. First report of this Election Cycle*, ENTER 0. o 0 Second or subsequent filing ENTER Line 12 of previous report. BEthis 9 ount of all itemized expenditures made in this reporting period which arc 0 3487.19 the "Itemized Expenditures" page. I cl ount of all separate expenditures of $100.00 or less that were made 0 496.37 ortin eriod and not listed on the "Itemized Expenditures" page 1 I Total expenditures reported this period. 0 3983.56 (Line 9 + 10) 12 Total expenditures to date. Total to be carried forward to next report of this election cycle*. 0 3983.56 (Line 8 + 11 INVESTMENTS I Total value of investments held at the beginning of this reporting period. EO iiii 14 Total value of investments held at the end of this reporting period. TOTAL NET BALANCE ON HAND 15 Net balance on hand. 250 3848.44 Line 6 - 12 + 14) ..t,... .. r.. .+L.�e..,r. �.hlir nffirr• th rnuoh and * O.C.G.X 21-5-3(10) : Election cycle means me penoo from ine uay iunuwulg ti- a« — ..,...,..... F,, .......... 1 _......... 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. Public Officer/Candidate/Other Than Candidate Committee Name Judy Burds Page 2 of I 1 Page 3 of 10 CFC-CCDR 1/14 State of Georgia Campaign Contribution Disclosure Report Outstanding Indebtness Election Cycle*: General Election Year: 2019 AllIQUllt 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 1 + 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. 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 - 61) 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 (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 J'-!Ij ""4g0y Page of i� Page 4�of 10 CFC-C('DR 114 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 First Name or Business Name Date Occupation can ^"" Est. Value 08/27/2019 Retired 249 Debbie ❑ Primary ❑■ General Last Name ❑ Special Beauchamp ❑ Special Primary ❑ Run -Off Primary Address 500 Hickory Mill Lane El Ran -Off General ❑ Run -Off Special ❑ Run -Off Special Description Address2 Monetary Employer ElIn-Kind Primary City Milton ❑ Common Source State Zip GA ❑ Credit Received on Loan Aff. Comm. First Name or Business Name Date Occupation Cwn An't Est. Value 08/27/2019 Gregg Primary El Primary ❑■ General Last Name Beauchamp ❑ Special ❑ Special Primary ❑ Run -Off Primary Address 500 Hickory Mill Lane ❑Run -Off General ❑ Run -Off Special ElRun-OffSpecial Description Address2 ■ Monetary Employer ❑ In -Kind Primary City Milton 10 Common Source ❑ Credit Received on Loan State Zip G 30004 Aff. Comm. First Name or Business Name Date Occupation can A"" Est. Value 08/27/2019 CPA 249 Barbara El Primary ® General Last Name ❑ Special Sumrell ❑ Special Primary ❑ Run -Off Primary Address El Run -Off General 1350 Nix Road ❑Run -Off Special ❑ Run -Off Special Address2 ❑■ Monetary Employer lk,,cn uon Self Primary ❑ In -Kind City Milton ❑ Common Source ❑ Credit Received on Loan State GA Zip 30004 Aff. Comm. Itemized Contributions Page Total $ 747 _ $ Public Officer/Candidate/Other Than Candidate Committee Name Page of Page 46of 10 CI{-CIDR 1 17 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 Amr Est. Value 09/17/2019 Executive 99 Stephanie ❑ Primary ® General Last Name ❑ Special Babin ❑ Special Primary ❑ Run -Off Primary Address ❑ Run -Off General 2 Ellis Rd El Run -Off Special ElRun-Off Special Description Address2 H Monetary Employer ❑ In -Kind Comcast Primary City Haverton ® Common Source State Zip PA 119083 ❑ Credit Received on Loan Aff. Comm. First Name or Business Name Date Occupation Cash Amr Est. Value 09/17/2019 Stay at home dad 99 Scott ❑Primary ® General Last Name Babin ❑ Special ❑ Special Primary ❑ Run -Off Primary Address 2 Ellis Rd El Run -Off General ❑ Run -Off Special I] Run -Off Special Address2 Monetary Employer Description ❑ In -Kind Primary City Haverton ® Common Source ❑ Credit Received on Loan State Zip PA 19083 Aff. Comm. First Name or Business Name Date Occupation Cuh A.t Est. Value 09/26/2019 Furniture Restorer 500 Martha El Primary ® General ❑ Special Last Name Murphy El Special Primary ❑ Run -Off Primary El Run -Off General Address 16445 Westbrook ❑ Run -Off Special Employer ElRun-OffSpecial Address2 Monetary Description Self Primary ElIn-Kind City Milton ❑ Common Source ❑ Credit Received on Loan State GA Zip 30004 Aff, Comm. Itemized Contributions Page Total $ 698 $ Public Officer/Candidate/Other Than Candidate Committee Name _ I age of _, Page 4 of 10 C. 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 Amt.Est. Value 09/25/2019 Owner 200 Mary ❑Primary N General Last Name El Special Mayer ❑ Special Primary ❑ Run -Off Primary Address ❑ Run -Off General 16070 Henderson Rd ❑ Run -Off Special ❑ Run -Off Special Description Address2 Monetary Employer Cheeses & Mary Primary Meet/Greet © In -Kind City Milton ❑ Common Source State Zip GA 130004 ❑ Credit Received on Loan Aff. Comm. First Name or Business Name Date Occupation Cash A °1 Est. Value ❑ Primary ❑ General Last Name ❑ Special ❑ Special Primary ❑ Run -Off Primary Address ❑ Run -Off General El Run -Off Special El Run -Off Special Address2 Monetary Employer Description ❑ In -Kind Primary City ❑ Common Source ❑Credit Received on Loan State Zip Aff. Comm. First Name or Business Name Date Occupation cwh A "' Est. Value ❑ Primary ❑ General ❑ Special Last Name ❑ Special Primary ❑ Run -Off Primary El Run -Off General Address ❑ Run -Off Special ElRun-OffSpecial Description Employer Address2 El monetary Primary ❑ In -Kind City ❑ Common Source ❑ Credit Received on Loan State Zip Aff. Comm. Itemized Contributions Page Total $ 0 $ 200 n...... Public Officer/Candidate/Other Than Candidate Ciimmntee Name - - - j -' __ _ • - _- Page 5 of 10 CFC-(CDR 1,14 First Name or Business Name Date Occupation Cash Am1. 200 Est. Value Kathryn Burds 09/06/2019 Retired ❑ 0 ❑ Primary General Special Last Name Oetjen, DVM ❑ Special Primary ❑ Run -Off Primary Address 57 Heritage Ln ❑ Run -Off General Description Monetary Em to er p Y ❑ Run -Off Special Address2 ❑ Run -Off Special ❑ In -Kind Primary City Fond du Lac ❑Common Source State Zip WI 54935 ❑ Credit Received on Loan Aff. Comm. Date Occupation Cazh Am' 249 Est. Value First Name or Business Name John "Chris" 09/10/2019 VP Regulatory Affairs ❑ Primary General ❑Special Last Name Prue ❑ Special Primary ❑ Run -Off Primary Address El Run -Off General 1159 Bream Drive ❑ Run -Off Special ❑ Run -Off Specialprimary Description Address2 Monetary Employer Vizuri Health Services City ❑ In -Kind Milton ❑Common Source State Zip GA 30004 ❑ Credit Received on Loan Aff. Comm. First Name or Business Name Date Occupation cash Ann 249 Est. Value Wendy 09/16/2019 Retired ❑ Primary 0 General Last Name ❑ Special Kremeier ❑ Special Primary Address ❑ Run -Oft Primary ❑ Run -Off General 676 Glenover Dr ElRun-OffSpecial ❑ Run -Off Special Description Address2 Monetary Employer ❑ In -Kind Primary City Milton ❑ Common Source State Zip GA 30004 ❑ Credit Received on Loan Aff. Comm. First Name or Business Name Date Occupation P Cnh Am1 Est. Value Judith 09/06/2019 Retired El Primary 200 N General Last Name El Special Lyon ❑ Special Primary ❑ Run -Off Primary Address 620 Flying Scot Way ❑ Run -Off General Description ❑ Run -Off Special ❑ Run -Off Special Address2 ■ Monetary Employer ❑ In -Kind Primary 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) Run Primary, Run -Off General, Run -Off Special, Run -Off Special Primary) ** Election Cycle (Primary, General, Special, Special Primary, -Off *** 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 �T Public OfticedCandidate/other'fhan Candidate Committee Name _„_ ___._ __— - Page 5 of 10 CFC-CCD' I/l4 Name or Business Name Date Occupation cash Amt. 249 Est. Value eron 09/26/2019 Executive ❑Primary ®General ❑ Special LFirst Name ❑Special Primary ❑ Run -Off Primary ress 1153 Bream Drive ❑Run -Off General Description Monetary Employer ❑ Run -Off Special Address2 El Special ❑ In -Kind Wellstar Primary City Milton ❑common Source State Zip GA 30004 ❑ Credit Received on Loan Aff. Comm. Date Occupation P Cash A"" 245 Est. Value First Name or Business Name Melissa 09/26/2019 Homemaker ❑ Primary 9 General ❑ Special Last Name Cohen ❑ Special Primary ❑ Run -Off Primary Address 16115 Segwick Dr El Run -Off General Description El Run -Off Special ❑ Run -Off Special Address2 ❑■ Monetary Emto er p y ❑ In -Kind Primary City Milton El Common Source State Zip GA 30004 Credit Received on Loan ElAff Comm. First Name or Business Name Date Occupation Cash A,„, Est. Value Steven 09/26/2019 Attorney ❑Primary 249 ❑� General ❑ Special Last Name Barnett ❑ Special Primary ❑ Run -Off Primary Address 112 Slide Ct ❑Run -Off General Address2 ❑■ Monetary Employer ❑ Run -Off Special ❑ Description Run -Off Special Steven Barnett Law ❑ In -Kind Primary City Milton ❑ Common Source Zip State GA 30004 ❑ Credit Received on Loan Aff. Comm. First Name or Business Name Date Occupation °" 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 El Special ❑Run -Off Special Description Address2 Monetary Employer ElIn-KindPrimary Steven Barnett Law 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 -Off Special Primary) s•• If any such person(s) shall have a fiduciary relationship to the lending institution or party making the advance or extension of credit ��CC,. Judy Burds Page of 6T Public Officer/Candidate/Other Than Candidate Committee Name — CFC-CCDR 1/14 Page 6Aof 10 Name of Lender 1.Date of Loan & 2.Amount of Loan Mailing Address 3.Election C cle* Lender Name (First Name, Business, Inst.) 1, Judy 6I20/19 Lender Last Name 000 12.Burds Address Primary 1165 Bream Drive General Special Address2 ❑ Special Primary ❑ Run -Off Primary ❑ Run -Off General City Milton ❑ Run -Off Special ❑ Run -Off Special Primary State GA Zip 30004 Lender Name (First Name, Business, Inst.) I. Judy 8/22/19 ?. Lender Last Name Burds 1,000 3. Address 1165 Bream Drive ❑ Primary 0 General ❑ Special Address2 ❑ Special Primary ❑ Run -Off Primary ❑Run -Off General City Milton ❑ Run -Off Special ❑ Run -Off Special Primary State GA Zip 30004 Reference: OCGA § 21-5-34(b)(1) Loan Re ortln Person(s) responsible for repayment of loan & * MailingAddress First Name Judy Last Name Burds 1165 Bream Drive City Milton State GA First Name Judy Last Name Burds 1165 Bream Drive City Milton Zip 30004 ].Occupation & 2.Place of Employment 3 Fiduciary Relationship*** 1. Consultant 2. Self 3. ❑ Public Officer ® Candidate ❑ Other Than Candidate Committee Name I. Consultanta 2. Self State GA I Zip 30004 I 3. ❑ Public Officer V Candidate ❑ Other Than Candidate Committee Name 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 Public Officer/Candidate/Other Than Candidate Committee Name Judy Burds Page of -11 Page 6 f 10 ( rC-( ( DR I IJ Loan Reporting Name of Lender 1.Date of Loan Persons) responsible for l .Occupation & & 2.Amount of Loan repayment of loan & 2.Place of Employment *** Mailing Address 3.Election C cle** MailingAddress 3.Fiducia Relationshi First Name 1 Lender Name (First Name, Business, Inst.) ] , Judy 9117/19 Judy Consultant Lender Last Name 2, Last Name 2• Burds 2,000 Burds Self 3 • Address 3 • Address 1165 Bream Drive ❑ Primary 0General ElSpecial 1165 Bream Drive ❑ Public Officer Candidate Address2 Address2 El Special Primary ❑ Run -Off Primary ElRun-OffGeneral El other Than Candidate Committee Name City City Milton El Run -Off Special ElRun-OffSpecial Primary Milton State GA Zip 30004 State GA Zip 30004 Lender Name (First Name, Business, Inst.) 1, First Name 1. Lender Last Name 2, Last Name 2. Address 3. Address 3. ❑ Primary ❑General ❑ Special ❑ Public Officer El Candidate Address2 Address2 El Special Primary ❑ Run -Off Primary [IRun-OffGeneral ❑ Other Than Candidate Committee Name City city ity ❑ Run -Off Special ElRun-OffSpecial State Zip State Zip Primary 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 Public Officer/Candidate/Other Than Candidate Committee Name Judy Burds Page �_... of Page 7 of 10 CFC•CCDRI/14 State of Georgia Campaign Contribution Disclosure Report Itemized Expenditures Must list expenditures made to a sin le recipient for which the aggregate total more than $100.00. List Name and Exp. Date Occupation & Expenditure Amount Mailing Address of Recipient Exp. Type* Employer Purpose Paid 172.00 Date Occupation Legal filing fees to set First Name 08/22/2019 Consultant up campaign Judy Last Name Burds Address Expenditure ❑In -Kind 1165 Bream Dr []Loan Repayment ❑Refund Address2 Employer ®Reimbursement Self ❑Credit Card Party Referred City ❑Deferred Payment Milton ❑Payment on Deferred Expense ❑ Investment State GA "p 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 Address2 Employer ❑Reimbursement NA Suite 501 []Credit Card ❑3rd Party City ❑❑Deferred Payment Milton Payment on Deferred Expense El Investment Statet Zip30004 First Name Date Occupation printed Materials 2315.19 09/24/2019 Graphic Design/Print Donna Broker Last Name Savas Address Expenditure ❑ 12275 Greenmont Walk ❑LoKind an Repayment Address2 Employer ❑ Refund ❑Reimbursement Self []Credit Card ❑3rd Party City El Deferred Payment Alpharetta ❑Payment on Deferred Expense ❑Investment State Zip 30009 GA 3487.19 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 Judy Burds Pa a 11 of Public Officer/Candidate/Other Than Candidate Committee Name _ ___ _ __..__......—.-.____-- ---,...-- Lr — Page 8 of 10 CFC-CCDR uta List Name and Exp. Date Occupation & Expenditure Amount Mailing Address of Recipient Exp. Type* Employer Purpose Paid First Name Date Occupation Last Name Address Expenditure []In -Kind ❑Loan Repayment ❑ Refund Address2 Employer ❑Reimbursement ❑Credit Card d Party City ferred Payment *ym ent on Deferred Expense [Investment State Zip First Name Date Occupation Last Name Address LjExpenditure ❑ In -Kind ❑ Loan Repayment ❑ Refund Address2 Employer ❑ Reimbursement ❑Credit Card ❑3rd Party City El Deferred Payment Payment on Deferred Expense Investment State !_ i p First Name Date Occupation Last Name Address Expenditure ❑ In -Kind ❑ Loan Repayment ❑ Refund Address2 Employer ❑ Reimbursement ❑Credit Card 03rd Party City BDeferred Payment Payment on Deferred Expense ❑ Investment State Zip First Name Date Occupation Last Name Address LJExpenditure ❑ In -Kind ❑ Loan Repayment Address2 Employer ❑ Refund []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'l'han Candidate Committee Name Page Total $ 0 Judy Burds Page 12' of �� Public Officer/Candidate/Other Than Candidate Committee Name Page 9 of 10 CPC-CCDR 1114 State of Georgia Campaign Contribution Disclosure Report Investments Statement 1. Investment Name Account # Institution/Person Holding Account 1165 Bream Drive 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 Persons) 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: 5 Page Total Loss: $ Total value of investments at end of reporting period $ Total difference in value $ Public Officer/Candidate/Other Than Candidate Committee Name Judy B u rd s Page 13 of Page 10 of 10 Judy Burds Page LT of Public Officer/Candidate/Other Than Candidate Committee Name _ 8 —