HomeMy WebLinkAboutCCDR & FD: Joe Lockwood14
plication Status
me of Candidate
Office Holder
CCDR & FD Electronic Filing Access Code
CANDIDATES / OFFICE HOLDERS ONLY RECEIVED
State Ethics Commission Fulton County
205 Jesse Hill Jr. Drive, SE
Suite 478 - East Tower
Atlanta, GA 30334
SEP 1 2006
Director of Registration
and Elections
PERSONAL IDENTIFICATION NUMBER APPLICATION
Office Sought or Held V A -t'(- 0
[]AMENDED Year of Election: 2-€e:xe
City, State Zip - — "
Contact Phone % 7 d u � Alternate Phone
Email Addresst a r
I understand that with the filing of this application a pa rd (PIN) for ,)wit the
Personal Financial Disclosure Statement (FD) and the Camila. Contribution
Disclosure Report (CCDR) will be sent to my above email address.
I ratdmt.nd this coif de mad PIN - unsigned to the above Candid mlof m Holder and only the Su#e Ethics Commission staffand the listed filer wiH
�hape access to this cog7denhd member.
- State of County of Q-V\U k -
FILER: I, the undersigned Caudidate/Office Holder do hereby swear or affirm that the information in this
application is complete, true, and correct to the best of my knowledge and belief. I acknowledge
that any report I submit electronically in the future I shall verify as complete, true, and correct to
the best of my knowledge and belief.
SIGNATURE OF CANDIDATE/OFFICE HOLDER: _
NOTARY PUBLIC name):
100
PRINT NOTARY'S NAME: Re�CL ~' 9 `+
Tury C`nmmiccinn eXTllreS: i �� �� ' //`rf"' �Col
document was sworn to or affirmed and subscribed before me on
S.E.C.
Form CCDRMPIN-CAND
03106
20 O Co
-ec DECLARATION OF il'iTENTION TO ACCEPT
Year of Election:
2:2�k
Fasm DOI
Ra• aos CAMPAIGN CONTRIBUTIONS
Date of this Filing:
6
Candidate (Full Name? Joe— Lc7G -x0000
Campaign a
Chairperson(Fn(Full ll Name):
Joe-,-
Cj P
�J (�� 0,9
Candidate Address: 3� o i(S U-•O%
Chairperson Address:
in f Jl
30m
Aj 6eaA � a
Telephone Number(s): ('774 1 %l
Telephone Number(-):
t u 1
Give Name of Office Sought: (include district, post, or judicial circuit)
Treasurer (Full Name):
JOe—
state County 91n rcipal
Treasurer Address:
Name of Incumbent: 0111: 1
Party Affiliation (Optional):
Democrat Republican 0 Other or None
For Office Use t
Y
OF CANDIDATE