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Home My WebLink AboutCCDR: Julie Zahner Bailey,SEC FARM CCDR R):V 01/2006 r M1 ►I M1 i State of Georgia Campaign Contribution Disclosure Report 1. Report Type 2. Filing is being made on behalf of (Select One): I Filing office use only (Select One) %Candidate or Public Official cnyGZ EERx Office Sought or Held: /�7;11��r (; �� (�,,. „t, ��„ r� Z a Ty OF M MTOX Original Report (Include county, municipality, district, posttorjudicial circuit) Q Amended Report Committee Name: of ✓4 /.'e 44.*trw /r'% Use Earlier of Post Report of Organization or Person Other than Candidate's Campaign Committee Mark or Hand Amendment # Delivered Date 3. Identifying and Contact Information (1) Ju /.`,e Z,fy,-V.- �.�.e%" (2) f1 tr Full Name of Candidate or Non -Candidate Campaign ittee Today's Date (3) _ 2 5�e— k p -* y Mailing Address City State Zip Code (4) %)6,6 Z/ and / or _*i70),Vo 9- /Z 3 c' Contact Phone Number (We will understand the release of this information as permission to call your office if necessary) (5) If a Candidate or Public Official, is there a campaign committee (one or more persons) to make campaign transactions, keep the financial records of the campaign, or file the reports? Yes (6) If so, is the committee registered with the State Ethics Commission? � Yes (7) If so, complete the following: X Name of Chairperson and/or 4. Period for which you are Reporting Y /oe eee reasurer of Committee You Must Check Only One Box e0*oc My Non Election Year My Election Year Run -Offs (Report required only if you are in a Run -Off Election) Special Elections (Report required only if you are in a Speci1 Election) June 30, (year) March 31, (year) E]6 days before Primary � 15 days before Run -Off, (year) Special Primary, Dec. 31, (year) June 30, (year) 06 days before General (year) Run -Off, (year) *Persons elected to office ccyear following .September 30, (year) �6 days before Special �15 days before the year in which the election occurs election occurs *Persons leaving office with excess funds until Primary Run -Off, Special, (year) such funds are expended as provided in the Act F_� October 25, (year) (year) *Unsuccessful candidates with excess funds, or who receive contributions to retire debt incurred, F-]6 days before Special Dec. 31, (year) until such funds are expended, or such unpaid December 31,200(year) Run -Off, (year) debts are satisfied (December 31 filing only) Verification by Oath or Affirmation State of - i7l1 c: t /A County of _ ti4l `fyf l I, z / f being duly sworn (affirm), depose and say that the information in this report form is complete, trite, and correct. Further, I affirm that the contents in this report are the sante as the contents in the electronic filing submitted, if also electronically filed. g, zo ,20G y /__,o,1 ` tnature of Notary ublic 0 a. Signature ofCandidat b. Organization/Chairperso Er-.rer My Commission expires PENALTIES: Any person who knowingly fails to comply with or who knowingly violates any of the provisions of the Ethics in Government Aa shall be guilty of a misdemeanor. -SEC FORM CCDR REV 01/2006 State of Georgia Campaign Contribution Disclosure Report Summary Report CONTRIBUTIONS RECEIVED I have: 1 No contributions to report. In -Kind /io7'he following contributions, including Common Source, to re ort: Value Cash Amount 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 Reporting Cycle*, ENTER 0 in the in-kind column and list any net balance on hand brought 2 forward from the previous reporting cycle in the cash amount column (Line 13 of previous report, or total funds left over at (0S Z; year end of previous cycle); or G G $ 2l d , 3 C. If this filing is the second or subsequent filing or this Reporting C cle, list totals from Line 6 of previous report in both the in-kind and cash amount columns. 3 Total amount of all contributions of $101.00 or more received in this reporting period. Each such contribution must be listed on the Listed Contributions Received" page. 3a All loans received this period. z, o C, •° 3b Interest earned on campaign account this period. Total amount of all separate contributions of less than $101.00 each that were 4 reported in this reporting period. "Common Source" contributions must be aggregated on the "Listed Contributions Received" 7 42 age. 5 Total contributions reported this period. (Line3+3a+3b+4) Total contributions to date. Total to be carried forward to next report of this reporting cycle,. 6 (Line 2 + 5) 2 EXPENDITURES MADE I have - 7 No expenditures to report. In -Kind The following expenditures to report: Value Cash Amount Total expenditures made and reported prior to this reporting period. If this is the 8 first report of this Reporting Cycle*, ENTER 0. (Line 12 of previous re ort) /3 S/ ?, '13 9 Total amount of all expenditures of $101.00 or more made in this reporting period. 10 Total amount of all separate expenditures of less than $101.00 each that were made fir' Sr ®y , in this reporting period, 11 Total expenditures reported this period. (Line 9 + 10) 12 Total expenditures to date. Total to be carried forward to next report of this reporting cycle. (Line 8 + 11) 13 Net balance on hand. 22 6, (Line 6 - Line 12) * O.C.G.A. 21-5-34(b)(1)(13)(ii) A reporting cycle shall commence on January 1 of the year in which an election is to be held for the public office to which a candidate seeks election and shall conclude: (I) At the expiration of the term of office if such candidate is elected and does not seek reelection or election to some other office; (II) On December 31 of the year in which such election was held if such candidate is unsuccessrul; or (III) If such candidate is successful and seeks reelection or seeks election to some other office the current reporting cycle shall end when the reelection or for some other office begins reporting cycle for Public Officer/Candidate/Non-Candidate Committee Name _F'11 kI- 13, 13d� 6 . SEC FORM CCDA REV 01/2006 State of Georgia Campaign Contribution Disclosure Report Outstanding Indebtedness Outstanding indebtedness at the beginning of this period. 2 Loans received this period. 3 Deferred payment of expenses this period 4 Payments made on loans this period. 5 Credits received on loans this period. 6 Payments this period on previously deferred expenses. 7 Total indebtedness at the close of this reporting period. (Line 1+2+3-4-5-6) z O aD 1 Outstanding indebtedness at the beginning of this period. Loans received this period. F32 Deferred payment of expenses this period 4 Payments made on loans this period. 5 Credits received on loans this period. 6 Payments this period on previously deferred expenses. Total indebtedness at the close of this reporting period. (Line 1+2+3-4-5-6) 1 Outstanding indebtedness at the beginning of this period. 2 Loans received this period. 3 Deferred payment of expenses this period 4 Payments made on loans this period. 5 Credits received on loans this period. 6 Payments this period on previously deferred expenses. 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/Non-Candidate Committee Name —17-1 3u/v(o 7 Friends of Julie Zahner Bailey William R. Bailey, Treasurer 12/30/2006 _State of Georgia VCampaign Contribution Disclosure Report Listed Contributions Received of $101.00 or More _ —� ---- -- ---LAmount - - )n-Kind ContributionFull Name Of Contributor Mailing Address Received Date Contribution Type a. Occupation b. Employer Election Cycle Vstimated alue Description Thomas Boland T08116/2006 14959 East Bluff Rd Alpharetta, GA 30004 Donation Retired General 750.00 Cookerly Public Relations 3500 Lenox Rd., Suite 510 10/27/2006 Atlanta, GA 30326 Cole, John Donation General —w 0.001 — 15750 Freemanville Rd. Alpharetta, GA 30004 11/3/2006a. Donation Physician b. ForHair (General 250.001 1— Dezell, James 115 Cooper Sandy Point 111/6/2006 Alpharetta, GA 30004— Donation �a. builder 200.00 �— -- — t Holbrook, Al j 1000 Treyburn Run 11/8/2006 Solomon 1 Alpharetta, GA 30004__ IDonation Shannondale Farm, Inc T — Senior Living500.001 — __ — _ — 2225 Birmingham Rd 10/28/2006 Alpharetta, GA 30004 Donation _— - 1 General 300.0_01 Voigt, Nick Director, E - 370 Tournament Players 11/2/2006 Alpharetta, GA 30004 Donation 1Georgia Commerce Tech General 200.00 Whitley, Joe — a. Attorney I 1250 Birmingham Rd 10/28/2006 b. Alston & j Alpharetta, GA 30004 Donation `- -.-- Bird, LLP General 500.00__ Total Contribution of $101 or greater received this period 2,500.001 Friends of Julie Zahner Bailey William R. Bailey, Treasurer 12/30/2006 N N Friends of Julie Zahner Bailey William R. Bailey, Treasurer 12/30/2006 State of Georgia Campaign Contribution Disclosure Report Listed Expenses Made of $101.00 or More = List Name and Mailing Address I -- Expense Date Occupation or Place of Expenditure of recipient - Expenditure Type Employment Purpose Amount Paid One Day Sign, Inc. 214 E. Church Street Cartersville, GA 30.120 10/26/06 Expenditure Signs 1,070.00 SouthPrint of Georgia, — --- Inc. 11940 Alpharetta Hwy, p Suite 134 Alpharetta, GA 10/27/06 30004 - Appen Newspaper, Inc. Expenditure- 'Printing 1,546.15 319 N Main Alpharetta, GA 10/31/06 30004 Expenditure Advertisment 667.00 KREP Consulting LLC 14058 Triple Crown Dr. Alpharetta, GA 30004 - SouthPrint of Georgia, 10/31/06 Expenditure 'WEB Programming 568.75 Inc. 11940 Alpharetta Hwy, Suite 134 Alpharetta, GA 30004 I 10/28/06 Expenditure Printing 417.30 Appen Newspaper, Inc. F11/15/06 319 N Main Alpharetta, GA 30004 ABC Direct Marketing Expenditure �Advertisment 419.00 1670 Spectrum Dr. :11/2/06 Lawrenceville, GA 30043 Expenditure Mailer 4,116.55 ' I Total Expenditures Made of $101 or More 8,804.75 Friends of Julie Zahner Bailey William R. Bailey, Treasurer 12/30/2006 Co n 77 � O r d �-0 o 0 00 g► I Ir ru «, Ir o L C3 O Er Ln w - F� I O I o mm ' mm w W I _ m, ! ' ci m = F cb Mr) :D N I W r ZGCD-400 O7 ; Oki D Q N� m