HomeMy WebLinkAboutCCDR: Neal O'Brien (3)SEC b'ORM CCDR
REV 01/2006
I State of Georgia
Campaign Contribution Disclosure Resort
1. Report Type 2. Fjling is being made on behalf of (Select One):
(Sele-et 0—) ErCandidate or Public Official
Office Sought or Held: C t Ti Co y- , lui c j otJ 66) R64
❑ Original Report (Include county, municipality, district, post orjudicial circuit)
�
rccui
LfGI � endedReport Committee Name: �(�I JAs Z)� m�� b'fflni
Amendment # I ❑ Report of Organization or Person Other than Candidate's Campaign Committee
County
OV 1 2006
3. Identifying and Contact Information
(1> f'(P-(6�)A5 oft /o6k-+�j (2)c, QCj- `o(o
Full Name ofCandidate or Non -Candidate Campaign Committee Today's Date
(3) 3S rl� t/o� Sett � � C.4JA y 3crr6c) Y
Mailing Address City State Zip Code
(4) t77b)7Ljb -6-711-7 and / or s z S09
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 thL=!,pampaign committee (one or more persons) to make campaign transactions, keep the financial records of
campaign, or file the reports? Yes (6) Use, is the committee registered with the State Ethics Commission? Yes
(7) If so, complete the following: a 6 (_ C)499(
Name of Chairperson and/or Treasurer ofCommittee
4. Period for which you are Reporting
You Must Check Only One Bog
My Non Election Year
My Election Year
Run -Offs
(Report required only if you are in a Rum -Off
Election)
Special Elections
(Report requited only if you are in a Special
Election)
❑ June 30, (year)
r-1 March 31, (year)
❑6 days before Primary
❑ 15 days before
Run -Off, (year)
Special Primary,
F-1 Dec. 31, (year)
[—]June 30, (year)
❑6 days before General
(year)
Run -Off, (year)
*Pesonselected to office meach year followingSeptember
30, (year)
❑6 days before Special
❑ 15 days before
the year *Persons which the election occurs
sona leaving office with exce� funds until
Primary Run -Off,
Special, (year)
such funds are expended as provided in the Act
❑ October 25, (Year)
(Year)
"Unsmcessfid candidates with o cess tunas' or
to debt incurred,
E]6 days before Special
E] Dec. 31, (year)
who receive contributions retire
until such funds are expended, or such unpaid
❑ December 31, (year)
Run -Off, (year)
debts are satisfuat (December 31 tiling only)
Verification by Oath or Affirmation
State of Gar
County of -� LITD N
c
EAL v �pJ being duly sworn (affirm), depose and say
the inform iform is complete, true, and correct. Further, I affirm that the contents in this report
the a as the c tents in the electronic
/filing submitted, if also electronically filed.
om to and su(ornibed before me on t fo `� �S r 120 0k
gltature
Si of Notary a. Sign of Candidate
Francisco J. Gamboa. Org fiat! oWTreasurer
Notary Public, Fulton County, Georgia
Commission expires _My ��
a*res: March 22, 2010
1LTIES: Any person who kn —My
fa;ls to comply with m who knowingly violates any ofthe prwiwons ofthe Ethics in Government Ad shall be guilty of a n isdemeanar.
IM
N
ftC FORM CCDR-Ballot
REV 01/200E
State of Georgia
Campaign Contribution Disclosure Report
Summary Report
CONTRIBUTIONS RECEIVED
1
I have:
❑ 4a contributions to report.
In -Kind
Cash Amount
02"The following contributions, including Common Source, to report:
Value
A. If this is the first time filing a disclosure report
ENTER 0 in both columns (one time only); or
B. If this film is the second or subsequent filing or this Reporting Cycle, list totals
2
111
from Line 6 of previous report in both the in-kind and cash amount columns.
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.
3b
Interest earned on campaign account this period.
4
Total amount of all separate contributions of less than $101.00 each that were
reported in this reporting period. "Common Source" contributions must be aggregated
_
r
on the "Listed Contributions Received" page.
5
Total contributions reported this period.
Oct
(Line 3 + 3a + 3b +4)
6
Total contributions to date. Total to be carried forward to next report of this reporting cycle •.
y _ j
(Line 2 + 5
Y' Ee &
EXPENDITURES MADE
7
I have:
❑ ]� xpenditures to report.
In -Kind
Cash Amount
H2rThe follomqng expenditures to report:
Value
Total expenditures made and reported prior to this reporting period. If this is the
i
8
fust report of this Reporting Cycle", ENTER 0.
(Line 12 of previous report)
9
Total amount of all expenditures of $101.00 or more made in this reporting period.
t t0
10
Total amount of all separate expenditures of less than $101.00 each that were made
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)Ci
13
Net balance on hand.
(Line 6 - Line 12
Non -Candidate Committee Name Civ $ Q!" AIML, 69,et v
19
M
SEC FORM CCDR-Ballot
REV 01/2006
State of Georgia
Campaign Contribution Disclosure Report
Outstanding Indebtedness.
Election Cycle*:_ 2iL)<V,N.-- Election Year: 2490
amount
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.
7
Total indebtedness at the close of this reporting period.
(Line1+2+3-4-5-6)
Election Cycle-: Election I ear;
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.
7
Total indebtedness at the close of this reporting period.
I(Line I + 2 + 3 - 4 - 5 -6
Election Cycle*: Election Year:
Amount
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.
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)
r `
Non -Candidate Committee Name �� {�A / D5 46CG /�.f'� ( � ��
R
N
State of Georgia
Campaign Contribution Disclosure Report
Listed ExiDenditures Made of $101-00 or More
tist Name and Mailing Address
Expenditure Date
Occupation and Place
Expenditure Purpose
Amount Paid
of Recipient
Expenditure Type*
of Employment
t
$
AT44-,-t,-1A1 &A
t
7
QL,�AL-
Gtr
co "-V T -V
$ (0
. q(,4r,
$
pmle Total $
The Act requires all public officers, candidates, and campaign committees to list contributions received and expenditures made which are
individually $101.00 or more and to disclose the total amount of all contributions received and expenditures made which are individually
1-- 0— Cc In I W)
Expenditure Type (Expenditure, In -Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment,
Pavmenl on Deferred Exnense I
C—itt— N.— page of,
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SEC FORM CCDR-Balla