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Home My WebLink AboutCCDR: Julie Zahner Bailey (8)SEC FORM CCDR REV 01/2006 ,.r 1. Report Type (Select One) 0 Original Report Amended Report Amendment # State of Georgia Campaign Contribution Disclosure P 2. Filing is being made on behalf of (Select One):jg ottic usAW 0 Candidate or Public Official Office Sought or Held: AN//'... �r / `i qua �. �` / S�- � � Z CM CLERK T (Include county, n unicipality, district, post orjudicial circuit) CY OF LK(j TM Committee Name: &4- / Use Earlier of Post Report of Organization or Person Other than Candidate's Campaign Committee Mark or Hand Delivered Date 3. Identifying and Contact Information (1) /'L,.4eszr S a -:1, A, (2) Full Name ofCandidate or f on -C f didate Campaign Committee ,¢ Today's Date (3) Mailing Address City state Zip Code (4) C?70)yI6 - 5.�_2 % and / or ; 2,q 3/o y /Z 3 �1 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? es (7) If so, complete the following: Name of Chairperson and /or Treasurer 4. Period for which you are Reporting You Must Check Only One Box /i1 �CesCl/t ia�. 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 Special Election) June 30, (year) March 31, (year) F-16 days before Primary E] 15 days before Run -Off, (year) Special Primary, Dec. 31, (year) June 30, (year) F-16 days before General (year) Run -Off, (year) *Persons elected to office in each year following Q eptember 30„ ??j j year) E]6 days before Special 15 days before the year in which the election occurs *Persons leaving office with excess funds until Primary Run -Off, Special, (year) such funds are expended as provided in the Act ❑ October 25, (year) (year) •Unsuccessful candidates with excess funds, or❑6 to debt incurred, days before Special y P (year) ❑ Dec. 31, ear who receive contributions retire until such funds are expended, or such unpaid ElDecember 31, (year) Run -Off, (year) debts are satisfied (December 31 filing only) Verification by Oath or Affirmation State of County of 1, !/� /r%4 Lam.. /L being dulv sworn (affirm). depose and sav that the information in this report form is complete, t and correct. Further, I affirm that the contents in this report are the same as the contents in the ?lectronic filing sdbmitted, if also electronically filed. Sworn to and subscribed before ne on �/ (i 41 20 � f �Z &�4LL; -f C-( of Notary Publi . a. Signature of Candidate /? b. Organization/Chairperso reasurer IV"y Commission exp f_,_ Q1 Ql/Q PENALTIES: Any person who - wingly fails to comply tmtl or who knowingly violates any of the provisions of the Ethics in Government Act shall be guilty of a misdemeanor. cr- 14 FRI SEC FORM CCPR REV 01/2006 State of Georgia Campaign Contribution Disclosure Report Summary Report CONTRIBUTIONS RECEIVED 1 have: 1 No contributions to report. In -Kind Cash Amount The followingcontributions, includingCommon Source, to report: Value A. If this is the first time to file a disclosure report for the current office soueht ENTER 0 in both columns (one time only); or B. _Y* is the first report of this Reporting p Cycle*, ENTER 0 in the in-kind column qq 2 errd list any net balance on hand brought forward from the previous reporting cycle $ l (o y Z :5i in the cash amount column (Line 13 of previous report, or total funds left over at year end of previous cycle); or C. If this tiling is the second or subsequent filing,, or this Reporting Cycle, 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. �� VO C, 3a All loans received this period. f 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 "Listed �� O on the Contributions Received" page. 5 Total contributions reported this period. (Line 3 + 3a + 3b + 4) � �%� U /3, zz O 6 Total contributions to date. Total to be carried forward to next report of this reporting cycle . tVc/ (Line 2 + 5) 21 q0 C//Z EXPENDITURES MADE I have: 7 No expenditures to report. In -Kind Cash Amount The followingex enditures to report: Value 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 report) 9 Total amount of all expenditures of $101.00 or more made in this reporting period. q /L/3 A`1% 10 Total amount of all separate expenditures of less than $101.00 each that were made 9 y in this reporting eriod. �7v I 1 Total expenditures reported this period. > z (Line 9 + 10)q y/3 -)5>,forward 12 Total expenditures to date. Total to be carried to next report of this reporting cycle': 7 z (Line 8 + 11) 13 Net balance on hand. (Line 6 - Line 12) r 7Z y�f x ,. * O.C.G.A. 21-5-34(b)(1)(D)(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: 41 (1) At the expiration of the term of office if such candidate is elected and does not seek reelection or election to some other office; + December 31 of the year in which such election was held if such candidate is unsuccessrul; or (111) !f s ch candidate is successful and seeks reelection or seeks election to some other office the current reporting cycle shall end when the reporting cycle for reel tion or for some other office begins Public Officer/Candidate/Non-Candidate Committee Name pq IN M SEC FORM CCDR REV 01/2006 State of Georgia Campaign Contribution Disclosure Report Outstanding Indebtedness 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. l 7 5 p 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) 2 s O Electi blit" "`^ > - , , 1cCt�oln: Rear Au► iiil '. a= 1 Outstanding indebtedness at the beginning of this period. 2 Loans received this period. -� 1 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) 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 lCredits 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) Public Officer/Candidate/Non-Candidate Committee Name 7t;e' �S / N Page % of i0 Friends of Julie Zahner Bailey William R. Bailey, Treasurer State of Georgia Campaign Contribution Disclosure Report Listed Contributions Received of $101.00 or More - -- -- - In -Kind Contribution Estimated Full Name Of Contributor Received Date a. Occupation Election Cash Value Mailing Address Contribution Type b. Employer Cycle Amount Description Boland, Thomas 14959 East Bluff Rd 9/19/07 Retired Banker Milton, GA 30004 Donation Consultant General 2007 500 Blossom & Bloom 14420 Birmingham Hwy 9/23/07 Milton, GA 30004 ------- General General 2007 200 Bonds, Roger President General 2006 885 Woodstock Rd. 113 8/23/07 Medical Staff Loan Alpharetta, GA 30004 Donation Development Repayment 1,750 Bonds, Roger President 885 Woodstock Rd. 113 8/23/07 Medical Staff Alpharetta, GA 30004 Donation Development General 2007 1,250 Bunker, Kimberly R.N. Southern 310 Galloway View 9/29/07 Cross Milton, GA 30004 General Consultants General 2007 250 Chambers, Tara 830 Barberry Drive 9/4/07 Milton, GA 30004 Donation Homemaker General 2007 150 Dean Machinery International, Inc. 6855 Shiloh Road E 9/11/07 Alpharetta, GA 30004 Donation Eller, Tracy General 2007 1,000 12475 Broadwell Rd. 9/17/07 Alpharetta, GA 30004 Donation Elsey, JP Homemaker General 2007 125 2460 Northwood Drive 9/23/07 Milton, GA 30004 Donation Homemaker General 2007 200 Page Total $ 5,425 Page % of i0 Friends of Julie Zahner Bailey William R. Bailey, Treasurer _ State of Georgia _ Campaign Contribution Disclosure Report Listed Contributions Received of $101.00 or More In -Kind _ Contribution Estimated Full Name Of Contributor Received Date a. Occupation Election Cash Value Mailing Address___ _ Contribution Type__ b. Employer - Cycle Amount Description I Geisel, Becky 2025 Drummond Pond Rd 9/22/07 $400 Milton, GA 30004 In -Kind Homemaker General 2007 Meet & Greet Hanger, Dane President 2005 Long Hollow Lane 9/26/07 Georgia Turf & Milton, GA 30004 Donation Tractor General 2007 250 Henry, Robyn 110 Oak Heights Court 9/4/07 Milton, GA 30004 Donation Homemaker General 2007 150 Holbrook, Al 1000 Treyburn Run 9/18/07 Solomon Senior Alpharetta, GA 30004 _ Donation Living General 2007 150 Jamison, Kimberly 1760 Highgrove Club Drive 8/30/07 Milton, GA 30004_'_____'_ Donation _ �Homemaker General 2007 200 Jamison, Kimberly I 1760 Highgrove Club Drive 9/22/07 Milton, GA 30004 Donation Homemaker General 2007 1_50 Kilgore, Scott software 479 Hickory Flat Road 09/15/07 Southern Milton, GA 30004 Donation Company General 2007 200 Laketa, Janice 305 Darby Road Milton, 9/18/07 Veterinarian GA 30004 Donation Self -Employed General 2007 250 Mays, Sharon 15160 Highgrove Rd 9/22/07 CPA Mays Milton, GA 30004 Donation & Associates General 2007 250 Page Total $ 1,600 $400 Page Z of Friends of Julie Zahner Bailey William R. Bailey, Treasurer N Page 3 of i Friends of Julie Zahner Bailey William R. Bailey, Treasurer State of Georgia Campaign Contribution Disclosure Report Listed Contributions Received of $101.00 or More In -Kind Contribution Estimated Full Name Of Contributor Received Date a. Occupation Election Cash Value Mailing Address Contribution Type b. Employer Cycle Amount Description Mills, W. Curtis 16355 Mgt. Consultant Birmingham Hwy Milton, 9/25/07 ProCom GA 30004 _ Donation Consulting, LLC General 2007 1,000 Moore, Sabrina 615 Elizabeth Oak Ct. 9/22/07 Milton, GA 30004 Donation IEG General 2007 250 Prestianni, Rose 105 Providence Oaks Point Milton ,GA 30004 9/4/07 Donation Homemaker_ General 2007 200_ Schlenke, Carol _ 490 The hermitage Dr. 9/22/07 Milton, -GA 30004 Donation Homemaker General 2007 350 Schottenfeld, Roy Surgeon 14860 E. Bluff Rd. 9/21/07 N. Fulton ENT Milton, GA 30004 Donation Assoc. General 2007 500 Shannon, David Horse Breeder _ 2225 Birmingham Rd. 9/21/07 Shannondale Milton, GA 30004 Donation Farms General 2007 250 Sumrell, Ferrall 1350 Nix Road 9/4/07 Milton, GA 30004 Donation Retired General 2007 2_00 Swiacki, Kimberly 905 Treyburn Run Milton, GA 30004 9/13/07 Donation Homemaker General 2007 250_ Statham, Benjamin 1424 Gantt Road Alpharetta, GA 30004 9/30/07 Donation Self -Employed General 2007 120 Page Total 1 3,120 Page 3 of i Friends of Julie Zahner Bailey William R. Bailey, Treasurer IN Page 1( of Friends of Julie Zahner Bailey William R. Bailey, Treasurer State of Georgia Campaign Contribution Disclosure Report Listed Contributions Received of $101.00 or More In -Kind Contribution Full Name Of Contributor Mailing Address Received Date Contribution Type a. Occupation b. Employer Election Cycle Cash Amount Estimated Value Description Statham, Linda 1424 Gantt Road Alpharetta, GA 30004 9/30/07 Donation Retired Teacher Homemaker General 2007 125 The Publishing Group P.O.Box 3270 Alpharetta, GA 30023 9/25/07 In -Kind General 2007 _ $2,000 Signs & Magnets Winchester, Jan 16035 Westbrook Rd Milton, GA 30004 9/23/07 Donation Homemaker General 2007 500 I I i i i Total Contribution over $101 this period $ 625 $2,000 Page 1( of Friends of Julie Zahner Bailey William R. Bailey, Treasurer IN Friends of Julie Zahner Bailey William R. Bailey, Treasurer Page 5 of 1 State of Georgia Campaign Contribution Disclosure Report Listed Expenses Made of $101.00 or More Occupation or List Name and Mailing Address of recipient - Expense Date Expenditure Type Place of Employment Expenditure Purpose Amount Paid KREP Consulting LLC 14058 Triple Crown Dr. Alpharetta, 8/31/06 WEB GA 30004 Expenditure 4 Programming 192.50 KREP Consulting LLC 14058 Triple Crown Dr. Alpharetta, 9/11/06 WEB GA 30004 ___—Expenditure Programming 201.25 The Screen Smith 1320-B Union Hill Industrial Ct 9/18/07 Shirts with Alpharetta, GA 30004 _ Expenditure Imprint 583.15 The Screen Smith 1320-B Union Hill Industrial Ct 9/20/07 Shirts with Alpharetta, GA 30004 Expenditure Imprint 826.31 Back in Time 2005 Old Mill Road 8/4/07 Ball Ground, GA 30107 Expenditure Rental of Wagon 500.00 Milton Touchdown Club 86 School Drive 9/11/07 Alpharetta, GA 30004 Expenditure Donation 500.00 Milton Athletic Association 86 School Drive 9/14/07 Alpharetta, GA 30004 Expenditure Donation 500.00 Milton Band Booster Club 86 School Drive 9/14/07 Alpharetta, GA 30004 Expenditure Donation 375.00 U.S.P.S. Alpharetta, 9/7/07 GA Expenditure Stamps Sign-A-Rame / Buckhead _121_00 3145 Peachtree Rd. Suite 181 9/25/07 Atlanta, GA 30305 Expenditure Wire Frames 769.52 I Page Total $ 4,570.73 Friends of Julie Zahner Bailey William R. Bailey, Treasurer Page 5 of 1 N Friends of Julie Zahner Bailey William R. Bailey, Treasurer Page ( of State of Georgia Campaign Contribution Disclosure Report Listed Expenses Made of $101.00 or More -T- List Name and Mailing Address of recipient Expense Date Expenditure Type Occupation or Occupation Place of Employment Expenditure Purpose Amount Paid The Publishing Group P.O. Box 3270 Alpharetta, GA 30023 9/30/07 Expenditure Signs & Magnets 682.50 Beacon Media Compainies 515 E. Crossville Rd. Roswell, GA 30075 Advertising _ 750.00 Sporting Kids P.O. Box 3352 Cumming, GA 30028 Expenditure Advertising 1,000.00 City of Milton --- 13000 Deerfield Pky, B 100 Milton, GA 30004 --- 8/27/07 Expenditure ---------- -- Election Qualifing Fee - -------- 390.00 Total Expenditures Made of $101 or More 2,822.50 Friends of Julie Zahner Bailey William R. Bailey, Treasurer Page ( of SEC FORM CMR REV Ot2W6 ONK 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. COu- Page of