HomeMy WebLinkAboutCCDR: Julie Zahner BaileySEC FORM CCDR
REV 01/1-006
State of Georgia - ]ONTIEI
NE
Campaign Contribution Disclosure Report
1. Report Type 2. Filing is being made on behalf of (Select One): Filing oilice use Only
(Select One) D Candidate or Public Officiallyl' �/
Office Sought or Held: ;ii�/��1, , Gi 7�i C�h.���✓�i� --� Z
�ginal Report (include county, municipality, district, post ofjudicial circuit) Q,
lT CLERIC
Committee Name: f ai 6 �Z QTY of MmTow
Amended Report Use earlier of Post
E]Report of Organization or Person Other than Candidate's Campaign Committee Mark of Nand
Amendment # Delivered Date
WINNE
3. Identifying and Contact Inf/ormation/ f
(1) Tv 7, S C t �S DT %wi L 1" z.�Gt•�.,Ptr: i°t/" (� S (2) Z ' �`
Full Name of Candidate or Non -Candidate Campaign Committ Today's Date
(3) �25 5A 6 (, vsn y not f -m f z" 1-1,74- 3 e,)yy y
Mailing Address City state Zip Code
(4) OW" L '�S 2 11 and / or ,06k9 -j0 12-32
Contact Phone Number (We will understand the release of this information as permission to call your offlce if necessary)
(5) If a Candidate or Public Official, is them 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: 1, L- a, ,/i —A_7.4,/46_,r, r, 4i2 jece e4
Name of Chairperson andl orTWwarer of CarAittee
4. Period for which you are Reporting
You Must Check Only One Boz
My Non Election Year
My Election Year
Run -Offs
(Rapwt mgtfn any if you an in a Rum -017
Elco-)
Special Elections
(Repmt nquim my if you an in a Rm►Ot►
Election)
June 30, (year)
E] March 31, (year)
06 days before Primary
El 15 days before
Run -Off, (year)
Special Primary,
ODec. 31, (year)
June 30, (year)
06 days before General
(year)
Run -Off, (year)
•Pawm alacm! a Osla in each yew folbw:K
[:] September 30, (year)
06 days before Special
015 days before
dwyawinwhich dwdectimoc .
Primary Run -Off,
Special, (year)
•tom laavina oaloa witb mous flmda urd!
arab favis M as r ptovidaa r dw not
[:]October 25, (year)
(year)
m a- w
�°"m
06 days before Special
O Dec. 31, (year)
eam°a'' 10 rain ddA in
who naive mm'ihudmr m ratLe debt itrw�ad,
UM RXh nnaa no OW W4 or RXh W para
December 3 (year)
Run -Off, (year)
delis an sadsW (Demnbw 71 fl only)
Verification by Oath or Affirmation
State of i6e6
CountyofFL,G``f`c' J✓
I, W , (1i /nn,. A. W/$i/q� , being duly sworn (affirm), depose and say
that the information in 1t7�i s reportform is complete, true, and correct. Further, I affirm that the contents in this report
are the same as the contents in the electronic filing submitted, if also electronically filed.
Sworn to and subscribed before me on
—1 , ,
W_otply Public a. Signature of Candidate oOrpnizat' Chairperson/ireasurer
My Commis>Ji�1t#�Fi eit'E R MARCHIAFAVA
Notary Public, Fulton Co., GA
My t^,omffdiWon E)Ores,August 29, 2009
PENALTIES: Any person who knowingly fails to comply with or who knowingly violates any of the provisions of the Ethics in Government Act
shall be guilty of a misdemeanor. 1
M
SEC FORM CCDR
REV 01/-006
State of Georgia
Campaign Contribution Disclosure Report
Summary Report
CONTRIBUTIONS RECEIVED
I have:
1
❑ No contributions to report.
In -Kin
Cash Amount
The following contributions, including Common Source, to rt:
Estimate
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
2
and list any net balance on hand brought forward from the previous reporting cycle
in the cash amount column (Line 13 of previous report, or total funds left over at
year end of previous cycle); or
.60
C. If this filing is the filing Repomng
13 7
second or subsequent or this 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.
3a
All loans received this period
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
°20
on the Contributions Received" page.
5
Total contributions reported this period
Line 3 + 3a + 3b + 4)
6
Total contributions to date. Tota/ to be cams/ forward to next report of th/s rtepemns cyc%S
Line2+5)
�
4 90 7. yc�
EXPENDITURES MADE
I have.
7 ❑ No expenditures to report. Cash Amount
❑ The following expenditures to ort:
Total expenditures made and reported prior to this reporting period If this is the first report of this
8 Reporting Cycle*, ENTER 0. p
Line 12 of previous rt
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 in this reporting17
I 1 Total expenditures reported this period.
Line 9 + 10 4 / 05" 7
12 Total expenditures to date. Toto/ to be carried forward to next report of ibis reporting cycle!
(Line 8 + 11)QHS
13 Net balance on hand.
Line 12 - line 6
O.C.G.A. 21-5-34(b)(lxD)(ii) A reporting cycle shall commence on January I of the year in which an election is to be held for the public office to which a candidate
�%r eeks election and shall conclude:
(l) At the expiration of the term of office if such candidate is elected and does not seek reelection of election to some other office;
(11) On December 31 of the year in which such election was held if such candidate is unsuccessrul; or
(111) If such candidate is successful and seeks reelection or seeks election to some other office the current reporting cycle shall end when the reporting cycyle for
reelection or for some other office begins
Public Officer/Candidate/Non-Candidate Committee Name
om
N
Page/ of l7
Friends of Julie Zahner Bailey William R. Bailey, Treasurer
State of Georgia
Campaign Contribution Disclosure Report
_
- _
Listed
Contributions
Received of
$101.00 or More
12/31/2007
-
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
I
Camp, David
14980 East Bluff Rd.
Representative
Milton, GA 30004
11/3/07 Donation
St Jude Medical
General 2007
500
Cole, Leon
16700 Birmingham Hwy
11/5/07
Alpharetta, GA 30004
Donation -
Retired
General 2007
- - 500
Dean, Walter
Freemanville Rd
9/11/07
President
Milton, GA 30004
Donation
Dean Machinery
General 2007
1,000
Real Estate
Festa, Roger
Landbank
540 Champion Hills Dr.
10/30/07
Development.
Milton, GA 30004
Donation
Corp
General 2007
250
Holcomb, David
460 Powers Court Ave.
11/5/07
Owner Axis
Milton, GA 30004
Donation
Research
General 2007
400
Holland, David
VP Marketing
710 Halbrook Court
Alimera
Alpharetta, GA 30004
10/31/07 Donation
Sciences
General 2007
150
Kammerer, Deborah
15130 Birmingham Hwy.
Milton, GA 30004
11/7/07
Donation
Homemaker
General 2007
200
Keller, Kim
325 Majestic Cove
Milton, GA 30004
11/2/07 Donation
Homemaker
General 2007
200
Page Total
3,200
Page/ of l7
Friends of Julie Zahner Bailey William R. Bailey, Treasurer
a
Page 2- of 3
Friends of Julie Zahner Bailey William R. Bailey, Treasurer
State of Georgia
Campaign Contribution Disclosure Report
Listed
Contributions
Received of $101.00 or More
12/31/2007
In -Kind
—
_
Contribution
Estimated
Full Name Of Contributor
Received Date
a. Occupation
Election
Cash
Value
Mailing Address
Contribution Type
b. Employer
Cycle
Amount
Description
Longfellow, Laura
755 Ownes Lake Road
Milton, GA 30004
11/5/07 Donation
Homemaker
General 2007
200
Phelan, Patricia
14885 East Bluff Road
Milton, GA 30004
11/2/07 Donation
Homemaker
General 2007
1,000
Roth, Paul
163 Golf Link View
10/20/07
Executive V.P.
1
Alpharetta, GA 30004
Donation
AT & T
General 2007
400
Voigt, Nick
Director, E-
370 Tournament Players
10/31/07
Commerce
Alpharetta, GA 30004
Donation
Georgia Tech
General 2007
150
� �
I
Page Total
1,750
Total Contribution greater
than $101
4,950
Page 2- of 3
Friends of Julie Zahner Bailey William R. Bailey, Treasurer
N
12/31/07
State of Georgia
Campaign Contribution Disclosure Report
__
Listed Expenses
Made of $101.00
or More
Expense Date
Occupation or
List Name and Mailing
Expenditure
Place of
Expenditure
Address of recipient
Type
Employment
Purpose
Amount Paid
KREP Consulting LLC
14058 Triple Crown Dr.
11/12/07
WEB
Alpharetta, GA 30004
Expenditure
Programming
665.00
Brent Cashman Design
5185 Cactus Cove Lane
11/12/07
Burford, GA 30519
Expenditure
Design
250.00
Milton Band Booster Club
86 School Drive
11/2/07
Alpharetta, GA 30004
Expenditure
Donation
500.00
ABC Direct Marketing
1670 Spectrum Dr.
10/30/07
Lawrenceville, GA 30043
Expenditure
Mailer
3,658.96
ABC Direct Marketing
1670 Spectrum Dr.
Lawrenceville, GA 30043
11/1/07
Expenditure
Mailer
4,970.41
Sign -A -Rama / Duluth
3665 Swiftwater Park Dr.
10/28/07
Suwanee, GA 30024
Expenditure
Signs
_ 729.28
HEG, LLC
P.O.Box 991
11/5/07
Tallahassee, FL 32302
Expenditure
Phone Message
600.39
HEG, LLC
P.O.Box 991
12/31/07
Tallahassee, FL 32302
Expenditure
Mailing List
150.00
KREP Consulting LLC
14058 Triple Crown Dr.
Alpharetta, GA 30004
12/31/07
Expenditure
_
WEB
Programming
131.25
Larry Johnstone 425
Northwood Milton, GA
30004
12/31/07
Expenditure
Computer Work
200.00
Page Total
$ 11,855.29
Page3 of 3
Friends of Julie Zahner Bailey William R. Bailey, Treasurer
M
SEC FORM CCDR
RFV OIA(M
State of Georgia
Campaign Contribution Disclosure Report
Outstanding Indebtedness
�..
Election G cle*s Election. Year'°
Amon-
1
Outstanding indebtedness at the beginning of this period.
2
Loans received this period.
2
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!+2+3-4-5-6)
�SL%
Y� T •A. �, 9� p 1 $ '¢5da, ,�s^r 3.t ?
Eiectia>�1 k"7 y d�' r Electronof_ , _x
1 Outstanding indebtedness at the beginning of this period
2 Loans received this period.
2 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*:' ` " Elections
1 Outstanding indebtedness at the beginning of this period
2 Loans received this period.
2 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)
ear: A o0
' Election Cycle (Primary, General, Special, Special Primary, Run -Off Primary, Run -Off General, Run -Off Special,
Run -Off Special Primary)
Public OMeer/CandidoWNon-Candidate Committee Name