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HomeMy WebLinkAboutCCDR: Julie Zahner-BaileySEC FARM CCDR _ REV 01l-006 State of Georgia Campy sign Contribution Disclosure Report 1. Report Type 2. Filing is being made on behalf of (Select One): Filing office use only (Select one) F� Candidate or Public Official Office Sought or Held: i►N �i 7�,e ��lfLyt% /•`c'� Original Report (Include county, manic ality, district, post or�judic`ial circuit) /Amended Report Committee Name: � • X11 #*/. / -K I• V �v �" 'k/iMMK I t/' j Use Earlier of Post Mark Hand Deport of Organization or Person Other than Candidate's Campaign Committee Delivered Date Amendment # 2 3. Tdentifying and Contact Information (1) rot (2) — G - d fill Full Narne oj'Candidate otr Non -Candidate Campaiitgnn Com�miitttee � /ff / Today's Date Mailing Address City State Zip Code (4) fE�f% _.}�� y and / or�l„' �r Contact Phone Number (We will understand the release of this information as permission to call your ofice 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: Name of Chairperson and l or 4. Period for which you are Reporting You Must Check Only One Box 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) 76 days before Primary ❑ 15 days before Run -Off, (year) Special Primary, 7Dec. 31, (year) June 30, (year) F]6 days before General (year) Run -Off, (year) *Personselected to office in each year following [September 30, (year) M6 days before Special F�15 days before (year) the year in which the election occurs Primary Run -Oft, Special, "Persons leaving office with excess funds unlit such funds are expended as provided in the Act October 25, (year) (yea') 'Unsuccessful candidates with excess funds, or F16 days before Special Dec. 31, (year) who receive contributions to retire debt incurred, until such funds are expanded, or such unpaid �-� r I December 31,Z&J(year) Run -Off, (year) debts are satisfied (Deceinber 31 filing only) Verification by Oath or Affirmation State of 5. — County of 046 /VWit/ et9r being duly sworn (affirm), depose and say that the information in this report form is cOmplgter, true, and correct. Further, I affirm that the contents in this report are the stupe as the contents in the electronic filing submitted, if also electronically filed. Sworn to and subscribed before me on r. h 20 S ature of Notary Public JEANETTE R MARCHIAFAVA Notary Public, Fulton Co., GA My Commission expires MY Commission EXDIfPS August 29, 2009 PENALTIES: Any person who knowingly fails to comply with or who ktwwingly violates any of the a. Signature of Candid b. Organization/Chairpern/Treasurer olthe Ethics in Government Act shall be guilty of a misdemeanor. SEC FORM CCDR REV 01/2006 State of Georgia Campaign Contribution Disclosure Report Summary Report CONTRIBUTIONS RECEIVED 1 I have: No contributions to report. In -Kind Value Cash Amount The following expenditures to report The following contributions, including Common Source, to report: Total expenditures made and reported prior to this reporting period. If this is the A. If this is the first time to file a disclosure report for the current office sought, 8 first report of this Reporting Cycle*, ENTER 0. ENTER 0 in both columns (one time only); or (Line 12 of previous report) (Line B. If this is the first report of this Reporting Cycle*, ENTER 0 in the in-kind column 3 Total amount of all expenditures of $101.00 or more made in this reporting period. 2 and list any net balance on hand brought forward from the previous reporting cycle y �, 7 �/ / 3 in the cash amount column (Line 13 of previous report, or total funds left over at / in this reporting eriod. year end of previous cycle); or C. If this filing is the second or subsequent filing or this Reporting Cycle, list totals 11 Total expenditures reported this period. from Line 6 of previous report in both the in-kind and cash amount columns. (Line 9 + 10) 3 Total amount of all contributions of $101.00 or more received in this reporting period. "Listed yS G s0 �� Each such contribution must be listed on the 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 �t 4 reported in this reporting period. "Common Source" contributions must be aggregated / 720 on the "Listed Contributions Received" page. 5 Total contributions reported this period. / G /-, 0 (Line 3 + 3a + 3b + 4) 6 Total contributions to date. Total to be carried forward to next report of this reporting cycle'. ©� /3 ttr ?/ �4007 J (Line 2 + 5) EXPENDITURES MADE Total expenditures to date. Total to be carried forward to next report of this reporting cycle'*. 7 4 12 (Line 8 + 11) 2 TO 3f Net balance on hand. 72 13 Line 6 - Line 12) * 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: (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; (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 reporting cycle for reelection or for some other office begins Public Officer/Candidate/Non-Candidate Committee Name I have: In -Kind Cash Amount 7 No expenditures to report. Value The following expenditures to report Total expenditures made and reported prior to this reporting period. If this is the 'l(� 8 first report of this Reporting Cycle*, ENTER 0. A, SG 7— (Line 12 of previous report) (Line 21, 9 Total amount of all expenditures of $101.00 or more made in this reporting period. Total amount of all separate expenditures of less than $101.00 each that were made 9% 4 y 10 in this reporting eriod. 70 11 Total expenditures reported this period. 1,Z GJrZ (Line 9 + 10) Total expenditures to date. Total to be carried forward to next report of this reporting cycle'*. 7 4 12 (Line 8 + 11) 2 TO 3f Net balance on hand. 72 13 Line 6 - Line 12) * 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: (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; (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 reporting cycle for reelection or for some other office begins Public Officer/Candidate/Non-Candidate Committee Name - _ - ------ State of Georgia Campaign Contribution Disclosure Report , Listed Contributions Received of $101.00 or More -- _ ..------- - ---------- --- - 12131(2047 — ------ In -Kind ----- Full Name Of Contributor Received Date I 1a. Occupation Election Cash Mailing Ad — Estimated Value dress Contribution Type b. Employer (Cycle Amount Description Camp, David 14980 East Bluff Rd. Representative I Milton, GA 30004 11/3/07 Donation St Jude Medical General 2007 500 — Cole, Leon 16700 Birmingham Hwy 1115/07 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 FB�id, rcuyCr I Landbank 540 Champion Hills Dr. 10/30/07 Development. Milton, GA 30004 Donation Corp — — �Generai 2007 250 Holcomb, David 460 Powers Court Ave.11/5107 (Owner Axis Milton, GA 30004 Donation I Research General 2007 400 Holland, David IVP Marketing 710 Halbrook Court Alpharetta, GA 30004— — 10131/07 Donation Alimera Sciences General 2007 � 150 � Kammerer, Deborah I 15130 Birmingham Hwy. 1117/07 Milton, GA 30004 Donation Homemaker jGeneral 2007 200 Keller, Kim 325 Majestic Cove Milton, GA 30004 ;11/2/07 Donation Homemaker (General 2007 200 j 1 Page Total 3,200 Page t of Friends of Julie Zahner Bailey William R. Bailey, Treasurer --_----_____-- State of Georgia ------ -- ---- i ---- CarMDaign Contribution Disclosure Report Listed ContributionsReceived of $101.00 or More _ T_ ----- ----- "(2/3?/2007 In -Kind Full Name Of Contributor Received Date a. Occupation Election Cash Estimated Value Mailing Address__-_ Contribution Type b. Employer Cycle Amount Description _ Lockwood, Joe Owner J.K. --- In -Kind ---- Approximately 369 Dorris Road 10/31/07 & 11/1/07 Lockwood I $725 Milton, GA 30004 --- ---------- In -Kind Construction General 2007 'Advertisement Longfellow, Laura ( I 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 DonationTHomemaker iGenera12007 t 1,000 4 Roth, Paul _ 963 Golf Link View Alpharetta, GA 30004 Voigt, Nick 10/20/07 Executive V. P. Donation AT & T Director, E-- General 2007 j 400 370 Tournament Players Alpharetta, GA 30004 _ 10/31/07 Commerce Donation -_ Georgia Tech (General 2007 150 Kind www www . MyMilton .Net (Approximately 37 Families signed 10/31/07 & 11/1/07 1$725 advertisement In_Kind! I General 2007 'Advertisement L i i I i r-- I ----- ------ - - —------- I---- --------- I Page Total i i 1,750 1,450 Total Contribution greater than $101 I I I L 4,950 j 1,450 Page )- of 3 Friends of Julie Zahner Bailey William R. Bailey, Treasurer 12/31 /07 State orf Pgorgia -- Campaign Contribution Disclosure Deport — -- - — --- — Listed Expenses Made of $101.00 or More---- ---- - – – — ---- - Expease DOW– OCctWib.n or-- Ust Name and Mailing Expenditure Place sof Ex-p"ture Address of'recipient Type EnVie.yment IPurpose Amount Paid KREP Consulting LLC 14058 Triple Crown Dr. 11/12/07 WEB Alpharetta, GA 30004 Ex enditure 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 i 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. 11/1/07 Lawrenceville, GA 30043 Expenditure Mailer 4,970.41 Sign-A-Rama / Duluth i 3665 Swiftwater Park Dr. 10/28/07 J4VV G11 FV"G, vr+ . vue1+ _ xperioaure- --,-- -._ ._... Signs------- - 729.28 HEG, LLC ` P.O.Box 991 11/5/07 Tallahassee, FL 32302 ------ ---- -- - Expenditure i ----- - - -- - ------------ Phone Message 600.39 HEG, LLC i P.O.Box 991 Tallahassee, FL 32302 112/31/07 Expenditure _.___.__ Mailing List 150.00 KREP Consulting LLC j — 14058 Triple Crown Dr. Alpharetta, GA 3_0004 Larry Johnstone -------42:5 12/31/07 ! Expenditure -—___— WEB Programming 131.25 __--_----- Northwood Milton, GA 30004 12/31/07 Expenditure � 1Computer Work 200.00 Page Total I i $ 11,855.29 Page,-. of 3 Friends of Julie Zahner Bailey William R. Bailey, Treasurer SEC FORM CCDR State of Georgia Campaign Cantri "n Disclosure Report milli • %debtedwss 774 l ` 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 previm* deferred expenses. Total indebtedness at the close afters reporting period 1, ZA I.ine1++3-4.5-fir),/' 1 Outstanding indebtedness at the beginning of this period. 2 Loans received this period. Il— Deferred payment of expenses this period 4 Payments made on loans this period. 5 Credits received an 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 Mee iqy'o' `@'it`16' YiF` 1'� Ama,une 1 Outstanding indebtedness at the beginning of this period. 2 Loans received this period. 2 Deferred payment of expenses this period 4 Payments made an 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) "`_'lection Cycle (Primary, General, Special, Special Primary, Run -Off Primary, Run -Off General, Run -Off Special, Run -Off Special Primary)