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HomeMy WebLinkAboutCCDR: Neal O'Brien (3)A SEC FORM CCDR REV 01/2006 11. Report Type (select one) E316riginal Report MAmended Report Amendment # State of Georgia Contribution Disclosure 2;Candidate ""M' is being made on behalf of (Select One): or Public Official Office Sought or Held: 04 t LW U i' -f CQI AJCd L �(S[F(CTq (Include county, municipality, district, post orjudicial circuit) Committee Name: &YI t A S a, 4 a,— dA Report of Organization or Person Other than Candidate's Campaign Committee 3. Identifying and Contact Information (1) ISI M -Z- aft /Om Full Name of Candidate orN n -Candidate Campaign Committee t (2) 1 AtZC6 Today's Date Filing office use only MW -631 'rCl'I'Y CLERIC US90M Mark or Hand Delivered Date (3)o3s`��Ja�1Skc��sc.��y ACP�`f'3(lhti(o/9 3ceoy-L/SZZ Mailing Address City QQQQ State Zip Code (4) (7 7Vd-0-7q7 and 1or- Contact Phone Number (We will understand the release ofthis 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? �Ycs (6) If so, is the committee registered with the State Ethics Commission? © Yes (7) If so, complete the following: /vii t— © R Name of Chairperson mid/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 ace is a RunOff Flection) Special Elections (Report required only if you are in a Special Flection) June 30, (year) March 31, (year) 06 days before Primary ❑ 15 days before Run -Off, (year) Special Primary, Dec. 31, (year) MJunc 30, (year) ❑6 days before General (year) Run -Off, (year) *persons elected to office in each year following M September 30, (year) F16 days before Special E] 15 days before the yew;n which inn election occurs Primary Run -Off, Special, (year) I>easous leaving office with excels funds mrtd an& funds are expeaded as provided in the Act OKtober 25, �,,�� � (year) (year) *UnsucOessfiil `arrd`dateg "id` GCeCB funds. or [:]6 days before Special E]Dec. 31, (year) who receive contributions to retire debtimurred, until such fords are expended, or such ngraid ❑ December 31, (year) Run -Off, (year) debts are satisfied (Dece+nber 31 filing only) Verification by Oath or Affirmation State of (090t6C A County of }%t t l) I, N Iii� 0 t& J , being duly sworn (affirm), depose and say that the information in this report form 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 on7b t , 1 _, 2001 . .. A, �l� Sign of Notary Public JEANETTE R MARC IAFAVA Notary Public. FUN011 Ca, GA y Commission expires My Commifll w E>ome -0209920) TIES: or who knowingly violates - 4dL -1--= a. Sign of Candidate/I b. Organ ationlCh ' on/Treasurer ofthe Ethics m t iovw ment Act shall be guilty of a misdemeanor. A SEC FORM CCDR u Fv ni nrru State of Georgia Campaign Contribution Disclosure Report Summary Report CONTRIBUTIONS RECEIVED I have: In -Kind 1 No contributions to report. Value Cash Amount The following contributions, including Common Source, to report: 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. 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 forward from the previous reporting cycle 2 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 filing 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. r l0 Cps Total amount of all contributions of $101.00 or more received in this reporting period. 3 Each such contribution must be listed on the "Listed Contributions Received" page. 3a All loans received this period. 533 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" page. Total contributions reported this period. 5 (Line 3 +3a+ 3b+4) 6 Total contributions to date. Total to be carried forward to nest report of this reporting cycle •. (Line 2 + 5) 1 2139 EXPENDITURES MADE I have: In -Kind 7 No expenditures to report. V Value Value Cash Amount The followingexpenditures torert: Total expenditures made and reported prior to this reporting period. If this is the 8 first report of this Reporting Cycle*, ENTER 0. z a (Line 12 of previous report)SSS 9 Total amount of all expenditures of $101.00 or more made in this reporting period. 6-33 10 Total amount of all separate expenditures of less than $101.00 each that were made in this reportin period. 11 Total expenditures reported this period. i (Line 9+10 S 33 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. ,(Line 6 - Line 12) * O.C.G.ti 21-5-34(bxl)(13xii) 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, (11) On December 31 of the year in which such election was held if such candidate is unsumcssrul; or (111)1f 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 ` ' YL Q,, Q r Public Officer/CandidateMon-Candidate Committee Name N KJ' l- � R I /�S 0e` 2.-o M C�7 SEC FORM CCDR um� ni ��mF State of Georgia Campaign Contribution Disclosure Report Outstanding Indebtedness (OPTIONAL) Election Cycle*: Q- Ate-- Election Year: Zo67 amount 1 Outstanding indebtedness at the beginning of this period. 2 Loans received this period. � 3 3 O 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*: Election Year: amount at the beginning of this period. 2 received this period. 3MOutstandingindebtedness Deferred ment of expenses this period 4 Payments made on ns this period. 5 Credits received on loansriod. 6 Payments this period on previously expenses. 7 Total indebtedness at the close of this 7!!Z- (Line1+2+3-4-5-6) ElectionCycle*: 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. ine1+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 Comn aittee Name ©W L( R/ ) /ZS N SEC FORM CCDR REV 01/2006 State of Georgia Campaign Contribution Disclosure Report Listed Contributions Received of $101.00 or More Full Name of Contributor Mailing Address AC Affiliation if applies) Contributor Election Cycle" Cash Amount In -Kind Contributions Received Date Contribution Type* a. Occupation b. Employer Estimated Value Description $ $ $ $ $ $ Page 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 less than $101.00. * Contribution Type (Monetary, In -Kind, Loan, Common Source, Credit Received on Loan) jt"**** 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 I D gk( �j Page q or 0 N SEC FORM CCDR State of Georgia Campaign Contribution Disclosure Report Listed Expenditures Made of $101.00 or More List Name and Mailing Address of Recipient Expenditure Date Expenditure Type* Occupation and Place of Employment Expenditure Purpose Amount Paid ,r- <4)W4"-0 T -27S— ( )5LZk4 - R-� 3G3s'0 1-7 v c e � ­-) C a, ,.� .,�-►� C' fccc.<?Aev i LiF � $ 2 g8© �fS lL C&OC4 J is a & M j20S, L", CIA 3flen $ Ams $ $ $ Page Total $ !�-3 3 C) 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 less than $101.00. * Expenditure Type (Expenditure, In -Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment, Payment on Deferred Expense) Public Ofticer/Candidate/Non-Candidate Committee Name �R�V Q��1(7N/Z5 QCL Zc(�% ©o`er Page S`of(0 N SEC FORM CCDR RFV OI/2"