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CCDR: Neal O'Brien (5)
SEC FORM CCDR REV 01/2006 State of Georgia Campaign Contribution Disclosure Report 1? _Pr't'PTXMn 1. Report Type 2. FiJi�ng is being made on behalf of (Select One): Filing office use only (Select one) 211candidate or Public Official Office Sought or Held: Ll„ 1L i_W 0—(Ty Cots. 0_tL 9 2W Original Report (Include county, municipality, district, post orjudicial circuit) Amended Report Committee Name: .6iee4^J6S ©lc ARA8.8k4/j �fPost Report of Organization or Person Other than Candidate's Campaign Committee Mark or Hand Amendment # Delivered Date 3. Identifying and Contact Information (1) iJ&M_ z�'P2(t_Snl hi�("©S Full Name of Candidate or NoWCandidate Campaign Committee (2) 36 -: <r ©7 Today's Date (3) (aNo . we pry LJAy AL&A129F1 4 GA 3CCoY- y&Z2 Mailing Address CityState Zip Code (4) 77,0 No- oW 7 and / or _ 76 826 - S8 pa Contact Phone Number (We will understand the release of this information as permission to callyour office if necessary) (5) If a Candidate or Public Official, is there paign committee (one or more persons) to make campaign transactions, keep the financial records o 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: N�At— OR Name of Chairperson and/or Treasurer of Committee 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 we in a Run -Off Election) Special Elections (Report required only if you are in a Special Election) June 30, (year) Marc 31, (year) [:]6 days before Primary E] 15 days before Run -Off, (year) Special Primary, E] Dec. 31, (year) June 30, (year) [:]6 days before General (year) Run -Off, (year) 'Persons elected to office in each year following September 30, (year) E]6 days before Special E] 15 days before the year in which the election occurs Primary Run -Off, Special, (year) *Persons leaving office with excess funds until such funds are expended as provided in the Act October 25, (year) (year) 'Unsuccessful candidates with excess funds, or []6 days before Special E] Dec. 31, (year) who receive contributions to retire debt incurred, until such funds are expended, or such unpaid [:]December 31, (year) Run -Off, (year) debts are satisfied (December 31 filing only) Verification by Oath or Affirmation State of �lp'`Vll4 County of t-4, .. j c A -J I,_ w4A= , 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 ftled.tj Sworn to and subscribed before me on)",20 07 �% • lJ A Sig Lure of Notary Public a. Signature f Candidate JEANET M R MARCHUIFAVA b. Organizat on/Cha' rson/Treasurer My Commission expires C:nNmrn�ireeR F�m� Q)4 QA �t1Y tms August 29,2= 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. SEC FORM CCDR REV 01/2006 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 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 fiends 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. 2 Total amount of all contributions of $101.00 or more received in this reporting period. 5 cl�_�^ 3 Each such contribution must be listed on the "Listed Contributions Received" page. A t/ ctC 3a All loans received this period. 3b Interest earned on campaign account this period.., ro Total amount of all separate contributions of less than $101.00 each that were S �� 4 reported in this reporting period. "Common Source" contributions must be aggregated I� on the "Listed Contributions Received" page. l V—AC- y" 5 Total contributions reported this period. Linea+3a+3b+4 6 Total contributions to date. Total to be carried forward to next report of this reporting cycle* i (Line 2+5) �Z�v7S EXPENDITURES MADE I have: In -Kind 7 No expenditures to report. Value Cash Amount The followingexpenditures to report: Total expenditures made and reported prior to this reporting period. If this is the 8 first report of this Reporting Cycle*, ENTER 0. (� �0) Line 12 of revious re ort tVl 9 Total amount of all expenditures of $101.00 or more made in this reporting period. /?141q. ZZ - 10 Total amount of all separate expenditures of less than $101.00 each that were made r in this reporting eriod. i 11 Total expenditures reported this period. -L Line 9 + 10 12 Total expenditures to date. Total to be carried forward to next report of this reporting cycle*. 2 �� -Z(4. 2 (Line 8 + 11) 13 Net balance on hand. 5 -7 16' 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: (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; (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 / Q Public Officer/Candidate/Non-Candidate Committee Name /V (�/1y �1-�-•(�u v / 3 E `� �!� SEC FORM CCDR REV 01/2006 State of Georgia Campaign Contribution Disclosure Report Outstanding Indebtedness 1 Outstanding indebtedness at the beginning of this period. 3q 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. Pta� 4�- `a•'hJ �f►,A�r�� Total indebtedness at the close of this reporting period. (Line l+2+3-4-5-6) 1 I Outstanding'*ebtedness at the beginning of this period. 2 Loans received this p 'od. 3 Deferred payment of expens this period 4 Payments made on loans this perio . 5 Credits received on loans this period. 6 Payments this period on previously deferred expens 7 Total indebtedness at the close of this reporting period. I(Line I + 2 + 3 - 4 - 5 - 6) 1 jOutstanding 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) Public Officer/Candidate/Non-Candidate Committee Name 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 PAC Affiliation if applies) Contributor Election C cle** Cash Amount In -Kind Contributions Received Date Contribution Type* a. Occupation b. Employer Estimated Value Description 5�i $ $ $ $ $ $ $ $ $ $ $ $ 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) ** Election Cycle (Primary, General, Special, Special Primary, Run -Off Primary, Run -Off General, Run -Off Special, Run -Off Special Primary) �/� / 00 Public Officer/Candidate/Non-Candidate Committee Name VJ v r^ h..1 61 AC- �i.� Z C�--_7 Page LL of (10 SEC FORM CCDR REV 01/2006 State of Georgia Campaign Contribution Disclosure Report Listed Exp2nditures Made of $101.00 or More List Name and Mailing Address of Recipient Expenditure Date Expenditure Type* Occupation or Place of Employment Expenditure Purpose Amount Paid P(Mc. zo.i o� s��F 0" SQL F/ L•. c (, //�j O cG C' So v — $ $ $ $ $ Page Total $ 1 Z q I • 2 Z= 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 Officer/Candidate/Non-Candidate ComnsHee Nome 1 V V � �� �N ��" Page a I SEC FORM CCDR REV 01/2006 I 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. Public Officer/Candidate/Non-Candidate Committee Name tjt��L 06 fes. (( &) / 3 d �J � � Page �2 of LAST FIRST CHECK FROM Adams J.T. & Ellei Adams, J.T. Birrell JoAnn Waste Manage Carson Howard Chatham David Chernik Todd Collins William Creamer Jose Duncan Lee Dvorscak Mike Goolsby Max Green Ron Carson Developmer Chatham Neighborh Chernik, Todd Collins, William Creamer, Jose Brooks Land, Inc. Dvorscak, Michael United Waste Servi( Cauley Creek Watei The Armstronc Gro( Hendricks Pete Hendricks, Pete Hines J.C. & Haz Hines, J.C. Jones Jan Friends of Jan Jones Krygiel Joe & Pam Krygiel, Joseph Morton Ken Lexem Developmen Nash Al CD Lake Deerfield, r Ted Six Hills Phase 4, Ragghianti Debbie Ragghianit Foundati Urban Rump, Urban Thurman Karen & M Thurman, Karen Wallace Ron & Kati Wallace, Ron Weeber Chris & ME Weeber, Chris Wundede Tom Wunderie Consulting, Inc. O'BRIEN ADDRESS ADDRESS CITY STATE ZIP PHONE OCCUPAT EMPLOYE $1,000 15690 Hopewell Road Alpharett GA 30004 $250 2859 Pace Suite 1600 Atlanta GA 30339 404-394-9601 $1,000 3082 E. Shadowlawn j Atlanta GA $1,000 5780 Wind Suite 300 Alpharett GA $150 430 Bethany Green 0 Milton GA $500 6111 Peac Bldg. B; SL Atlanta GA $500 125 Wynstead Court Milton GA $750 6251 Smitt Bldg. A Norcross GA $150 8525 Driver Circle Alpharett GA $250 P.O. Box 459 Mabletor GA $500 7225 Bell Road Duluth GA 30305 404-264-0930 30005 678-624-2900 30004 770-329-4' Manageme Sapphire C 30328 30004 30092 404-886-6962 30022 30126 30097 770-476-8885 $250 6085 Lake Suite 200 Atlanta GA 30328 404-255-5' Attorney Self Emplo $250 80 Milton Avenue Milton GA 30004 $250 13765 Brittle Road Milton GA 30004 $250 4041 Bradbury Drive Marietta GA 30062 770-565-7792 $250 2915 Webb Road Milton GA $125 P.O. Box 1930 Roswell GA $125 11675 Cen Suite B Alpharett GA $250 5645 Shiriee Industria Milton GA $25 755 Cooper Sandy Co Milton GA $100 2940 Francis Road Milton GA 30004 770-475-3138 30077 770-993-9(Vice Presi(The 30004 404-408-51 Developer Keystone ( 30004 770-410-9465 30004 770-619-25 Teacher Mt. Pisgah 30004 678-624-9f Retired Retired $500 310 Lake Bend Court Milton GA 30004 770-442-0912 $500 13090 Freemanville R Milton GA 30004 Retired Retired $125 14480 Wood Road Milton GA 30004 770-442-1 d Retired Retired $125 765 Owens Lake Roa(Milton GA 30004 770-664-8447 Ragsdale George Ragsdale, George $200 540 Treyburn View Milton GA 30004 770-772-1 t Attorney GA Pacific