HomeMy WebLinkAboutCCDR: Alan Tart (4)SEC ]FORM CCDR
RPV nAMOR
RECEIVED
State of Georgia JUN
Contribution Disclosure
1. Report Type 2. FVng is being made on behalf of (Select One): C 411%por"nly
(Select One) andidate or Public Offi P15
-1 Y t '1� Gl'b
f
Office Sought or Held: li (,O (.! %►ci l
Original Report (Include county, immicipd1ity, district pos-t�o-riudicial circuit)
F1 Amended Report Committee Name: Fr1 eI't.& 6� ,Af ski t ar4-
Use Earlier of Post
Report of Organization or Person Other than Candidate's Campaign Committee Mark or Hand
Amendment # I Delivered nate
3. Identifying and Contact Information
(1) Alam Mi cha. e l (2)
Full Name of Candidate or Non -Candidate Campaign Committee Today's Date
(3) 1 �5 Avle-h C+ - M) 1 - Dm 300cL}—
MadingAddress City State Zip Code
(4) (6-N i p -f - FSSD and / or ( ) -
Contact Phone Number (Rhe will understand the release of this information as permission to call your office if necessary)
(5) If a Candidate or Public Official, is there itwripaign committee (one or more persons) to make campaign transactions, keep the financial records of the
campaign, or file the reports? Yes FI No (6) Ifso, isthe committee registered with the
/S�ttaatte,Ethics Commission?� ❑ �®No
(7) If so, complete the following: c,— V A, scl,4 ka cise � 1 / CJ.tO 1/V Com►
Name of Chairperson and /or Treasurer of Committee
4. Period for which you are Reporting
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)
046ne 30, (year)
MMarch 31, (year)
Q6 days before Primary
15 days before
Run -Off, (year)
Special Primary,
Dec. 31, (year)
June 30, (year)
❑6 days before General
(year)
Run -Off, (year)
-Persons elected to office to each year following
[:] September 30, (year)
Q6 days before Special
15 days before
the year in which the election ousas
Primary Run -Off,
Special, (year)
-Persons leaving office with excess funds until
such finds are eapmded as puvtded m the Act
a October 25, (year)
(year)
-Unsuccessful candidates with excess finds, or
E]6 days before Special
Dec. 31, (year)
who receive contributions to retim debt iricunred,
until such finds aro expended, or such unpaid
❑ December 31, (year)
Run -Off, (yon)
debts are satisfied (December 31 filing only)
Verification by Oath or Affirmation
State of _64— County of FA 1 n
I, Ibeing 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
D the same as the contents in the electronic filing submitted, if also electronically filed.
Swoon to and subscribed before me on alM 20_ff
Z;�40 . " �M be
40e of Notary Pu9/SignAure of Candidate
. Organization/ChairpersoNTreasurer
_e�alt
with or who kr
Ethics in Oove+nmont Act shall
@4
SEC DORM CCDR
State of Georgia
Campaign Contribution Disclosure Report
Summary Report
CONTRIBUTIONS RECEIVED
1
❑ I have no contributions to report.
In -Kind
Cash Amount
[have the following contributions, including Common Source, to r rt:
Estimated Value
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
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 of this Reporting Cycle, list totals
2
q g, ?Z
j 6-d
-I n q O 6
from Line 6 of previous re rt in both the hi -kind and cash amount columns.
,
Total amount of all itemized contributions received in this reporting period which are
3
listed on the "Itemized Contributions" page.
�� + 6b
3a
All loans received this reporting period.
32 2Z)
3b
Interest earned on campaign account this reporting period.
-0-
3c
Total amount of investments sold this reporting period.
�-
3d
Total amount of cash dividends and interest paid out this reporting period.
$
Total amount of all separate contributions of less than $101.00 received in this
4
reporting period and not listed on the "Itemized Contributions" page.
"Common Source" contributions must be aggregated on the "Itemized Contributions" page.
Total contributions reported this period.
�, j p
5
Line3+3a+3b+3c+3d+4
O
10��
6
Total contributions to date. Totat to be carried forward to next repon of MU, reporting cycle*.
n ��
0�
�`�
Line 2 + 5
`Z0
EXPENDITURES MADE
7
❑ I have no expenditures to report.
In -Kind
Cash Amount
have the following expenditures to report:
Estimated Value
Total expenditures made and reported prior to this reporting period. If this is the
8
A. First report of this Reporting Cycle*, ENTER 0.
Q
o �
B. Second or subsequent filing ENT R Line 12 of revious re rt.
( . b 0
9
Total amount of all itemized expenditures made in this reporting period which are
45
listed on the "Itemized Expenditures" e.
✓ 3
10
Total amount of all separate expenditures of less than $101.00 that were made
d
in this reporting eriod and not listed on the "Itemized Expenditures" page.
11
Total expenditures reported this period.
4�gt�o
ine9+10
12
Total expenditures to date. Tota[ to be carried forward to next report of this reporting cyclet
D
89 ,7D
Line 8 + I 1
INVESTMENTS
13
Total value of investments held at the beginning of this reporting period.
0
14
Total value of investments held at the end of this reporting period.
D
15
Net balance on hand.
Line 6 - 12 + 14
• ��
" O.C.G.A. 21-5-34(b)(I XD)(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 ten" of office if such candidate is elected and does not seek reelection or election to some other office;
(n) On December 31 of the year in which such election was held if such candidate is unsuccessful; or
(1II) 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
Public Officer/Candidate/Non-Candidate Committee Name
l S OL '%tan VA /4 -
Faye Z a oc 6
SEC FORM CCDR
State of Georgia
Campaign Contribution Disclosure Report
Itemized Contributions
Must list contributions received by a single contributor for which the aggregate total is $101.00 or more
Note: Loans are no longer reported in "Itemized Contributions" section. See Loan Reporting section below.
Full Name of Contributor
Mailing Address
(Affiliation of Committee if any)
Contributor
Election
Cycle**
Cash
Amount
In -Kind Contributions
Received Date
Contribution Type*
Occupation &
Employer
Estimated Value
Description
6-trite-atTk j i 5
(_/V
I AAa q.er us sd•� &C Vq
$Yo r,5
— — U
`puse%
eow'l'a'I`/
�enarirt�
256 -
Pi
y-200 W i (a woed
At(an4a, G -A 3o339
2.
Reference: OCGA § 21-5-34(b)(1) LoanPage Total $ ;).3q.-70.
Itemized Contributions Page Total $ 2SZ" ov $
Loan
Reporting
Name of Lender
Mailing Address
Date of Loan
Amount of Loan
Election Cycle**
Person(s) responsible for
repayment of loan
Mailing Address
Occupation &
Place of Employment
Fiduciary Relationship***
Atavi M,TA,.1•
12s A�.�
F/1 1- 0nj &-A3000 `t'
3 -2z -OZ
ail Ti - 7a 1-4
RRq i af\'�L 1 I
see«u1,4
u, s . w
23q,-7 D
2. X 25 Ave -
'n C-+ ,
NI, Har, 6-F 3000+
1.
2.
Reference: OCGA § 21-5-34(b)(1) LoanPage Total $ ;).3q.-70.
* Contribution Type (Monetary, In -Kind, 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)
*** If any such person(s) shall have a fiduciary relationship to the lendinginstitution or party making the advance or extensions of credit
Public Officer/Candidate/Non-Candidate Committee Name 5(1_eoj5 M an (Ar� Page 3 of t0
N
SEC rbRM CCDR
RRV 032MR
State of Georgia
Campaign Contribution Disclosure Report
Itemized Expenditures
Must list expenditures made to a single recipient for which the =Mate total is $101.00 or more
List Name and Mailing Address
of Recipient
Expenditure Date
Expenditure Type*
Occupation &
Employer
Expenditure Purpose
Amount Paid
rs yti' COn Ce
oda 1 Ti's Pe [a Rd ,, 329
Wo I+I arvl/ HL4 2
a 4-5
3--2Z-0 g
E Mall
't`a n'
compart?
-8
xperA114ur
Zs- Ave,-,- 04-
M; 1400 C*30664-
r-aot S a lest
aj us
rCpCk, rYV n�_
i
$ 2—W3, �b
► y
40 el F
Page Total $ Z4 -,S-3 - v o
* Expenditure Type (Expenditure, In -Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment,
Payment on Deferred Expense, Investment) ./ , ,�/ 4
Public Otdcer/Candidate/Non-Candidate Committee Name rY� -4 ds of( Alan � ani V� Page 1 of
M
M
SEC FORM CCDR
12.- 1/1MR
State of Georgia
Campaign Contribution Disclosure Report
Investments Statement
1. Investment Name
.
Account Number
Institution/Person
Holding Account
Mailing Address
City, State, Zip
Value at beginning of reporting period $
Value at end of reporting period $
Difference in value $
L Interest Paid Out $
Cash Dividends $
Investment Transactions
Date
Person(s) Involved in Transaction
Value of investment purchased
Value of investment sold
Profit
Loss
2. Investment Name
N
Account Number
Institution/Person
Holding Account
Mailing Address
City, State, Zip
Value at beginning of reporting period $
Value at end of reporting period $
Difference in value $
Interest Paid Out $
Cash Dividends $
Investment Transactions
Date
Person(s) Involved in Transaction
Value of investment purchased
Value of investment sold
Profit
Loss
Total value of investments at beginning of reporting period $
Total value of investments at end of reporting period $
Total difference in value$
Page Total Cash Dividends: $
Page Total Interest Paid Out: $
Page Total Profit: $
Page Total Loss: $
Public Officer/Candidate/Non-Candidate Committee Name (C nds d 6t q a Page of (,o
Lq
M
SEC RORM CCDR
RFV 03/20OR
State of Georgia
Campaign Contribution Disclosure Report
Outstanding Indebtedness
Election Cycle*: P r -i Election Year: 6 36 6k
1
Outstanding indebtedness at the beginning of this reporting period.
Pv�
W
2
Loans received this reporting period.
I
3
Deferreda ment of expenses this reporting period
P Y � � g Pe
b
4
Payments made on loans this reporting period.
T� Q
5
Credits received on loans this reporting period.
Q
6
Payments this reporting period on previously deferred expenses.
D
7
Total indebtedness at the close of this reporting period.
(Line 1+2+3-4-5-6)
/9-7
U-7
Election Cycle*: Election Year:
1
Outstanding indebtedness at the beginning of this reporting period.
2
Loans received this reporting period.
3
Deferred payment of expenses this reporting period
4
Payments made on loans this reporting period.
5
Credits received on loans this reporting period.
6
Payments this reporting period on previously deferred expenses.
7
Total indebtedness at the close of this reporting period.
Line I+2+3-4-5-6)
Election Cycle*: Election Year:
AMOVW
1
Outstanding indebtedness at the beginning of this reporting period.
2
Loans received this reporting period.
3
Deferred payment of expenses this reporting period
4
Payments made on loans this reporting period.
5
Credits received on loans this reporting period.
6
Payments this reporting period on previously deferred expenses.
7
Total indebtednes$ gt the close of this reporting period.
Line1+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/Nou-Candidate Committee Name 1 lyf'1 d s- 6-� Man Ta/4 6