HomeMy WebLinkAboutCCDR: Alan Tart (5)IN
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SEC FORM CCDR - a
REV 03/2008
State of Georgia
Campaign Contribution Disclosure Report
1. Report Type 2. Fling is being made on behalf of (Select One): Filing office use only
(select One) ('Candidate or PublicOffic'
Office Sought or Held: / tfpn C (`}'LIcca tic
2/original Report (Include county, municipality, district, post orjudicial circuit)
Committee Name: �t e,,,vtS ® � A-1iiahT_a/'-�
Amended Report Use Earlier of Post
Report of Organization or Person Other than Candidate's Campaign Committee Mark or Hand
Delivered Date
3. Identifying and Contact Information
(1) —m am M l6y tie,( , R01-4 (2)
Full Name of Candidate or Other Than Candidate Campaign Committee Today's Date
(3) 12-S f rV/2rt C -l- K I -b vl 6A- vw Q--
MailingAddress City State Zip Code
(4) �07b)"TIp1f - 8 and / or ( ) -
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 a paign committee (one or more persons) to make campaign transactions, keep the financial records of the
campaign, or file the reports? Yes ❑ No (6) If so, is the committee registered with the State Ethics Commission? es El No
"
(7) If so, complete the following: � a (2A r \ . 5c, a-�k Q us-e_r { _TreaS U��
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-0ff
Election)
Special Elections
(Report required only if you are in a Special
Election)
Fj June 30, (year)
March 31, (year)
F]6 days before Primary
15 days before
Run -Off, (year)
Special Primary,
OD16ec. 31, ��(year)
June 30, (year)
E]6 days before General
(year)
Run -Off, (year)
-persons elected to office in each year following
E] September 30, (year)
M6 days before Special
M 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
M October 25, (year)
(year)
•Unsuecessfitl candidates with excess funds, or
M6 days before Special
MDec. 31, (year)
who receive contributions to retire debt incurred,
until such funds are expanded, or such unpaid
Ej December 31, (year)
Run -Off, (year)
debts are satisfied (December 31 filing only)
Verification by Oath or Affirmation
State of � A- )Owip County of � �✓�
I , 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 on ,-°re pm b e i, 5 .20(ge
V
7_e2_a,4 0 - �J� AA�k
Signature of Notary Public a. Signature of Candidate
b. Organization/Chairperson/Treasurer
Commission expires 5 ' f% - ,
iAny 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. l
SEC FORM CCDR
REV 03/2W &
State of Georgia
Campaign Contribution Disclosure Report
Summary Report
CONTRIBUTIONS RECEIVED
1Estimated
❑ Pmve no contributions to report.
In -Kind
Value
Cash Amount
I have the following contributions, including Common Source, to re rt:
A. If this is the first time to file a disclosure reuort for the current office souebt.
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 15 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
from Line 6 of previous. report in both the in-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.
�i
O
3a
All loans received this reporting period.
o
3b
Interest earned on campaign account this reporting period.
Q
3c
Total amount of investments sold this reporting period.
C�
3d
Total amount of cash dividends and interest paid out this reporting period.
10
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.
"Itemized
G
"Common Source" contributions must be aggregated on the Contributions" page.
5
Total contributions reported this period.
(Line 3 + 3a + 3b + 3c + 3d + 4)
6
Total contributions to date. Total to be carried forward to next report of this reporting cyclet
cla'TS -7
(Line 2+5)
--20
EXPENDITURES MADE
7
I ave no expenditures to report.
B'I
In -Kind
Estimated Value
Cash Amount
have the following expenditures to report:
Total expenditures made and reported prior to this reporting period. If this is the
8
A. First report of this Reporting Cycle*, ENTER 0.
T� j 7
�(
B. Second or subsequent filingENTER Line 12 of revious re rt.
Total amount of all itemized expenditures made in this reporting period which are
9
0
listed on the "Itemized Expenditures" page.
10
Total amount of all separate expenditures of less than $101.00 that were made
U
in this reporting eriod and not listed on the "Itemized Expenditures" page.
11
Total expenditures reported this period.
Line 9 + 10
12
Total expenditures to date. Total to be carried forward to next report of this reporting cyclet
x
(�
^�
y'
(Line 8 + 11)
INVESTMENTS
13
Total value of investments held at the beginning of this reporting period.
L
14
Total value of investments held at the end of this reporting period.
Q
15
Net balance on hand.
1 o U
(Line 6- 12+14
• 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;
w
(II) On December 31 of the year in which such election was held if such candidate is unsuccessful; or
wv (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./! A/�
Public Officer/Candidate/Other Than Candidate Committee Name 1�c� O t 1 �� L t
e— 7 o
SEC FORM CCDR
State of Georgia
Campaign Contribution Disclosure Report
Outstanding Indebtedness
Election Cycle*: Election Year:
mount
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 1+2+3-4-5-6)
Election Cycle*: Election Year:
Amount
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 1+2+3-4-5-6
Election Cycle* Election Year:
amount
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.
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/Other Than Candidate Committee Name �t � SS , if / � X11 ► 6
SEC FORM CCDR
RECEIVED
State of Georgia JUN 2 0 2008
Campaign Contribution Disclosure Report
1. Report Type 2. FlUng is being made on behalf of (Select One): "-- --- r
(select one) andidate or Public Offi ' /+ L ^ f
Office Sought or lleld: 1 C' I.t t7G �157Y t Gl'!o
Original Report (Include cmmty; manic' ity, district, post o�rju&c-1 circuit)
Amended Report Committee Name: F1'i en.�..S' B� iA't an 1 aii
Use Earlier of Post
MarReport of Organization or Person Other than Candidate's Campaign Committee v a Hand
A manrtmPrat it ](kilVCr'ea mate
3. Identifying and Contact Information
(1) Map Kchaei -r A- (2)
Full Name of Candidate orNon-Candidate Campaign Committee Today's Date
(3) 1 ?5 Ayevi C+ - M 11-h)n G,or 3oclo'4-
A"/lingAd dress City State Zip Code
(4) (6-N 1j6 -I - and / or ( ) -
Contact Phone Number (We will understand the release of this information as permission to callyour ou 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? Yes [] No /►�(6) If so, is
the committee registered with the
/State
,Ethics Commimion? E_l e ❑ No
(7) If so, complete the following: t Y (d A "�CTr Y t , Sc o use -r1 / CKd WCo
Name of Chairperson and/or Treasurer of Committee
4. Period for which you are Reporting
My Non Election Year
My Election Year
Run -Offs
(RWort niqui ed mly if yin are in a Rin -Off
Flection)
Special Elections
(Report required only if you aro in a Special
mewm)
Qrwe 30, (year)
March 31, (year)
06 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)
'Peanut dewed to office in each yew following
September 30, (year)
[]6 days before Special
15 days before
dw yew in YM& &a electim own
Primary Run -Ofd
Special, (year)
-Persons leaving office witb escros arab uetil
such finds aro ecpmded m provided in die Act
❑ October 25, (year)
(year)
*l cmdid" wA O mm fWW% or
Q6 days before Special
Dec. 31, (year)
who receive contributions to retire debt iacurtek
until such funds are eq)cnd4 err such mpaid
M December 31, (year)
Run -Off, (year)
debts are sawified (December 31 filing only)
Verification by Oath or Affirmation
State of &A -
County of I +—o n
, being duly sworn (affirm), depose and say
at 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.
Sworn to and subscribed before me on a Ave 0-ff
i tore of Notary Public Si of Candidate
/7 . Organization/Chairperson/Treasurer
—4aVi
widt or who Ice
SEC FORM CCDR
RFV mnnos
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 report:
Estimated Value
A. If this is the first time to life a disclosure report for the current office sousht.
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
Q
2-1
' r
"T 6d
from Line 6 of previous report in both the in-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.
;1��6 , 66
3a
All loans received this reporting period.
3b
Interest earned on campaign account this reporting period.
-4-
—3c
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.
5
Total contributions reported this period.
'
/' pp,,
(Line 3+3a+3b+3c+3d+4
O
OM
6
Total contributions to date. Total to be carried forward to next report of this reporting cycle".
(��i`d
�8 q�`�
Line2+5
a�
EXPENDITURES MADE
7
❑ I have no expenditures to report.
lin-Kind
Cash Amount
have the following expenditures to rt:
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 Q.
Q
B. Second or subsequent filing TER Line 12 of 2EMdqu
f t� • b 0
9
Total amount of all itemized expenditures made in this reporting period which are
453- W
listed on the "Itemized Expenditures" page.
10
Total amount of all separate expenditures of less than $101.00 that were made
"Itemized
b
35-7o
in this reporting period and not listed on the Expenditures" page.
11
Total expenditures reported this period.
i g
4 O
l(Line
t
12
Total expenditures to date. Total to be carried forward to next report of this reporting cyclet
I(Line
O
��
8 + 11
`��
INVESTMENTS
13
Total value of investments held at the beginning of this reporting period
O
14
Total value of investments held at the end of this reporting period.
15
Net balance on hand.
(Line 6- 12+14
• ��
* O.C.G.A. 21-5-34(bXi)(DXii) 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 unsuccessful; 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.Rl"s Of, kt am -`a *
Public Officer/Candidate/Non-Candidate Committee Nana
Faye Z a ,� 6
SEC FORM CCDR
RFV 3/71108
State of Georgia
Campaign Contribution Disclosure Report
Itemized Contributions
Must list contributions received by a single contributor for which the agemgate 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
s� s
eui s�
-- G
��e/'
c�a�ip
2 S6-
e,ar
I -20o W i I VVb
Atfan-kx/ G --A 30339
2.
Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ o;13 .7%.
Itemized Contributions Page Total $ 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***
A(avj M ,
12s � 04-
3006 `t'
3 22-d $
i an M -ra/
i tet.
u, 5, FDA
23q,-7 D
2. 12-5- Aven C-+ .
M ' H&1, 6-A 30®04
S�
1.
2.
Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ o;13 .7%.
* 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 lending
ginsjtitution or party making the advance or extensions of credit
�Public Officer/Candidate/Non-Candidate Committee Name Q4iJs O- A4 ati Tai Page 3 of 6
SEC FORM CCDR
REV 032008
State of Georgia
Campaign Contribution Disclosure Report
Itemized Expenditures
Most 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
1��F'AYtT �pn Ca
16o Tra Pe to R� ���
Wu 1-rham/ fqA 329xpendi4r
� 'f5
3-22--0 g
M'
,�,�
cor- fang
�-ry�ti
/ACAe- � �
�t-`', oo
$ -2=4+ -t.
j ZS- Ave.-, C4-
Ni I-j�h,C- 3c�boN-
t-1s�cF s a 1,gr
j u5 �DA�
M404XVYYI ," - 9b
s� t F'
$ 2-W3, bb
L.oa /!
RipmymeA4-
�F
$
Page Total $ 4S'3 3 - 00
* Expenditure Type (Expenditure, In -Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment,
Payment on Deferred Expense, Investment) •_ J
Public Officer/Candidate/Non-Candidate Committee Name C t(/U ,�/ aE Man t ah I� Page � of `�
11