HomeMy WebLinkAboutCCDR: Alan Tart (2)SEC FORM CCDR
REV 01/2006
1. Report Type
(Select One)
Original Report
Amended Report
Amendment #
State of Georgia
Camuaiin Contribution Disclosure Report
2. Filing is being made on behalf of (Select One): PR
Candidate or Public Officia
Office Sought or Held: (��DY► �(`�—`i WU✓iCf--��5'IGTIo
(Include county, municipality, district, post orjudicial circuit)
ECommittee Name: 1 cod d S (7>- A(CM I -a Use Earlier of Post
E] Report of Organization or Person Other than Candidate's Campaign Committee
3. Identifying and Contact Information
(n Mari MI; c,6 -e1 7a�-' (2) - 'b
Full Name of Caan�diddate�or Non -Candidate Campaign Committee ( Today's Date
(3) 125 / v t t U • b 1 [-bvi GA 5000 +
Mailing Address City State Zip Code
(4) 6?1') %,�- ?M and / or ( ) -
Contact Phone Number (We will understand the release of this information as permission to call your office if necessary)
(5) If a Candidate or Public Official, is there aalgn 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? es
(7) If so, complete the following: Dn y (d ' A - SG✓t a 4 La u Sey-1 7�ea I/1IC/'
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 are in a Run -Off
Election)
Special Elections
(Report required only if you are in a Special
Election)
June 30, (year)
March 31, (year)
06 days before Primary
15 days before
Run -Off, (year)
Special Primary,
Dec. 31, (year)
0 June 30, (year)
E:]6 days before General
(year)
Run -Off, (year)
-Persons elected to office in each year following
E] September 30, (year)
06 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
F-1 October 25, (year)
(year)
'Unsuccessful candidates with excess funds, or
06 days before Special
Dec. 31, (year)
who receive contributions to retire debt incurred,
until such funds are expended, or such unpaid
�ecember 31, (year)
Run -Off, (year)
debts are satisfied (December 31 filing only)
Verification by Oath or Affirmation
State of (SCUD -a County of tb Hal
I 4a 0' -F being duly sworn (affirm), depose and say
th,v 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 cotttents in the electronic filing submitted, if also elec
Sworn to and subscribeAbbefore je on D 2009
of Notary Public
JEANETTE R MARCHIAFAVA
Notary Public, Fulton Co., GAA
Commission expires My Commission Expires August 28, 2008
b. Organization/Chairperson/Treasurer
IPENALTIES: 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. l