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HomeMy WebLinkAboutCCDR: Julie Zahner-Bailey (4)SEC TRM CCDR REV (12006 1. Report Type (Select One) Original Report Amended Report Amendment # State of Georgia Camuaun Contribution Disclosure Report 2. Filing is being made on behalf of (Select One): D Candidate or Public Official // J - Office Sought or Held: vON Ci` (dl�Nti .` Am. -C/ 4- (include county, manic ality, district, post orjudicial circuit) / Committee Name: 61.- F -] 1•G / ✓k l•� Z l�» J1�•1 Report of Organization or Person Other than Candidate's Campaign Committee 3. Identifying and Contact Information (1) -* 4wr r&e (2) Full Name of Candidate or Non -Candidate Campaign Committee `� ' / Today's Date A Mailing Address City State Zip Code (4) 177a&6 „f',S'Z G/ and / or j?7j0i34 y Contact Phone Number (We will understand the release of this information as permission to call your office if necessary) 1W 1h X603 L&I, No RA Filing office use only JAN - 5 ZM CrrY CLE UseLRtflPeAl'63rT N Mark or Hand Delivered Date (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 (6) If so, is the committee registered with the State Ethics Commission? Yes (7) If so, complete the following: Name of Chairperson and/or 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) 76 days before Primary 15 days before Run -Off, (year) Special Primary, ZDec. 31„ 1©jT(year) June 30, (year) F-]6 days before General (year) Run -Off, (year) "Persons elected to office in each year following September 30, _ (year) F�6 days before Special 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 06 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 6e. 40.1* Or County of A", �A..., &/i /Z wgo, A && 1ge!Z being duly sworn (affirm), depose and say at the information in this report form is comp] , true, and correct. Further, I affirm that the contents in this report e the same as the contents in the electronic filing submitted, if also electronically filed. Sworn. to and subscribed before me on 20lbq Sign �wof Notary Public JEAMETTE R MARCPW FAVA Notary Public, Fulton Co., GA y Commission expires _ Fmiros AUgUSt 29, 2009 a. Signature of Candi ate b. Organization/Chairperson/Treasurer TEES: Any person who knowingly Tails to comply with or who knowingly violates any of the provisions of the Ethics in Government Act shall be guilty of a misdemeanor. REV 0412006 State ofeoxgia Campaign Contribution Disclosa Report Summary Report CONTRIBUTIONS DECEIVE I have: 1 No contributions to report. In -Kind Cash Amount The followin contributions, including Common Source, to report: Value A. If this is the first time to file.4 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 31, ` , 2 previous reporting cycle 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 roe, ort in both the in-kind and cash amount columns. 3 Total amount of all contributions of $101.00 or more received in this reporting period. Each such contribution must be listed on the "Listed Contributions Received" page. --' .3.a All loans received this period. _.... 3b Interest earned on campaign account this period. Total amount of all separate contributions of less than $101.00 each that were f - reported in this reporting period. "Common Source" contributions must be aggregated fo v on the "Listed Contributions Received" page. 5 Total contributions reported this period. to (Line 3 + 3a + 3b + 4) g -� x 6 Total contributions to date. Total to be curried forward to new report of this reporting cycle*.3 f%7 (Line 2 + 5) (0 026 K'Y� 13J4 4?0 � -- EXPENDITURES MADE I have: 7 No expenditures to report. p p In -Kind Cash Amount The followingex enditures to report Value Total expenditures made and reported prior to this reporting period. If this is the IT61 8 first report of this Reporting Cycle*, ENTER 0. 21 /_3.2 )zx (� Line 12 of previous report)/ 9 Total amount of all expenditures of $101.00 or more made in this reporting period. 75 379/< 10 Total amount of all separate expenditures of less than $101.00 each that were made` in this re2orting period. 90 11 Total expenditures reported this period. �j 7 r% (Line 9 + 10) 12 Total expenditures to date. Total to be carried forward to next report of this reporting cycle Line 8 + 11) 30j�a� X F131Net balance on hand. 6 Line 12)S�j (Line - X * O.C.G.A. 21-5-34(b)(1)(1))(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 `°"'`s •s election and shall conclude: At the expiration of the tern 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 unsuccessrul; or (111) 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 Public Officer/Candidate/Mon-Candidate Committee Name Page of Friends of Julie Zahner Bailey William R. Bailey, Treasurer ` Campaign Contribution Disclosure Report Listed Expenses Made of $101 .00 or More --�—ExVer�ie Date !I occupation or List Name and Mailing Expenditure Place of I Expenditure Address of recipient iType Employment iPurpose 'Amount Paid KREP Consulting LLC 14058 Triple Crown Dr. Alpharetta, GA 30004 ____�620/ WEB Expenditure_- Friends ofJulie ZahnerBailey William FLBailey, Treasurer xnv vucvvo • State of Georgia Campaign Contribution Disclosure Report Qutstandins! Indebtedness 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. Total indebtedness at the close of this reporting period. (Line 1+2+3-4-5-6) 1 IOutstanding indebtedness at the beginning of this period. 2 Loans received this period. 3 Deferred payment of expenses this period 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) 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. Total indebtedness at the close of this reporting period. (Linel+2+3-4-5-6) "Hection Cycle (Primary, General, Special, Special Primary, Run -Off Primary, Run -Off General, Run -Off Special, ��* w✓Run-Off Special Primary) Public Officer/Condidatc/Nnn-Candidate Cnmmittrn NamN