HomeMy WebLinkAboutCCDR: Julie Zahner-Bailey (3)SEC F�RM CCDR
s REV 0112006
1. Report Type
:err (Select One)
Original Report
Amended Report
Amendment #
State of Georgia - ��Y
Campaiim Contribution Disclosure Report 1�
2. Filing is being made on behalf of (Select One):
Candidate or Public Official�
Office Sought or Held: !_/!t Owl ;
et,�Mll ,;AWeT/—
(Include county, m
anic alitydistrict, post orjudicial circuit)
Committee Name:
Report of Organization or Person Other than Candidate's Campaign Committee
3. Identifying and Contact Information
(1) •�rr� �S !� ✓^ ke Z•*Liwrrr (2)
Full Name of Candidate or Non -Candidate Campaign Committee Today's Date
(3)
Mailing Address City State Zip Code
(4) V7&&6 Z_...f> Z. 1 and / or ]?7jV j 0 7-,.'��
Contact Phone Number (We ivill understand the release of this information as permission to call your office if necessary)
Filing office use only
,JAN a
CMCL
UsS'tflTP411 tS
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
715 days before
Run -Off, (year)
Special Primary,
/Dec. 31„p(year)
June 30, (year)
06 days before General
(year)
Run -Off, (year)
*Persons elected to office in each year following
0September 30, (year)
F–]6 days before Special
1S days before
the year in which the election occurs
*Persons leaving office with excess funds until
Primary Run -Off,
Special, (year)
such funds are expended as provided in the Act
F-] October 25, (year).Un
(year)
_
c candidates with excess funds, or
who receive
who receive contributions to retire debt incurred,
�6 days before Special
y I�
� Dec. 31, (year)
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 + ptK f,,Ck
If
County of �Lt4 hlo r
1, +w/W,WA”, /0 i —–lie �Z , being duly sworn (affirm), depose and say
that the information in this report form is compl , true, and correct. Further, I affirm that the contents in this report
are the sane Fs thL contents in the electronic filing submitted, if also electronically filed.
Sworr, to and subscribea be;ore me on 5 20lbq
r
�Sign ure of Notary Publir.
JEANETTE R MARCH!AFAVA
GA
y Commission expires_ �so nt Public,Fulton
August 29, 2009
VALTa3S: Any person who knowingly_ ails to comply with or who knowingly violates any of the
a. Signature of Candidate
b. Organization/Chairperson/Treasurer
of the Ethics in Government Act shall be guilty of a misdemeanor.
0
REV 01/2006
State ofGeorgia
Campaign Contribution Disc]
Summary Repos
CONTRIBUTIONS RE(
I have:
1 No contributions to report.
The fol ow" contributions, includin Common Source, to report:
A. If this is thafirst time to file a disclosure report for the current o
ENTER 0 in both columns (one time only); or
Report
In -Kind I
Value Cash Amount
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 0� �!
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 Erevious report 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.
3a 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
4 reported in this reporting period. "Common Source" contributions must be aggregated
00%. _ on the "Listed Contribution, RerpivPrl"" r"�cra
(Line 3 + 3a + 3b + 4)
6 Total Contributions to date. Total to be carried forward to next report of this reporting cyclet / ` ?
(Line 2 + 5) (O. 992(0
EXPENDITURES MADE
I have:
7 No expenditures to report.
The following expenditures 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.
Line 12 of revious re ort)
9 Total amount of all expenditures of $101.00 or more made in this reporting period.
10 Total amount of all separate expenditures of less than $101.00 each that were made
in this reporting eriod.
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 cycle t
Line 8 + 11)
13 Net balance on hand.
(Line 6 - Line 12)
I 60
Jr1c
98 xk
X10 &
In -Kind I
Value Cash Amount
* O.C.G.A. 21-5-34(b)(1)(D)(ii) A reporting cycle shall connnence on January 1 of the year in which an election is to be held for the public office to which a candidate
+ks election and shall conclude:
At the expiration of the term of office if such candidate is elected and does not seek reelection or election to some other office;
01) On December 31 of the year in which such election was held if such candidate is unsuccessrul; or
(ill) 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/Non-Candidate Committee Name
Page of
Friends of Julie Zahner Bailey William R. Bailey, Treasurer
State of Georgia
III
�I
-L
Camp Contribution Disclosure Report
�i
Listed
Contributions Received of $101.00
101.00 or More
-or -More-
12/31 120.0.8
-12/
I
�In Kind
- -- ----- -- �
1 r-_
_
Contribution_
Estimated
Full Name Of Contributor
Received Date a. Occupation Election Cash
�b.
Value
Mailino Address
Contribution Tvne Emolover Cvcle Amount
Description
Page of
Friends of Julie Zahner Bailey William R. Bailey, Treasurer
I
j
III
�I
�i
I
Page of
Friends of Julie Zahner Bailey William R. Bailey, Treasurer
I
j
III
�I
�i
I
Page of
Friends of Julie Zahner Bailey William R. Bailey, Treasurer
N40.
l State of Georgia _ _ _ - - -_
Campaign Contribution Disclosure Report
Listed Expenses Made of $101.00 or More
- - - - ------- -- ------
--
Expense Date Occupation or
List Name and Mailing Expenditure Place of Expenditure
Address of recipient -- Type - Employment Purpose (Amount Paid
_ - - -J - -
KREP Consulting LLC
14058 Triple Crown Dr. 6/20/08 WEB
Alpharetta, GA 30004 Expenditure Progi
Friends of Julie Zahner Bailey William R. Bailey, Treasurer
7 - -.
Total $ 379.75
Page _ of
REV 01/2006
•
State of Georgia
Campaign Contribution Disclosure Report
Outstanding 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.
7 Total indebtedness at the close of this reporting period. D
(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
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.
7 Total indebtedness at the close of this reporting period.
(Line 1+2+3-4-5-6)
4,41ection Cycle (Primary, General, Special, Special Primary, Run -Off Primary, Run -Off General, Run -Off Special,
,.un -Off Special Primary)
Puhlie Of irerirsindidHte/Nnnd'andidate Committee Name