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CFC FORM CCDR REV 1/11

FILER ID: C2012000034

State of Georgia

Campaign Contribution Disclosure Report


1. Report Type 2. Filing is being made on behalf of:
Candidate or Public Official

Original Report

C2012000034 Committee to Elect Mary Davis Commissioner Mary Fair Davis County Commissioner, District 3

Filing Office Use Only E-Filed on 4/2/12 10:06 pm Use Earlier of Post Mark or Hand Delivered Date

3. Identifying and Contact Information

(1) Mary Fair Davis


Full Name of Candidate or Non-Candidate Campaign Committee

(2) 03/29/2012
Today's Date

(3) 1100 Frazier Drive Augusta, GA 30909


Mailing Address

(4) Telephone number is unavailable.


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 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) Chairperson: Clayton Pierce Boardman, lll


Name of Chairperson and / or Treasurer of Committee

Treasurer: William Patrick Fair

4. Period for which you are Reporting

My Non Election Year


June 30, 2012 Dec. 31, 2012
Persons elected to office in each year following the year in which the election occurs Persons leaving office with excess funds until such funds are expended as provided in the Act Unsuccessful candidates with excess funds, or who receive contributions to retire debt incurred, until such funds are expended, or such unpaid debts are satisfied (December 31 filing only)

My Election Year
X March 31, 2012 June 30, 2012 September 30, 2012 October 25, 2012 December 31, 2012

Run-Offs
(Report Require Only if you are in a Run Off Election)

Special Elections
(Report Require Only if you are in a Special Election)

6 days before Primary Run-Off, 2012 6 days before General Run-Off, 2012 6 days before Special Primary Run-Off, 2012 6 days before Special Run-Off, 2012

15 days before Special Primary, 2012 15 days before Special, 2012

Dec. 31, 2012

The electronic filing of this document constitutes an affirmation that the statement is true, complete, and correct. As per modifications of the Ethics in Government Act, filing a separate notarized affidavit is no longer required. See O.C.G.A. 21-5-34.1(e) and 21-5-50(e).

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original Electronically Filed with the Georgia Government Transparency and Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

CFC FORM CCDR REV 1/11

FILER ID: C2012000034

State of Georgia Campaign Contribution Disclosure Report

Summary Report
CONTRIBUTIONS RECEIVED
1 2 3 3a 3b 3c 3d
I Have: The following contributions, including Common Source, to report: In-Kind Estimated Value Cash Amount

Total contributions previously reported. Total amount of all itemized contributions received in this reporting period which are listed on the "Itemized Contributions" page. All loans received this reporting period. Interest earned on campaign account this reporting period. Total amount of investments sold this reporting period. Total amount of cash dividends and interest paid out this reporting period. Total amount of all separate contributions of $100.00 or less received in this reporting period and not listed on the "Itemized Contributions" page.
"Common Source" contributions must be aggregated on the "Itemized Contributions" page.

$0.00 $1,355.50

$0.00 $25,025.00 $0.00 $0.00 $0.00 $0.00

4 5 6

$0.00 $1,355.50 $1,355.50

$10,290.00 $35,315.00 $35,315.00

Total contributions reported this reporting period. (Line 3 + 3a + 3b +3c + 3d + 4) Total contributions to date. (Line 2 + 5)

EXPENDITURES MADE
7 8 9 10 11 12
I Have: The following expenditures to report: In-Kind Estimated Cash Amount

Total expenditures made and reported prior to this reporting period. Total amount of all itemized expenditures made in this reporting period which are listed on the "Itemized Expenditures" page. Total amount of all separate expenditures of $100.00 or less each that were made in this reporting period and not listed on the "Itemized Expenditures" page. Total expenditures reported this reporting period. (Line 9 + 10) Total expenditures to date. (Line 8 + 11)

$0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $5,318.25 $158.85 $5,477.10 $5,477.10

INVESTMENTS
13 14 Amount of investments at the beginning of this reporting period. Total amount of investments at the close of this reporting period. $0.00 $0.00

15

Net Balance On Hand. (Line 6 - 12 + 14)

$29,837.90

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original Electronically Filed with the Georgia Government Transparency and Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

CFC FORM CCDR REV 1/11

State of Georgia Campaign Contribution Disclosure Report

Outstanding Indebtedness
General 2012 Indebtedness
1 2 3 4 5 6 7 Outstanding indebtedness at the beginning of this reporting period. Loans received this reporting period. Deferred payments of expenses this reporting period. Payments made on loans this reporting period. Credits received on loans/deferred payments this reporting period. Payments this period on previously deferred expenses. Total indebtedness at the close of this reporting period. (line 1 + 2 + 3 - 4 - 5 - 6)
Amount

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original Electronically Filed with the Georgia Government Transparency and Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

CFC FORM CCDR REV 1/11

FILER ID: C2012000034

State of Georgia Campaign Contribution Disclosure Report


Must list contributions received by a single contributor for which the aggregate total is more than $100.00 Full Name of Contributor Mailing Address (Affiliation of Committee if any) Contributor Received Date Contribution Type a. Occupation & b. Employer Election Cycle
2012 General

Itemized Contributions

In-Kind Contributions Cash Amount Estimated Value Description

A & R Exterminating PO Box 5764 Augusta, GA 30916

03/08/2012 Monetary

$250.00

$0.00

Adams, Jonathan and Mary 822 Windsor Ct Augusta, GA 30909

02/29/2012 Monetary

a. Sale b. United Brokerage

2012 General

$150.00

$0.00

Anderson, Charles 729 Montrose Ct Augusta, GA 30904

02/29/2012 Monetary

a. Owner b. Anderson Holding Co

2012 General

$300.00

$0.00

Badger, Billy and Julie 2642 Henry St Augusta, GA 30904

02/22/2012 Monetary

a. Owner b. Howard Lumber Co

2012 General

$200.00

$0.00

Beck, John and Patricia 996 Highland Ave Augusta, GA 30904

02/08/2012 Monetary

a. Owner b. Sheehan's Restaurant

2012 General

$300.00

$0.00

Bennett, Jim and Fran PO Box 937 Augusta, GA 30903

02/17/2012 Monetary

a. Owner b. Resource Mgt Augusta

2012 General

$300.00

$0.00

Blue Beech, LLC 43 Crystal Lake Dr North Augusta, SC 29841

02/06/2012 Monetary

2012 General

$300.00

$0.00

Boardman, Ann PO Box 15027 Augusta, GA 30919

02/01/2012 Monetary

a. Retired b. Retired

2012 General

$800.00

$0.00

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original Electronically Filed with the Georgia Government Transparency and Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

Boardman, Braye PO Box 2404 Augusta, GA 30903

01/25/2012 Monetary

a. CEO b. Beacon Blue, LLC

2012 General

$500.00

$0.00

Boardman, Clayton 720 St Sebastian Way Ste 100 Augusta, GA 30901

01/25/2012 Monetary

a. CEO b. Flywheel, LLC

2012 General

$2,500.00

$0.00

Boardman Et. Al. PO Box 850 Augusta, GA 30903

01/30/2012 Monetary

2012 General

$500.00

$0.00

Bowles, Joe and Sandy 914 Milledge Rd Augusta, GA 30904

02/29/2012 Monetary

a. CFO b. Bowles Construction

2012 General

$300.00

$0.00

Brigham, Breck 11 Rockbrook Rd Augusta, GA 30909

03/09/2012 Monetary

a. Investor b. Self

2012 General

$200.00

$0.00

Brittingham, Herman and Peggy 2708 Wellington Dr Augusta, GA 30909

02/02/2012 Monetary

a. Retired b. Retired

2012 General

$200.00

$0.00

Brosious, Alan 1071 Peninsula Crossing Evans, GA 30809

02/22/2012 Monetary

a. Entrepreneur b. Self

2012 General

$200.00

$0.00

Brown, Tad and Mary Kay 753 Bradberry Crk Evans, GA 30809

02/01/2012 Monetary

a. President b. Watson Brown Foundation

2012 General

$250.00

$0.00

Bruns, Barbara 3114 Walton Way Augusta, GA 30909

02/14/2012 Monetary

a. Retired b. Retired

2012 General

$200.00

$0.00

Callahan, Helen 1135 Arsenal Ave Augusta, GA 30904

02/22/2012 Monetary

a. Retired b. Retired

2012 General

$250.00

$0.00

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original Electronically Filed with the Georgia Government Transparency and Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

Cates, J Douglas and Jacqueline 805 Walton Woods Ct Augusta, GA 30909

02/10/2012 Monetary

a. Accountant b. Cherry Bekaert and Holland

2012 General

$300.00

$0.00

Caye, Jr, Charles PO Box 3965 Augusta, GA 30914

02/07/2012 Monetary

a. Retired b. Retired

2012 General

$300.00

$0.00

Collier, Tilden and Andrea 2807 Peachtree Pl Augusta, GA 30909

02/10/2012 Monetary

a. Sales Rep b. Philip Morris

2012 General

$300.00

$0.00

Connell, Nanette 706 Montrose Ct Augusta, GA 30904

01/25/2012 Monetary

a. Retired b. Retired

2012 General

$150.00

$0.00

Cook, Terrence and Linda 10 Summerville Ln Augusta, GA 30909

03/27/2012 Monetary

a. Physician b. Self

2012 General

$125.00

$0.00

Cranford, Matthew and Donna 3027 Bransford Rd Augusta, GA 30909

02/24/2012 Monetary

a. Gastroenterologist b. Self

2012 General

$250.00

$0.00

Davis, Roger 120 5th St Augusta, GA 30901

02/10/2012 Monetary

a. Landscape Architect b. Self

2012 General

$300.00

$0.00

Douglass, Edwin and Ann Megan 3029 Bransford Rd Augusta, GA 30909

02/29/2012 Monetary

a. Realtor b. Blanchard and Calhoun

2012 General

$300.00

$0.00

Dunstan, Margaret 2353 Walton Way Augusta, GA 30904

02/10/2012 Monetary

a. Retired b. Retired

2012 General

$250.00

$0.00

Enterprise Mill Events Center 1450 Greene St Augusta, GA 30901 (Member of committee)

01/25/2012 In-Kind

2012 General

$0.00

$1,230.50
Facility, Refreshments for campaign event

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original Electronically Filed with the Georgia Government Transparency and Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

Evans, Nick and Beth 823 Milledge Rd Augusta, GA 30904

02/27/2012 Monetary

a. Owner b. ECP Benefits

2012 General

$200.00

$0.00

Fair, Charles 348 Old Salem Way Augusta, GA 30907

02/07/2012 Monetary

a. Student b. Student

2012 General

$150.00

$0.00

Fair, William and Anne Marie 1129 Monte Sano Ave Augusta, GA 30909

02/01/2012 Monetary

a. Retired b. Retired

2012 General

$500.00

$0.00

Fair, III, William 736 St Charles Ave Atlanta, GA 30306

02/03/2012 Monetary

a. Attorney b. Self

2012 General

$1,100.00

$0.00

Forgay, Andrew and Rochelle 3329 Wheeler Rd Augusta, GA 30909

02/29/2012 Monetary

a. Physician b. Self

2012 General

$300.00

$0.00

Giles, Rodger PO Box 3596 Augusta, GA 30914

01/30/2012 Monetary

a. Retired b. Retired

2012 General

$250.00

$0.00

Goodwin, Hank and Patti 2258 Wrightsboro Rd Ste 301 Augusta, GA 30904

02/29/2012 Monetary

a. Physician b. Self

2012 General

$300.00

$0.00

Grantham, Don 808 Quail St Augusta, GA 30909

02/29/2012 Monetary

a. Owner b. Forest Sales

2012 General

$150.00

$0.00

Hagler, David and Kelly 3207 Huxley Dr Augusta, GA 30909

02/10/2012 Monetary

a. Owner b. Hagler Systems

2012 General

$500.00

$0.00

Hagler, Mike and Pia 2815 Lombardy Ct Augusta, GA 30909

02/15/2012 Monetary

a. Attorney b. Fulcher, Hagler

2012 General

$300.00

$0.00

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original Electronically Filed with the Georgia Government Transparency and Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

Hagler, Steve and Alice 3014 Park Ave Augusta, GA 30909

01/25/2012 Monetary

a. Attorney b. Self

2012 General

$500.00

$0.00

Herman, Billy and Peggy PO Box 3814 Augusta, GA 30914

03/06/2012 Monetary

a. Retired b. Retired

2012 General

$250.00

$0.00

Hollingsworth, William and Yvonne 8 Indian Creek Rd Augusta, GA 30909

02/03/2012 Monetary

a. Real Estate Appraiser b. Self

2012 General

$200.00

$0.00

Kleinbub, Matt and Debbie 1001 Peachtree Rd Augusta, GA 30909

02/21/2012 Monetary

a. Physician b. University Anesthesiologists

2012 General

$300.00

$0.00

Knox, Paula 451 Stevens Creek Rd Augusta, GA 30907

02/10/2012 Monetary

a. Homemaker b. Homemaker

2012 General

$300.00

$0.00

Lee, John and Alice 807 Carriage Ct Augusta, GA 30909

02/09/2012 Monetary

a. Retired b. Retired

2012 General

$300.00

$0.00

Leiden, Zane 804 Windsor Ct Augusta, GA 30909

02/06/2012 Monetary

a. Attorney b. Self

2012 General

$300.00

$0.00

Magnolia LLC PO Box 850 Augusta, GA 30903 (Member of committee)

01/30/2012 Monetary

2012 General

$500.00

$0.00

Mayo, John 2803 Lombardy Ct Augusta, GA 30909

02/28/2012 Monetary

a. Owner b. Augusta Business Interiors

2012 General

$200.00

$0.00

McCollum, Mary Anne 451 Waverly Dr Augusta, GA 30909

02/08/2012 Monetary

a. Teacher b. Aldersgate Preschool

2012 General

$300.00

$0.00

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original Electronically Filed with the Georgia Government Transparency and Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

McCully, Greig and Katherine 751 Tripps Ct Augusta, GA 30909

02/14/2012 Monetary

a. Owner b. Fireside Outdoor Kitchens

2012 General

$300.00

$0.00

McKnight, William 2417 McDowell St Augusta, GA 30904

02/06/2012 Monetary

a. Owner b. McKnight Construction

2012 General

$500.00

$0.00

McKnight, III, Mason PO Box 204718 Augusta, GA 30917

02/07/2012 Monetary

a. Owner b. McKnight Construction

2012 General

$300.00

$0.00

McLeod, David and Kathryn 2816 Hillcrest Ave Augusta, GA 30909

02/09/2012 Monetary

a. Owner b. Social, Inc

2012 General

$300.00

$0.00

Meybohm, E G 3519 Wheeler Rd Augusta, GA 30909

02/08/2012 Monetary

a. Owner b. Meybohm Realty

2012 General

$300.00

$0.00

Moses, Mary 49 Conifer Cir Augusta, GA 30909

02/29/2012 Monetary

a. Homemaker b. Homemaker

2012 General

$150.00

$0.00

On the Levee Deli 1450 Greene St Ste 600 Augusta, GA 30901 (Member of committee) Osteen, Jr, H. M. 604 Milledge Rd Augusta, GA 30904

02/06/2012 Monetary

2012 General

$300.00

$0.00

01/30/2012 Monetary

a. Retired b. Retired

2012 General

$1,000.00

$0.00

Owen, Glen 1314 Comfort Rd Augusta, GA 30909

02/16/2012 Monetary

a. Physician b. Augusta ENT

2012 General

$300.00

$0.00

Paige Photography 1112 Council Rd Augusta, GA 30909

03/13/2012 In-Kind

2012 General

$0.00

$125.00
Photography for campaign literature

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original Electronically Filed with the Georgia Government Transparency and Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

Pennington, Weems and Adaire 6 Tall Pine Cir Augusta, GA 30909

02/13/2012 Monetary

a. Cardiologist b. Carolina Heart and Vascular

2012 General

$250.00

$0.00

Perry, Les and DeeDee 3122 Montpelier Dr Augusta, GA 30909

03/15/2012 Monetary

a. Executive b. Dixie Riverside

2012 General

$200.00

$0.00

Pollock, Joe 1138 Glenn Ave Augusta, GA 30904

02/14/2012 Monetary

a. CFO b. Pollock Company

2012 General

$250.00

$0.00

Poteet, Buzz and LaStarr 3 Summit Pl Augusta, GA 30909

02/21/2012 Monetary

a. Owner b. Poteet Funeral Home

2012 General

$150.00

$0.00

Prather, Lionel 2706 Bellevue Ave Augusta, GA 30909

01/25/2012 Monetary

a. Realtor b. Meybohm Commercial

2012 General

$250.00

$0.00

Rice, Susan 3126 Montpelier Dr Augusta, GA 30909

02/29/2012 Monetary

a. Realtor b. Blanchard and Calhoun

2012 General

$150.00

$0.00

Roberts, Lisa 1107 Peachtree Rd Augusta, GA 30909

02/13/2012 Monetary

a. Homemaker b. Homemaker

2012 General

$250.00

$0.00

Scholer, Jan and Tricie 1020 Highland Ave Augusta, GA 30904

03/12/2012 Monetary

a. Owner b. Wild Wings Cafe, Augusta Labs

2012 General

$150.00

$0.00

Sims, Barbara 10 Retreat Rd Augusta, GA 30909

02/29/2012 Monetary

a. Representative b. State of GA

2012 General

$200.00

$0.00

Sims, Craig 3014 Bransford Rd Augusta, GA 30909

02/29/2012 Monetary

a. Medical Sales b. Arthrex

2012 General

$300.00

$0.00

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original Electronically Filed with the Georgia Government Transparency and Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

Slaby, Richard and Soule 774 Camellia Rd Augusta, GA 30909

02/09/2012 Monetary

a. Regional Director b. Renew Data

2012 General

$300.00

$0.00

Smith, Randy and Becky 814 Milledge Rd Augusta, GA 30904

03/01/2012 Monetary

a. Physician b. Self

2012 General

$300.00

$0.00

Thorstad, Donald and Dori 508 Stratford Dr Augusta, GA 30909

02/10/2012 Monetary

a. Engineer b. JLA

2012 General

$200.00

$0.00

Trammell, Gary 3128 Walton Way Augusta, GA 30909

02/21/2012 Monetary

a. CFO b. WaynesWorks

2012 General

$200.00

$0.00

Tribby, Mark and Catherine 1335 Monte Sano Ave Augusta, GA 30904

02/17/2012 Monetary

a. Veterinarian b. St Francis Animal Hospital

2012 General

$150.00

$0.00

Weigle, Dan and Krista 1 Summit Pl Augusta, GA 30909

02/29/2012 Monetary

a. Attorney b. Self

2012 General

$200.00

$0.00

Weston, Jamie and Kristen 3527 Walton Way Augusta, GA 30909

02/29/2012 Monetary

a. Attorney b. Trotter Jones

2012 General

$300.00

$0.00

Wilson, Tripp and Anna 2206 Gardner St Augusta, GA 30904

02/08/2012 Monetary

a. Owner b. Summerville Blinds

2012 General

$300.00

$0.00

Wilson, Jr, James 945 Broad St Ste 420 Augusta, GA 30901

03/09/2012 Monetary

a. Attorney b. Self

2012 General

$300.00

$0.00

Wright, Earl 483 Highland Ave Augusta, GA 30909

02/10/2012 Monetary

a. Pharmacist b. Surrey Center Pharmacy

2012 General

$300.00

$0.00

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original Electronically Filed with the Georgia Government Transparency and Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

FILER ID: C2012000034

State of Georgia

Campaign Contribution Disclosure Report Summary of Itemized Contributions Received


In-Kind Total for this period: Cash Contributions Total for this period: $1,355.50 $25,025.00

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original Electronically Filed with the Georgia Government Transparency and Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

CFC FORM CCDR REV 1/11

FILER ID: C2012000034

State of Georgia Campaign Contribution Disclosure Report

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

I have no loans to report this reporting period.

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original Electronically Filed with the Georgia Government Transparency and Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

CFC FORM CCDR REV 1/11

FILER ID: C2012000034

State of Georgia Campaign Contribution Disclosure Report

Itemized Expenditures
Must list expenditures made to a single recipient for which the aggregate total is more than $100.00 List Name and Mailing Address of Recipient Expenditure Date Expenditure Type Occupation & Employer Expenditure Purpose Amount Paid

Augusta Minit Print 328 10th St Augusta, GA 30901 Augusta Minit Print 328 10th St Augusta, GA 30901 Beck, John 996 Highland Ave Augusta, GA 30904 Chew, Ginger 759 Oberlin Rd Augusta, GA 30909

01/31/2012 Expenditure

Mailing materials, letterhead

$235.40

02/21/2012 Expenditure

Envelopes, response cards

$222.93

02/28/2012 Reimbursement

a. Owner b. Sheehan's Restaurant a. Development Director b. Episcopal Day School a. Director of Development b. St Mary Church

Food, Beverages for fund raiser

$760.06

02/20/2012 Reimbursement

Refreshments

$120.31

Davis, Mary 813 Windsor Ct Augusta, GA 30909 FastSigns 2825 Washington Rd Ste J Augusta, GA 30909 Kelly Promotional Products 3712 Benchmark Dr Augusta, GA 30909 Kelly Promotional Products 3712 Benchmark Drive Augusta, GA 30909 Kelly Promotional Products 3712 Benchmark Dr Augusta, GA 30909 Phoenix Printing 601 Eleventh St Augusta, GA 30901

02/16/2012 Reimbursement

Postage stamps

$225.00

02/27/2012 Expenditure

Signs

$356.68

02/09/2012 Expenditure

Stickers, T shirts

$1,309.87

02/01/2012 Expenditure

Campain stickers

$488.67

03/29/2012 Expenditure

T shirts

$621.94

03/01/2012 Expenditure

Logo Cups for campaign

$977.39

FILER ID: C2012000034

State of Georgia

Campaign Contribution Disclosure Report Summary of Itemized Expenditures Made


Paid Expenditures Total for this period: $5,318.25

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original Electronically Filed with the Georgia Government Transparency and Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

CFC FORM CCDR REV 1/11

State of Georgia Campaign Contribution Disclosure Report

Investments Statement
Investment Name
Institution/Person Holding Account Address Address City, State, Zip Investment Transactions

There are No Investments this reporting period


Account Number

There are No Investments this reporting period

Value at beginning of reporting period Value at end of reporting period Cash Dividends Interest Paid Out

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original Electronically Filed with the Georgia Government Transparency and Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

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