SEC FORM CCDRRE! o;.:oo&

State of GeorgiaCampaign Contribution Disclosure Report

1. Report Type(Select One)

v/JX Original Report

I 1 Amended Report

Amendment #

. Jlling is being made on behalf of (Select One):Candidate or Public Official

Office Sought or Held:

KLBC rCommittee Name:

I I Report of Organization or Person Other than Candidate's Campaign Committee

Use Earlier of Post

Mark or HandDelivered Date

3. Identifying and Contact Information

Full Name of Candidate or Non-Candidate Campaign Committee

Mailing Address Zip Code

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 campaign committee (one or more persons) to make campaign transactions, keep the financial records of the

campaign, or file the reports? J^U Yes | 1 No (6) If so, is die committee registered with the State Ethics Commission? GJ^5 I !

(7) If so, complete the following: TO A/l (f / L"& g~ ~ T ji £ $ $ U/?-£ Si-

Name of Chairperson and /or Treasurer of Committee

4. Period for which you are Reporting

My Non Election Year

Qj June 30, _ _ (year)

DDec. 31, (year)

the year in which the election occurs•Persons leaving office with excess funds untilsuch funds are expanded as provided in the Acl

who receive contributions to retire debt incurred,

debls are satisfied (December 31 tiling only)

My Election Year

Q March 3 1 , (year)

D June 30, (year)

^September 30,Z///Qyear)

fj October 25, (year)

|~~1 December 3 1 , (year)

Run-Offs(Report required only if you are in a Run-Off

| | 6 days before PrimaryRun-Off, (year)

[_] 6 days before GeneralRun-Off, (year)

n 6 days before SpecialPrimary Run-Off,

(year)Q 6 days before Special

Run-Off. (year)

Special Elections

n days beforeSpecial Primary,

(year)

Q 1 5 days beforeSpecial, (year)

D Dec. 31, (year)

State of Georgia

i T^rM (^ I Lt

Verification by Oat

10-0

^^ .beinsthat the information in this report form is complete, true, and correct. Fu

are the same as the contents in the electronic filing submitted, if also elec

/ -Hi I /1/i/W i /v fc»» I I M I *SwomXoartd subscribed before me on (0 (jf\ UtfN#£20U>.\»AP PL

( k?/JK/^l,'ou /^2

i or Affirmation

6-1 0 P02 j:vCount

duly sworn (affirm), depose and s

ther, I affirm that the contents in t

tronically filed.

$''"' n / ,M&^MJ

yof Muscoqee

aytis report

A]L fi£-Sign^rfe of Notary Public «• | Q^OB-Gfl&iJ^iirSof Candida^ J ^

iny person who kr,o,™,!y ,1 1, ,. comply ,vi,l, or who ta™ing''«,l$6 E6W\^ o, ,h, Elhi« i« Govcnmicn. Ac, sh.il b, gu-Uy of a m.sdc^.nor.

SEC FORM CCDRREV 05/2008

State of GeorgiaCampaign Contribution Disclosure Report

Summary Report

CONTRIBUTIONS RECEIVED

i

2

3

3a

3b

3c

3d

4

5

6

7

8

9

10

11

12

1 1 1 have no contributions to report.C^J have the followins contributions, including Common Source, to report:

A. If this is the first time to file a 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 columnand list any net balance on hand brought forward from the previous reporting cyclein the cash amount column (Line 13 of previous report, or total funds left over atyear end of previous cycle); or

C. If this filina is the second or subsequent filine of this Reporting Cvcle, list totalsfrom 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 areisted on the "Itemized Contributions" page.

All loans received this reporting period.

nterest 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 less than SIOI .OO received in thisreporting period and not listed on the "Itemized Contributions" page.'Common Source" contributions must he aggregated on the "Itemized Contributions" page.Total contributions reported this period.(Line 3 + 3a + 3b + 3c + 3d + 4)Total Contributions to date. Total to be carried forward to next report oj 'this reporting cycle*.

(Line 2 + 5)

In-KindEstimated Value

0

a

oco

EXPENDITURES MADEf~l I have no expenditures to report.^"Thave the followins expenditures to report:Total expenditures made and reported prior to this reporting period. If this is theA. First report of this Reporting Cycle*, ENTER 0.B. Second or subsequent filina ENTER Line 12 of previous report.

Total amount of all itemized expenditures made in this reporting period which areisted on the "Itemized Expenditures" page.

Total amount of all separate expenditures of less than $ 101 .00 that were madein this reporting period and not listed on the "Itemized Expenditures" page.Total expenditures reported this period.(Line 9 + 10)Total expenditures to date. Total to be carried forward to next report of this reporting cycle*.

(Line 8 +11 )

In-KindEstimated Value

OOodC

Cash Amount

O

l < & < g S ~ 6 , 2 7

iArlL.ZZ.

C3,CQ

6,00&OQ

0,QO

"zcm&Cash Amount

O

\ A 7Z6Zo.Oo

\4~7z£,i7

1 4 7* (£7INVESTMENTS

13

14

15

Total value of investments held at the beginning of this reporting period.

Total value of investments held at the end of this reporting period.

"Net balance on hand.(Line 6- 12+ 14)

OO0

* O C.G A 2 l-5-34(b)(1 )('D)(ii) A reporting cycle shall commence on January 1 of the year in

11) At the expiration of the lerm of office if such candidate is elected and does not seek reeled

[III) If such candidate is successful and seeks reelection or seeks election to some other office the current reporting cycle shall

begins S

Public Officer/Candidate/Non-Candidate Committee Name f j

SEC FORM CCDR

State of GeorgiaCampaign Contribution Disclosure Report

Outstanding Indebtedness

Election Cycle*: G £7\i t:fl /3 ^ Election Year: "Z-/?/ 0

i

2

3

4

5

6

7

Outstanding indebtedness at the beginning of this reporting period. - —

Loans received this reporting period. s^

Deferred payment of expenses this reporting period s'

Payments made on loans this reporting periodX^

Credits received on loans this reporting' period.

Payments this reporting penpdi on previously deferred expenses.

Total indebtedness at the close of this reporting period.(Line 1 + 2 + 3 - 4 - 5 - 6 )

Election Cycle*: Election Year:

i

2

3

4

5

6

7

Outstanding indebtedness at the beginning of this reporting period.

Loans received this reporting period. ^^

Deferred payment of expenses this reporting period s^^

Payments made on loans this reporting period. .S

Credits received on loans this reporting period.

Payments this reporting period^fi previously deferred expenses.

Total indebtedness at the-t:lose of this reporting period.(Line 1 + 2 + 3 - 4 - 5 - 6 )

Election Cycle*: Election Year:

1

2

3

4

5

6

7

Outstanding indebtedness at the beginning of this reporting period.

Loans received this reporting period. j^

Deferred payment of expenses this reporting perip.tr

Payments made on loans this reportingjjrfiod.

Credits received on loans this reporting period.

Payments this reportine,period on previously deferred expenses.

Total indebtedness at the close of this reporting period.(Line 1 + 2 + 3 - 4 - 5 - 6 )

Amount

Amount

Amount

'- Election Cycle (Primary, General, Special. Special Primary. Run-Off Primary, Run-Off General Run-Off Special,Run-Off Special Primary)

Publ ic OfiH-L-r < an i : J , )u Non-( andidate Committee Name^

SEC FORM CCDR

State of GeorgiaCampaign Contribution Disclosure Report

Itemized ContributionsMust list contributions received by a single contributor for which the aggregate total is $101.00 or more

Note: Loans are no longer reported in "Itemized Contributions" section. See Loan Reporting section below.

Full Name of ContributorMailing Address(Affiliation of Committee if any)

Contributor

Received DateContribution Type*

Occupation &Employer

ElectionCycle"

CashAmount

In-Kind Contributions

Estimated Value

Description

7/7 (L&Tlt&O

7/ 2 / / / O

7 / z / / ' 0 C

14 Z4HC0

•'Itemized Contributions Page Total $

Loan Reporting

Name of LenderMailing Address

Date of LoanAmount of LoanElection Cycle**

Person(s) responsible forrepayment of loan

Mailing: Address

Occupation &Place of EmploymentFiduciary Relationship*

T / I 4 - / / 0 n (•?>£>

Reference: OCGA § 21-5-34(b)( 1) Loan Page Total $ {&fC\'2-

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-OffSpecial Primary)

* If any such person(s) shall have a fiduciary relationship to the lending institution or party making the advance or extension of credi1

CflM7££iu pag,_/_ of 4;Public OfficL't-.-Candkiatt-'Non-Caniiidatc Committee Name

SEC FORM CCDRREV 3/2GOS

State of GeorgiaCampaign Contribution Disclosure Report

Itemized ContributionsMust list contributions received by a single contributor for which the aggregate total is S101.00 or more

Note: Loans are no longer reported in "Itemized Contributions" section. See Loan Reporting section below.

Full Name of ContributorMailing Address(Affiliation of Committee if any)

^Q^ f\JCE?^- £~ &f^ Tfitfi I-

2SSi 52sLM:£7 14 1L L 1 f CftfJ TI^E^LL-

*J 'i A ^ \J I *- f- $6£r ^OQ I

Q-f t f^ O^f E i L ^ M D(°( ^,1 S f )^'^^L£

( q a. \ S " ' O&U? ^^

P AfA ^-L*^ fl\ 5SS••n p i fO£\NCO^

Contributor

Received DateContribution Type*

u / 1 \5 / / 0

ClitcxS/iixll^c H EC*<S/?o//o^- H -£?C P"<5/?.5//Cl

C rf-EC M

*5 1 ZC>/ / O

CfVECk

Occupation &Employer

"as*6t)OK1Ctj^^'fyc~l~ / O /^

^.^^(L |C*<JAJ

Od/OS^lFl ^^

^OUSS1^ Ft

AWSORAM^

ElectionCycle**

G-fcr/VJ

CashAmount

'ffecf

I uuu

2400°°

caou

z<z

Itemized Contributions Page Total %/Q. QQ

In-Kind Contributions

Estimated Value

Description

C

c

O

O

L:

sP.Oc1

Loan Reporting

Name of LenderMailing Address

Date of LoanAmount of LoanElection Cycle**

Person(s) responsible for Occupation &repayment of loan Place of Employment

Mailing Address Fiduciary Relationship***

1.

2.

1.

2.

Reference: OCGA § 21-5-34(b)(l) Loan Page Tota $ C • (^ 0

Contribution Type (Monetaiy, 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-OffSpecial Primary)

' If any such person(s) shall have a fiduciary relationship to the lending inst i tut ion or party making the advance or extension of credit

Public Offlcer/Candidatc/Non-Cundldatc Committee -Name j}\ <f\ Qj£ C /^A/Tj? € I L Page "Z" <>'" <ty~

SEC FORM CCDR

State of GeorgiaCampaign Contribution Disclosure Report

Itemized ContributionsMust list contributions received by a single contributor for which the aggregate total is 5101.00 or more

Note: Loans are no longer reported in "Itemized Contributions" section. See Loan Reporting section below.

Full Name of ContributorMailing Address(Affiliation of Committee if any)

Contributor

Received DateContribution Type*

OccupationEmployer

ElectionCycle**

CashAmount

In-Kind Contributions

Estimated Value

DescriptionKG Lie Y

1 1, so MCs

R P

/ ' / / o 'ZOO00 nfl n/Ve5 T

&0"L C) Li a / / o c

RLItemized Contributions Page Total CtCO

Loan Reporting

Name of LenderMailing Address

Date of LoanAmount of LoanElection Cycle**

Person(s) responsible forrepayment of loan

Mailing Address

1.

2.

1.

2

Occupation &Place of EmploymentFiduciary Relationship***

Reference: OCGA § 21-5-34(b)( 1) Loan Page Total $ £2 , £/ c

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-OffSpecial Primary)

' If any such person(s) shall have a fiduciary relationship to the lending institution or party making the advance or extension of credit

Public Offker/Candidatc/Non-Candkliitc Committee Name f]/] ftfi fc C flf^"/'£'&i L- I'age <S of _f

SEC FORM CCDRREV 3/2008

State of GeorgiaCampaign Contribution Disclosure Report

Itemized ContributionsMust list contributions received by a single contributor for which the aggregate total is SIOI.OO or more

Note: Loans are no longer reported in "Itemized Contributions" section. See Loan Reporting section be ow.

Full Name of ContributorMailing Address(Affiliation of Committee if any)

U'\M??e:/u.Y cn-fj Tt^tf.

^^l^%6^^& D/VN f^ OAJ So o QC&c ^ fy\ f-'/J IGA' K\G-I<^DFT^

& V£?MT

|fi Dow GPS

Contributor

Received DateContribution Type*

Cf /3CV/0

CtfK/t

SlL§Q//2a^sH

-S-G/^S hr''6 CHECKS

Occupation &Employer

C>0 O D f^ ' ^"

00,**

ElectionCycle**

<se/u

«

CashAmount

I 000°'

zaitf

l%80-

In-Kind Contributions

Estimated Value

Description

C

G

D

Itemized Contributions Page Total $ 1 h? I ' $ (3" 00

Loan Reporting

Name of LenderMailing Address

Date of LoanAmount of LoanElection Cycle**

Person(s) responsible for Occupation &repayment of loan Place of Employment

Mailing Address Fiduciary Relationship***

1.

2.

1.

2.

Reference: OCGA § 2 1 -5-34(b)( 1 ) Loan Page Total $ 0,6OContribution 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-OffSpecial Primary)

' If any such person(s) shall have a fiduciary relationship to the lending institution or party making the advance or extension of credi

Public Otflter/Canilictatc/Non-CandidMe Committee Name fl/\ /^-K C/9/UTj££^ L~ Page "f of ^

SEC FORM CCDRREV 03/2008

State of GeorgiaCampaign Contribution Disclosure Report

Itemized ExpendituresMust list expenditures made to a single recipient for which the aggregate total is SIOI.OO or more

List Name and Mailing Addressof Recipient

Expenditure DateExpenditure Type*

Occupation &Employer

Expenditure Purpose Amount Paid

71101 ft

\/ ice. t•3-0 H"

f>OLi

-20 f 6POOQ

cot-- PTs /6 ST.<90

fto

Page Total S_

Public Officer/Candida te/Non-( "jmilidate Committee Name (/ ^ ' rj frx i^ **- t^; ^ V-

SEC FORM CCDR

REV 03,':<K)K

State of GeorgiaCampaign Contribution Disclosure Report

Itemized ExpendituresMust list expenditures made to a single recipient for which the aggregate total is $101.00 or more

List Name and Mailing Addressof Recipient

Expenditure DateExpenditure Type*

Occupation &Employer

Expenditure Purpose Amount Paid

1-7 I \l\Sfttl

600

Pfilm//o Q, ILL

Page Total S_

Public Ofncer/Candillate/Non-C aniliilatr ( nm.nitlM Nami- fV\ ft K, fc. Q- ft N ( V-^, L L

SKC FORM CCDRRev 3/2008

State of GeorgiaCampaign Contribution Disclosure Report

Investments Statment

1. Investment Name

Institution/Person

Mailina Address

City, State, Zip

Account Number

/Value at beginning of reporting period $

Value at erjdof reporting period $

/ Difference in value $

Interest Paid Out $

/ Cash Dividends $

Investment Transaction^Date Person(s) Involved in Transaction Value of investment purchased

/Value of investment sold Profit Loss

2. Investment Name /

Institution/Person /Holding Account

Mailins Address

City, State, Zip /

Account Number

Value at beginning of reporting period $

Value at end of reporting period $

Difference in value $

Interest Paid Out $

Cash Dividends $

Investment TransactionsDate Person(s) Involved in Transaction Value of investment purchased

Total value of investments at bceinnins of reporting period S

Total value of investments at end of repor ins period $

Total difference in value $

Value of investment sold

Page Total Cash Dividends

Page Total Interest Paid Out

Page Total Profit

Page Total Loss

Profit Loss

$

S

$

$

Public Officer/Candidate/Non-Candidate Committee Name

State of GeorgiaCampaign Contribution Disclosure Report

Addendum StatementThe Addendum Siatemcnt should be used for explanation of any additional information needed to complete an accurate filing of this report.

Public Oflicer/Candidate/Non-Candidate Committee Name W[ j\ ft- f^