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Campaign Contribution Disclosure Report CFC FORM CCDR REV 12/2019 FILER ID: C2016002029 State of Georgia Campaign Contribution Disclosure Report 1. Report Type 2. Filing is being made on behalf of: Filing Office Use Candidate or Public Official Only E-Filed on Original Report C2016002029 - 10/7/20 10:43 pm Kay For Senate Kay Kirkpatrick Use Earlier of Post State Senate, District 32 Mark or Hand Delivered Date 3. Identifying and Contact Information (1) Kay Kirkpatrick (2) 10/07/2020 Full Name of Candidate or Non-Candidate Campaign Committee Today's Date (3) 2926 Ashebrooke Drive Marietta, GA 30068 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: Dr. Jim Barber Treasurer: Amanda Gravitt Name of Chairperson and / or Treasurer of Committee 4. Period for which you are Reporting My Non Election Year My Election Year Run-Offs Special Elections (Report Require Only if you are in a Run Off (Report Require Only if you are in a Special Election) Election) January 31, 2020 January 31, 2020 6 days before Primary 15 days before June 30, 2020 Run-Off, 2020 Special Primary, April 30, 2020 2020 December 31, 2020 6 days before General June 30, 2020 Run-Off, 2020 15 days before Supplemental Reporting Special, 2020 X September 30, 2020 6 days before Special June 30, 2020 Primary Run-Off, December 31, 2020 October 25, 2020 2020 Dec. 31, 2020 Supplemental reports are required December 31, 2020 6 days before Special of candidates who have Run-Off, 2020 unsuccessfully campaigned for ofce or have resigned from ofce. See §O.C.G.A. 21-5-34i. 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 2020 September 30th - Election Year - Original Electronically Filed with the Georgia Government Transparency and Campaign Finance Commission on: 10/7/2020 10:43:06PM -- Confirmation #C2016002029157612 CFC FORM CCDR REV 4/12 FILER ID: C2016002029 State of Georgia Campaign Contribution Disclosure Report Summary Report CONTRIBUTIONS RECEIVED 1 I Have: In-Kind Cash Amount The following contributions, including Common Source, to report: Estimated Value 2 Total contributions previously reported. $125.00 $286,440.18 3 Total amount of all itemized contributions received in this reporting period which are listed on the "Itemized Contributions" page. $0.00 $95,875.00 3a All loans received this reporting period. $0.00 3b Interest earned on campaign account this reporting period. $0.00 3c Total amount of investments sold this reporting period. $0.00 3d Total amount of cash dividends and interest paid out this reporting period. $0.00 Total amount of all separate contributions of $100.00 or less received in this reporting 4 period and not listed on the "Itemized Contributions" page. "Common Source" contributions must be aggregated on the "Itemized Contributions" page. $0.00 $1,220.20 Total contributions reported this reporting period. 5 (Line 3 + 3a + 3b +3c + 3d + 4) $0.00 $97,095.20 Total contributions to date. 6 $125.00 $383,535.38 (Line 2 + 5) EXPENDITURES MADE In-Kind Cash Amount 7 I Have: The following expenditures to report: Estimated Value 8 Total expenditures made and reported prior to this reporting period. $125.00 $95,508.67 9 Total amount of all itemized expenditures made in this reporting period which are listed on the "Itemized Expenditures" page. $0.00 $39,423.80 10 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. $0.00 $256.97 11 Total expenditures reported this reporting period. (Line 9 + 10) $0.00 $39,680.77 Total expenditures to date. 12 $125.00 $135,189.44 (Line 8 + 11) INVESTMENTS 13 Amount of investments at the beginning of this reporting period. $0.00 14 Total amount of investments at the close of this reporting period. $0.00 15 Net Balance On Hand. $248,345.94 (Line 6 - 12 + 14) Campaign Contribution Disclosure Report for 2020 September 30th - Election Year - Original Electronically Filed with the Georgia Government Transparency and Campaign Finance Commission on: 10/7/2020 10:43:06PM -- Confirmation #C2016002029157612 CFC FORM CCDR REV 4/12 State of Georgia Campaign Contribution Disclosure Report Outstanding Indebtedness 2020 2020 Indebtedness Amount 1 Outstanding indebtedness at the beginning of this reporting period. $6,000.00 2 Loans received this reporting period. $0.00 3 Deferred payments of expenses this reporting period. $0.00 4 Payments made on loans this reporting period. $0.00 5 Credits received on loans/deferred payments this reporting period. $0.00 6 Payments this period on previously deferred expenses. $0.00 Total indebtedness at the close of this reporting period. 7 $6,000.00 (line 1 + 2 + 3 - 4 - 5 - 6) Campaign Contribution Disclosure Report for 2020 September 30th - Election Year - Original Electronically Filed with the Georgia Government Transparency and Campaign Finance Commission on: 10/7/2020 10:43:06PM -- Confirmation #C2016002029157612 CFC FORM CCDR REV 4/12 FILER ID: C2016002029 State of Georgia Campaign Contribution Disclosure Report Itemized Contributions Must list contributions received by a single contributor for which the aggregate total is more than $100.00 Contributor In-Kind Contributions Full Name of Contributor Mailing Address Received Date a. Occupation & Election Cash Estimated Value (Affiliation of Committee if any) Contribution Type b. Employer Cycle Amount Description A.C.E.C. Georgia PAC 07/25/2020 2020 $1,000.00 $0.00 General Harris Tower, Suite 700 Monetary Atlanta, GA 30303 Aflac Incorporated 09/25/2020 2020 $500.00 $0.00 General 1932 Wynnton Road Monetary Columbus, GA 31999 Aldridge, Leah 08/11/2020 a. Attorney 2020 $500.00 $0.00 General 951 West Conway Drive Monetary b. Self Atlanta, GA 30327 American Institute of Architects, 08/18/2020 2020 $1,000.00 $0.00 General Georgia Assoc. Monetary 50 Hurt Plaza, Ste 109 Atlanta, GA 30303 Antalis, John 07/25/2020 a. Physician 2020 $250.00 $0.00 General 1509 Habersham Way Monetary b. Dalton Family Dalton, GA 30720 Practice ASC-GA PAC 08/17/2020 2020 $1,000.00 $0.00 General 2700 Cumberland Parkway, Suite 150 Monetary Atlanta, GA 30339 Associated Builders and Contractors 09/12/2020 2020 $500.00 $0.00 General of GA PAC Monetary 8975 Roswell Road Atlanta, GA 30350 Associated General Contractors of 07/29/2020 2020 $500.00 $0.00 General Georgia, Inc. Political Action Monetary Committee 1940 The Exchange, Suite 100 Atlanta, GA 30339 Campaign Contribution Disclosure Report for 2020 September 30th - Election Year - Original Electronically Filed with the Georgia Government Transparency and Campaign Finance Commission on: 10/7/2020 10:43:06PM -- Confirmation #C2016002029157612 Astellas Pharma US, Inc. State 08/11/2020 2020 $1,000.00 $0.00 General Campaign Contribution Fund Monetary One Astellas Way Northbrook, IL 60062 AT&T Georgia Political Action 09/10/2020 2020 $1,500.00 $0.00 General Committee Monetary 675 West Peachtree Street, Room 36-024 Atlanta, GA 30375 Bari, Shahnaz 09/17/2020 a. Physician 2020 $500.00 $0.00 General 3390 Peachtree Rd, Ste. 1500 Monetary b. Alliance Spine and Atlanta, GA 30326 Pain Center Bateman, Alex 08/07/2020 a. CEO 2020 $500.00 $0.00 General 5484 Tally Green Drive Monetary b. Resurgens Marietta, GA 30068 Beach for Senate Inc. 08/01/2020 2020 $500.00 $0.00 General 3100 Brierfield Road Monetary Alpharetta, GA 30004 Berk, Bonnie 07/31/2020 a. Homemaker 2020 $125.00 $0.00 General 5681 Long Island Drive Monetary b. None Atlanta, GA 30327 Berk, Charles 07/31/2020 a. Retired 2020 $125.00 $0.00 General 5691 Long Island Dr NW Monetary b. None Atlanta, GA 30327 Berryman, Mason 09/10/2020 a. Engineer 2020 $250.00 $0.00 General 174 Weatherstone Parkway Monetary b. Geo-Hydro Marietta, GA 30068 Bhole, Raj 08/15/2020 a. Physician 2020 $1,000.00 $0.00 General 600 Heards Ferry Road Monetary b. Resurgens Atlanta, GA 30328 Orthopaedics Bottoms, Gary 09/02/2020 a. Insurance 2020 $250.00 $0.00 General 358 The Retreat Monetary b. Self Marietta, GA 30064 Campaign Contribution Disclosure Report for 2020 September 30th - Election Year - Original Electronically Filed with the Georgia Government Transparency and Campaign Finance Commission on: 10/7/2020 10:43:06PM -- Confirmation #C2016002029157612 Bristol-Myers Squibb Company 09/09/2020 2020 $250.00 $0.00 General PO Box 25277 Monetary Tampa, FL 33622 Brock, James 07/25/2020 a. Retired 2020 $500.00 $0.00 General 632 Gunby Road Monetary b. None Marietta, GA 30067 C A R D of Georgia Committee of 08/17/2020 2020 $650.00 $0.00 General Automobile Retail Dealers of Georgia Monetary P.O.Box 725154 Atlanta, GA 31139 Cable, Chris 09/17/2020 a. Physician 2020 $500.00 $0.00 General 3390 Peachtree Rd, Ste. 1500 Monetary b. Alliance Spine and Atlanta, GA 30326 Pain Center Carlos L Corless Esq. 08/03/2020 2020 $250.00 $0.00 General 2951 Flowers Rd, Ste. 200 Monetary Atlanta, GA 30341 Carson, Beverly 08/03/2020 a.
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