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
C2016002029 -
10/7/20 10:43 pm
Original Report
Kay For Senate
Use Earlier of Post Mark or Hand Delivered Date
Kay Kirkpatrick State Senate, District 32
3. Identifying and Contact Information
- (1) Kay Kirkpatrick
- (2) 10/07/2020
- T o day's Date
- Full Name of Candidate or Non-Candidate Campaign Committee
(3) 2926 Ashebrooke Drive Marietta, GA 30068
Mailing Address
(4) Telephone number is unavailable.
Contact Phone Number ( W e w ill 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
(Report Require Only if you are in a Run Off
Special Elections
(Report Require Only if you are in a Special
- Election)
- Election)
January 31, 2020 June 30, 2020
6 days before Primary Run-Off, 2020
15 days before Special Primary, 2020
January 31, 2020 April 30, 2020
- December 31, 2020
- 6 days before General
- Run-Off, 2020
- June 30, 2020
15 days before
Special, 2020
Supplemental Reporting
June 30, 2020
6 days before Special Primary Run-Off, 2020
September 30, 2020 October 25, 2020 December 31, 2020
X
December 31, 2020
Dec. 31, 2020
Supplemental reports are required of candidates who have
6 days before Special 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:
The following contributions, including Common Source, to report:
- In-Kind
- Cash Amount
Estimated Value
2
Total contributions previously reported.
- $125.00
- $286,440.18
$95,875.00
$0.00
Total amount of all itemized contributions received in this reporting period which are listed on the "Itemized Contributions" page.
3
$0.00
3a
3b
All loans received this reporting period. Interest earned on campaign account this reporting period.
$0.00
3c
3d
Total amount of investments sold this reporting period.
$0.00
$0.00
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.
Total contributions reported this reporting period.
4
- $0.00
- $1,220.20
5
6
- (Line 3 + 3a + 3b +3c + 3d + 4)
- $0.00
- $97,095.20
Total contributions to date. (Line 2 + 5)
- $125.00
- $383,535.38
EXPENDITURES MADE
- In-Kind
- Cash Amount
I Have:
789
Estimated Value
The following expenditures to report:
Total expenditures made and reported prior to this reporting period.
$125.00
$0.00
$95,508.67 $39,423.80
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.
10 11 12
- $0.00
- $256.97
- (Line 9 + 10)
- $0.00
- $39,680.77
Total expenditures to date. (Line 8 + 11)
- $125.00
- $135,189.44
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.
$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
- $6,000.00
- 1
234567
Outstanding indebtedness at the beginning of this reporting period.
- Loans received this reporting period.
- $0.00
$0.00 $0.00 $0.00 $0.00
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)
$6,000.00
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 &
b. Employer
Election Cycle
- Cash
- Estimated Value
Description
(Affiliation of Committee if any)
- Contribution Type
- Amount
2020 General
A.C.E.C. Georgia PAC Harris Tower, Suite 700 Atlanta, GA 30303
07/25/2020 Monetary
$1,000.00
$500.00 $500.00
$1,000.00
$250.00
$1,000.00
$500.00 $500.00
$0.00
2020 General
Aflac Incorporated 1932 Wynnton Road Columbus, GA 31999
09/25/2020 Monetary
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
2020 General
Aldridge, Leah 951 West Conway Drive Atlanta, GA 30327
08/11/2020 Monetary
a. Attorney b. Self
2020 General
American Institute of Architects, Georgia Assoc. 50 Hurt Plaza, Ste 109 Atlanta, GA 30303
08/18/2020 Monetary
2020 General
Antalis, John 1509 Habersham Way Dalton, GA 30720
07/25/2020 Monetary
a. Physician b. Dalton Family Practice
2020 General
ASC-GA PAC 2700 Cumberland Parkway, Suite 150 Atlanta, GA 30339
08/17/2020 Monetary
2020 General
Associated Builders and Contractors of GA PAC 8975 Roswell Road
09/12/2020 Monetary
Atlanta, GA 30350
2020 General
Associated General Contractors of Georgia, Inc. Political Action Committee
07/29/2020 Monetary
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
2020 General
Astellas Pharma US, Inc. State Campaign Contribution Fund One Astellas Way
08/11/2020 Monetary
$1,000.00 $1,500.00
$0.00 $0.00
Northbrook, IL 60062
2020 General
AT&T Georgia Political Action Committee
09/10/2020 Monetary
675 West Peachtree Street, Room 36-024 Atlanta, GA 30375
2020 General
Bari, Shahnaz 3390 Peachtree Rd, Ste. 1500 Atlanta, GA 30326
09/17/2020 Monetary
a. Physician
$500.00 $500.00 $500.00 $125.00 $125.00 $250.00
$1,000.00
$250.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
b. Alliance Spine and Pain Center
2020 General
Bateman, Alex 5484 Tally Green Drive Marietta, GA 30068
08/07/2020 Monetary
a. CEO b. Resurgens
2020 General
Beach for Senate Inc. 3100 Brierfield Road Alpharetta, GA 30004
08/01/2020 Monetary
2020 General
Berk, Bonnie 5681 Long Island Drive Atlanta, GA 30327
07/31/2020 Monetary
a. Homemaker b. None
2020 General
Berk, Charles 5691 Long Island Dr NW Atlanta, GA 30327
07/31/2020 Monetary
a. Retired b. None
2020 General
Berryman, Mason 174 Weatherstone Parkway Marietta, GA 30068
09/10/2020 Monetary
a. Engineer b. Geo-Hydro
2020 General
Bhole, Raj 600 Heards Ferry Road Atlanta, GA 30328
08/15/2020 Monetary
a. Physician b. Resurgens Orthopaedics
2020 General
Bottoms, Gary 358 The Retreat Marietta, GA 30064
09/02/2020 Monetary
a. Insurance b. Self
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
2020 General
Bristol-Myers Squibb Company PO Box 25277 Tampa, FL 33622
09/09/2020 Monetary
$250.00 $500.00 $650.00 $500.00 $250.00 $500.00 $300.00 $150.00
$2,000.00 $1,000.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
2020 General
Brock, James 632 Gunby Road Marietta, GA 30067
07/25/2020 Monetary
a. Retired b. None
2020 General
C A R D of Georgia Committee of Automobile Retail Dealers of Georgia P.O.Box 725154
08/17/2020 Monetary
Atlanta, GA 31139
2020 General
Cable, Chris 3390 Peachtree Rd, Ste. 1500 Atlanta, GA 30326
09/17/2020 Monetary
a. Physician b. Alliance Spine and Pain Center
2020 General
Carlos L Corless Esq. 2951 Flowers Rd, Ste. 200 Atlanta, GA 30341
08/03/2020 Monetary
2020 General
Carson, Beverly 202 E 38th St Savannah, GA 31401
08/03/2020 Monetary
a. Attorney b. Morgan & Morgan
2020 General
Choate, Eugene 821 Stone Edge Court Marietta, GA 30068
09/17/2020 Monetary
a. National Marketing Director b. NewEra Life Insurance Company
2020 General
Chopra, Hersh 1095 Mt. Paran Rd NW Atlanta, GA 30327
08/31/2020 Monetary
a. Physician b. Georgia Eye
2020 General
Chuck Hufstetler for State Senate 3 Orchard Spring Drive Rome, GA 30165
09/28/2020 Monetary
2020 General
Committee for Responsible Health Care Policy, The Georgia Society of Anesthesiologists' PAC
09/14/2020 Monetary
1231 Collier Road, Suite J Atlanta, GA 30318
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
2020 General
Craig & Calhoun, LLC 801 MnNatt Street Vidalia, GA 30474
08/03/2020 Monetary
$250.00 $500.00
$1,000.00
$250.00 $500.00
$1,000.00
$500.00 $500.00 $500.00
$1,000.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
2020 General
Dave, Jaimini 3390 Peachtree Rd, Ste 1500 Atlanta, GA 30326
09/17/2020 Monetary
a. Physicians b. Alliance Spine and Pain Centers
2020 General
Dean Burke for Georgia State Senate 600 W Shotwell Street, Suite C Bainbridge, GA 39819
09/28/2020 Monetary
2020 General
Dentons US LLP 233 S. Wacker Drive Chicago, IL 60606
09/29/2020 Monetary
2020 General
Dolezal, Greg 5430 Travis Ct Cumming, GA 30040
08/17/2020 Monetary
a. Partner b. Renewed Vision
2020 General
Ellis Black for Senate 5900 Jumping Gully Rd Valdosta, GA 31601
09/15/2020 Monetary
2020 General
Employers-EIG Services 10375 Professional Circle Reno, NV 89521
08/31/2020 Monetary
2020 General
Escorcia, Eduardo 3390 Peachtree Road, Suite 1500 Atlanta, GA 30326
09/17/2020 Monetary
a. Physician b. Alliance Spine & Pain
2020 General
Espinal, Ramon 3390 Peachtree Road, Suite 1500 Atlanta, GA 30326
09/17/2020 Monetary
a. Physician b. Alliance Spine & Pain
2020 General
Fiese, Angie 3625 Cumberland Boulevard Se Atlanta, GA 30152
09/15/2020 Monetary
a. Senior Governmental Affairs Manager b. Gas South, LLC
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
2020 General
Fran Millar LLC 5249 Brook Farm Dr Dunwoody, GA 30338
07/10/2020 Monetary
$1,000.00 $1,000.00
$500.00 $500.00 $500.00 $250.00 $250.00 $700.00
$1,000.00
$750.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
2020 General
Friends of Blake Tillery-Senate 404 Durden Street Vidalia, GA 30474
07/25/2020 Monetary
2020 General
Friends of Marty Harbin 130 Ellison Road Tyrone, GA 30290
09/28/2020 Monetary
2020 General
GAHU-PAC 8227 South Cherokee Lane Woodstock, GA 30188
08/17/2020 Monetary
2020 General
Gale, MD, David W. 3390 Peachtree Road, Suite 1500 Atlanta, GA 30326
09/17/2020 Monetary
a. Physician b. Alliance Pain & Spine
2020 General
Garrett, John 1805 River Forest Road Atlanta, GA 30327
09/30/2020 Monetary
a. Retired b. None
2020 General
Garrett, Joy 1266 W Paces Ferry Rd, Ste 403 Atlanta, GA 30327
09/30/2020 Monetary
a. Homemaker b. Select
2020 General
Georgia Association of Realtors Political Action Committee 6065 Barfield Road
09/30/2020 Monetary
Atlanta, GA 30328
2020 General
Georgia Bankers Association Political Action Committee-State 50 Hurt Plaza, Suite 1050 Atlanta, GA 30303
08/19/2020 Monetary
2020 General
Georgia Better Government Fund Sponsored by Georgia Apartment Association
09/28/2020 Monetary
8601 Dunwoody Place, Suite 318 Atlanta, GA 30350
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
2020 General
Georgia Dermatology Center, PC 1505 Northside Blvd Suite 1500 Cumming, GA 30041
08/05/2020 Monetary
$1,000.00 $1,000.00
$500.00
$1,200.00
$500.00 $600.00 $500.00 $500.00 $625.00 $500.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
2020 General
Georgia Emergency Medicine PAC, Inc. 6134 Poplar Bluff Circle Norcross, GA 30092
08/17/2020 Monetary
2020 General
Georgia IFAPAC 677 Main Street Suwanee, GA 30024
08/21/2020 Monetary
2020 General
Georgia Medical Eye PAC 2711 Irvin Way, Suite 111 Decatur, GA 30030
08/17/2020 Monetary
2020 General
Georgia Optometric Association Political Action Committee 400 W Peachtree Street, Suite 201 Atlanta, GA 30308
08/17/2020 Monetary
2020 General
Georgia Power Company State Employee PAC, Inc. 241 Ralph McGill Boulevard Atlanta, GA 30308
08/17/2020 Monetary
2020 General
Georgia Professional Sports Integrity Alliance PAC 1600 Parkwood Circle SE, Ste. 200 Atlanta, GA 30339
09/22/2020 Monetary
2020 General
Georgia Psychiatry PAC 2700 Cumberland Parkway, Suite 570 Atlanta, GA 30339
08/17/2020 Monetary
2020 General
Georgia Republican Party - 11th Congressional District 417 Clubview Drive
09/22/2020 Monetary
Woodstock, GA 30189
2020 General
GHAPAC Georgia Hospital Association Political Action Committee
09/22/2020 Monetary
1675 Terrell Mill Road Marietta, GA 30067
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
2020 General
Ginn, Frank 5407 Wildcat Bridge Road Royston, GA 30662
09/28/2020 Monetary
a. State Senator
$500.00
$1,000.00
$500.00
$1,000.00
$500.00 $500.00 $500.00 $750.00 $250.00 $250.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
b. State of Georgia
2020 General
GK Works, Inc. 4965 Hampton Farms Drive Marietta, GA 30068
09/11/2020 Monetary
2020 General
GlaxoSmithKline LLC PAC 5 Moore Drive Researcj Triangle, NC 27709
08/17/2020 Monetary
2020 General
GRADPAC PO Box 82802 Conyers, GA 30013
08/03/2020 Monetary
2020 General
Griner, Lewis 970 Ashebrooke Court NE Marietta, GA 30068
09/05/2020 Monetary
a. Retired b. None
2020 General
Grochowska, Beata 3390 Peachtree Rd, Ste. 1500 Atlanta, GA 30326
09/17/2020 Monetary
a. Physician b. Alliance Spine and Pain Center
2020 General
Gupta, Pallavi 3390 Peachtree Road, Suite 1500 Atlanta, GA 30326
09/17/2020 Monetary
a. Physician b. Alliance Spine and Pain Center
2020 General
GYN PAC 2925 Premiere Parkway, Suite 100 Duluth, GA 30097
08/17/2020 Monetary
2020 General
H.L. Cromartie, III PC 401 Broad Street, Ste. 300 Rome, GA 0161
08/03/2020 Monetary
2020 General
Halperin, Frederick 4701 Riverview Road Atlanta, GA 30327
08/03/2020 Monetary
a. Retired b. None
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
2020 General
Hampton, Susan 3442 Greenfield Dr Marietta, GA 30068
09/10/2020 Monetary
a. Financial Advisor b. Pinnacle Financial Partners
$250.00 $500.00 $500.00 $500.00
$2,800.00 $1,000.00
$250.00 $250.00 $200.00 $500.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
2020 General
Hord, Allen 3390 Peachtree Road, Suite 1500 Atlanta, GA 30326
09/17/2020 Monetary
a. Physician b. Alliance Spine & Pain
2020 General
Hurd, Thomas 4709 Talleybrook Drive Kennesaw, GA 30152
09/17/2020 Monetary