State of Georgia. Mark or Hand Delivered Date 3. Identifying and Contact Information
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1 SEC FORI. CCR Rf. V 06/2et)9 FILER 10: C Campab~n Contribution isclosure Report I. Report Type 2. Filing is being made on behalf of: Filing Office Use Candidate or PubUe Offidal Only E-FiledQn Original Report C /6/10 /0:28 am Committee To Elect Seth Harp B. Seth Harp Jr. Use Earlier of Post State Senate, istrict 29 Mark or Hand elivered ate 3. Identifying and Contact Information (1) B. Seth Harp Jr. Full Name ofcandidate or Non-Candidate Campaign Commilte. (3) 8000 Midland Rd. Farm 12 Midland, GA Mailing Address (4) (706) Contact Phone Number (We will understand the release ofthis informalion as permission 10 call your office ifnecessary.) (2) 04/06/2010 Tnday's ate (5) If a Candidate or Public Official, is there a campaign committee (one or more persons) to make campaign transactions, keep the financial records ofthe campaign, or tile the reports? YES (6) Ifoo, is the Committee registered with the State Ethics Commission? ~ (7) Chairperson: N/A Treasurer: James R Self, Jr. Name o[chairperson and / or Treasurer ojcommillee 4. Period for which you are Reporting My Non Election Year My Election Year Run-Offs Special Elections June 30, 2010 ~ March 31, 2010 ec. 31,2010 PentOn! elected 10 otr;oe in each year fohowms the,ellr in wnkh lhe ela;tion ""'ur> Pct'NOOsleevintt otlice with ~ fundi! 1.11'111 such fundi an: expended Ill! provided in I.ht:Acl {Report Requin:OIy it you an: In Run Off (Itqtort Rtquift Only 11 you aft In a Special El«tion) Elecllo..; 6 days before Primary 15 days before Run-Off,2010 Special Primary, June 30, days before General Run-Off, days before September 30, 2010 Special, days before Special Primary Run-OtT, October 25, 2010 UIl!JW'.eC&<Uul C8Zldidate~ with excess fund~, 2010 or who recci\le oolllrinutiolll' 10 mire debt ec. 31, 2010 incurred. unu1 ::iwh fund.'l are expended, or 6 days before Special such unpaid debts are li8tisfied (eoembcr ecember 31, filins only) Run-Off, 2010 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.GA (e) and (e). Campaign Contribution isclosure Report for 20 I 0 March 31st - Election Year - Original Electronically Filed with the State Ethics Commission on: 4/6/ :28:53AM -- Confirmation #C
2 SEC FORM CCR FILER I: 43 Campaign Contribution isclosure Report Summary ort CONTRIBUTIONS RECEIVE I Have: No contributions to report. l!!:ki!!!! Estimated Value Cash Amount 2 Total contributions previously reported. $5, Total amount of all itemized contributions received in this reporting period which are listed on the "Itemized Contributions" 3a All loans received this reporting period. 3b Interest earned on campaign account this reporting period. 3c Total amount of investments sold this reporting period. 3d Total amount ofcash dividends and interest paid out this reporting period. 4 Total amount ofall separate contributions ofless than $ received in this reporting period and not listed on the "Itemized Contributions" page. "Common contributions must be on the "Itemized Contributions 5 Total contributions reported this reporting period. (Line 3 + 3a + 3b + 3c + 3d + 4) 6 Total contributions to date. (Line 2 + 5) $5, EXPENITURES MAE 7 I Have: The In-Kind Estimated Cash Amount 8 Total expenditures made and reported prior to this reporting period. 9 Total amount of all itemized expenditures made in this reporting period which are listed on the "Itemized ($50.00) 10 in this r",,,,nrtma 11 Total expenditures reported this reporting period. (Line ) 12 Total expenditures to date. 8+ I ($50.00) INVESTMENTS Amount of investments at the beginning ofthis reporting period. Total amount of investments at the close ofthis reporting period. 15 Net Balance On Hand. (Line ) $5, Campaign Contribution isclosure Report for 20 I 0 March 31st Election Year Original Electronically Filed with the State Ethics Commission on: 4/6/2010 1O:28:53AM -- Confirmation #C
3 SEC FORM CCOR REV Campaign Contribution isclosure Report Outstanding Indebtedness Primary 2010 Indebtedness Amount I Outstanding indebtedness at the beginning of this reporting period, $0,00! 2 Loans received this reporting period, 3 eferred payments of expenses this reporting period, 4 Payments made on loans this reporting period, $0,00 5 Credits received on loans/deferred payments this reporting period, 6 Payments this period on previously deferred expenses, $0,00 7 Total indebtedness at the close ofthis reporting period. (line ) $0,00 Campaign Contribution isclosure Report for 20 I 0 March 31 st - Election Year - Original Electronically Filed with the State Ethics Commission on: 4/ :28:53AM -- Confirmation #C
4 SEC FOKM CCR REV(MOO9 Campaign Contribution isclosure Report Loan Reportin2 FILER I: C Name of Lender Mailing Address ate of Loan Amount of Loan Election Cycle Person(s) responsible for repayment of Joan Mailing Address Occupation & Place of Employment Fiduciary Relationship I have no loans to report this reporting period. Campaign Contribution isclosure Report for 2010 March 31st Election Year Original Electronically Filed with the State Ethics Commission on: 4/ :28:53AM.. Confirmation #C
5 SEC F9!'M CCR REV Campaign Contribution isclosure Report Itemized s Must list expenditures made to a single recipient for which the Hilrellate total is $ or more FILER I: C List Name and Mailing Address of Recipient ate Type Occupation & Employer Purpose Amount Paid Atlanta Young Republicans CIO Nicole Barry 2854 Ridgemore Rd. Atlanta, GA Georgia Tech College Republicans 2211 Student Center 350 Ferst r., N.W. Atlanta, GA James R. Self, Jr., CPA, LLC 122 Enterprise Court, Suite 122 Columbus, GA /06/ / Contribution $ Contribution $ Accounting services $ Muscogee County Republican Party P.O. Box 2565 Columbus, GA / Check never cleared the bank $(1,000.00) Campaign Contribution isclosure Report Summary of Itemized s Made FILER l: C Paid s Total for this period: $(50.00) Campaign Contribution isclosure Report for 2010 March 31st Election Year Original Electronically Filed with the State Ethics Commission on: 4/6/ :28:53AM Confirmation #C
6 SEC FORM CCR REVQ6IlOO9 Campaign Contribution isclosure Report Investments Statement Investment Name Institution/Person Holding Account Address Address City, State, Zip Investment Transactions There are No Investments this reporting period There are No Investments this reporting period Account Number Value at beginning ofreporting period Value at end ofreporting period Cash ividends Interest Paid Oul Campaign Contribution isclosure Report for 2010 March 31st - Election Year - Original Electronically Filed with the State Ethics Commission on: 4/ :28:53AM -- Confirmation #C
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