CFC-CCDR 1/14
State of Georgia
Campaign Contribution Disclosure Report
Itemized Expenditures Must list expenditures made to a single recipient for which the aggregate total is $100.00 or more Exp. Date Exp. Type*
List Name and Mailing Address of Recipient First Name Democratic Party of Georgia Last Name
Expenditure Purpose
Occupation & Employer
Date
Occupation
11/16/2017
Amount Paid
Donation
$100,000.00
Donation
$75,000.00
Donation
$100,000.00
Expenditure In-kind
Address 501 Pulliam St SW
Loan Repayment
Address2 Ste 400
Reimbursement
City Atlanta
3rd Party
State GA
Refund
Employer
Credit Card Deferred Payment
Zip 30312-2776
First Name Democratic Party of Georgia Last Name
Payment on Deferred Expense Investment
Date
Occupation
11/21/2017 Expenditure In-kind
Address 501 Pulliam St SW
Loan Repayment
Address2 Ste 400
Reimbursement
City Atlanta
3rd Party
State GA
Refund
Employer
Credit Card Deferred Payment
Zip 30312-2776
First Name Democratic Party of Georgia Last Name
Payment on Deferred Expense Investment
Date
Occupation
11/28/2017 Expenditure In-kind
Address 501 Pulliam St SW
Loan Repayment
Address2 Ste 400
Reimbursement
City Atlanta
3rd Party
State GA
Refund
Employer
Credit Card Deferred Payment
Zip 30312-2776
Payment on Deferred Expense Investment
Page Total
$275,000.00
* Expenditure Type (Expenditure, In-Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment, Payment on Deferred Expense, Investment)
Public Officer/Candidate/Other Than Candidate Committee Name
Keisha Lance Bottoms for Mayor
Page
332
of
380
CFC-CCDR 1/14
State of Georgia
Campaign Contribution Disclosure Report
Itemized Expenditures Must list expenditures made to a single recipient for which the aggregate total is $100.00 or more Exp. Date Exp. Type*
List Name and Mailing Address of Recipient First Name Democratic Party of Georgia Last Name
Expenditure Purpose
Occupation & Employer
Date
Occupation
11/28/2017
Amount Paid
Donation
$35,000.00
Expenditure In-kind
Address 501 Pulliam St SW
Loan Repayment
Address2 Ste 400
Reimbursement
City Atlanta
3rd Party
State GA
Refund
Employer
Credit Card Deferred Payment
Zip 30312-2776
First Name Myumi
Payment on Deferred Expense Investment
Date
Occupation
11/07/2017
Last Name Dickerson
Expenditure
Address 891 Falcon Dr SW
Loan Repayment
Address2
Reimbursement
Consultant
Community events
$200.00
Community events
$200.00
In-kind Refund
Employer
Self employed
Credit Card 3rd Party
City Atlanta State GA
Deferred Payment
Zip 30311-2356
First Name Ralph
Payment on Deferred Expense Investment
Date
Occupation
11/07/2017
Last Name Dickerson
Expenditure
Address 891 Falcon Dr SW
Loan Repayment
Address2
Reimbursement
Consultant
In-kind Refund
Employer
Self employed
Credit Card 3rd Party
City Atlanta State GA
Deferred Payment
Zip 30311-2356
Payment on Deferred Expense Investment
Page Total
$35,400.00
* Expenditure Type (Expenditure, In-Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment, Payment on Deferred Expense, Investment)
Public Officer/Candidate/Other Than Candidate Committee Name
Keisha Lance Bottoms for Mayor
Page
333
of
380
