Fillable CFC-CCDR 1/14 Page 4 of 10 (Columbus Consolidated Government)

Fill Online, Printable, Fillable, Blank CFC-CCDR 1/14 Page 4 of 10 (Columbus Consolidated Government) Form

Use Fill to complete blank online COLUMBUS CONSOLIDATED GOVERNMENT (GA) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

CFC-CCDR 1/14 Page 4 of 10 (Columbus Consolidated Government)

On average this form takes 68 minutes to complete

The CFC-CCDR 1/14 Page 4 of 10 (Columbus Consolidated Government) form is 4 pages long and contains:

  • 0 signatures
  • 143 check-boxes
  • 207 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Columbus Consolidated Government

BROWSE COLUMBUS CONSOLIDATED GOVERNMENT (GA) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
CFC-CCDR 1/14 Page 4 of 10
Public Officer/Candidate/Other Than Candidate Committee Name ________________________________________________________ Page ____ of _____
State of Georgia
Campaign Contribution Disclosure Report
Itemized Contributions
Must list contributions received by a single contributor for which the aggregate total more than $100.00.
Note: Loans are no longer reported in “Itemized Contributions” section. See Loan Reporting section below.
Full Name of Contributor
Mailing Address
(Affiliation of Committee if any)
Contributor
Election
Cycle**
Cash
Amount
Received Date
Contribution Type*
Occupation &
Employer
First Name
Date
Occupation
Primary
General
Special
Special Primary
Run-Off Primary
Run-Off General
Run-Off Special
Run-Off Special
Primary
Cash Amt.
Est. Value
Last Name
Address
Address 2
Monetary
In-Kind
Common Source
Credit Received on Loan
Employer
Description
City
State
Zip
Aff. Comm.
First Name
Date
Occupation
Primary
General
Special
Special Primary
Run-Off Primary
Run-Off General
Run-Off Special
Run-Off Special
Primary
Cash Amt.
Est. Value
Last Name
Address
Address 2
Monetary
In-Kind
Common Source
Credit Received on Loan
Employer
Description
City
State
Zip
Aff. Comm.
First Name
Date
Occupation
Primary
General
Special
Special Primary
Run-Off Primary
Run-Off General
Run-Off Special
Run-Off Special
Primary
Cash Amt.
Est. Value
Last Name
Address
Address 2
Monetary
In-Kind
Common Source
Credit Received on Loan
Employer
Description
City
State
Zip
Aff. Comm.
Itemized Contributions Page Total $ ____________ $______________
1
0.00
0.00
1
5
CFC-CCDR 1/14 Page 5 of 10
Public Officer/Candidate/Other Than Candidate Committee Name ________________________________________________________ Page ____ of _____
Itemized Contributions Page Total $ ____________ $______________
* 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-Off Special Primary)
*** If any such person(s) shall have a fiduciary relationship to the lending institution or party making the advance or extension of credit
First Name
Date
Occupation
Primary
General
Special
Special Primary
Run-Off Primary
Run-Off General
Run-Off Special
Run-Off Special
Primary
Cash Amt.
Est. Value
Last Name
Address
Address 2
Monetary
In-Kind
Common Source
Credit Received on Loan
Employer
Description
City
State
Zip
Aff. Comm.
First Name
Date
Occupation
Primary
General
Special
Special Primary
Run-Off Primary
Run-Off General
Run-Off Special
Run-Off Special
Primary
Cash Amt.
Est. Value
Last Name
Address
Address 2
Monetary
In-Kind
Common Source
Credit Received on Loan
Employer
Description
City
State
Zip
Aff. Comm.
First Name
Date
Occupation
Primary
General
Special
Special Primary
Run-Off Primary
Run-Off General
Run-Off Special
Run-Off Special
Primary
Cash Amt.
Est. Value
Last Name
Address
Address 2
Monetary
In-Kind
Common Source
Credit Received on Loan
Employer
Description
City
State
Zip
Aff. Comm.
First Name
Date
Occupation
Primary
General
Special
Special Primary
Run-Off Primary
Run-Off General
Run-Off Special
Run-Off Special
Primary
Cash Amt.
Est. Value
Last Name
Address
Address 2
Monetary
In-Kind
Common Source
Credit Received on Loan
Employer
Description
City
State
Zip
Aff. Comm.
2
0.00
0.00
2
5
CFC-CCDR 1/14 Page 7 of 10
Public Officer/Candidate/Other Than Candidate Committee Name ________________________________________________________ Page ____ of _____
State of Georgia
Campaign Contribution Disclosure Report
Itemized Expenditures
Must list expenditures made to a single recipient for which the aggregate total more than $100.00.
List Name and
Mailing Address of Recipient
Expenditure Date
Expenditure Type*
Occupation &
Employer
Expenditure
Purpose
Amount
Paid
First Name
Date
Occupation
Last Name
Address
Expenditure
In-Kind
Loan Repayment
Refund
Reimbursement
Credit Card
3rd Party
Deferred Payment on Deferred
Expense
Investment
Address 2
Employer
City
State
Zip
First Name
Date
Occupation
Last Name
Address
Expenditure
In-Kind
Loan Repayment
Refund
Reimbursement
Credit Card
3rd Party
Deferred Payment on Deferred
Expense
Investment
Address 2
Employer
City
State
Zip
First Name
Date
Occupation
Last Name
Address
Expenditure
In-Kind
Loan Repayment
Refund
Reimbursement
Credit Card
3rd Party
Deferred Payment on Deferred
Expense
Investment
Address 2
Employer
City
State
Zip
Page Total $ _________
* Expenditure Type (Expenditure, In-Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment on Deferred Expense, Investment)
3
0.00
3
5
CFC-CCDR 1/14 Page 8 of 10
Public Officer/Candidate/Other Than Candidate Committee Name ________________________________________________________ Page ____ of _____
List Name and
Mailing Address of Recipient
Expenditure Date
Expenditure Type*
Occupation &
Employer
Expenditure
Purpose
Amount
Paid
First Name
Date
Occupation
Last Name
Address
Expenditure
In-Kind
Loan Repayment
Refund
Reimbursement
Credit Card
3rd Party
Deferred Payment on Deferred
Expense
Investment
Address 2
Employer
City
State
Zip
First Name
Date
Occupation
Last Name
Address
Expenditure
In-Kind
Loan Repayment
Refund
Reimbursement
Credit Card
3rd Party
Deferred Payment on Deferred
Expense
Investment
Address 2
Employer
City
State
Zip
First Name
Date
Occupation
Last Name
Address
Expenditure
In-Kind
Loan Repayment
Refund
Reimbursement
Credit Card
3rd Party
Deferred Payment on Deferred
Expense
Investment
Address 2
Employer
City
State
Zip
First Name
Date
Occupation
Last Name
Address
Expenditure
In-Kind
Loan Repayment
Refund
Reimbursement
Credit Card
3rd Party
Deferred Payment on Deferred
Expense
Investment
Address 2
Employer
City
State
Zip
* Expenditure Type (Expenditure, In-Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment on Deferred Expense, Investment)
Page Total $ ________
4
0.00
5
5
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

CFC-CCDR 114 Page 4 of 10 (Columbus Consolidated Government)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 2 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document