Fillable Two Business Days Report of Contributions Received (Columbus Consolidated Government)

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Two Business Days Report of Contributions Received (Columbus Consolidated Government)

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CFC TBD REV 01/14
State of Georgia
Two Business Days Report of Contributions Received
MUST BE SENT VIA FACSIMILE (404-463-1988) OR ELECTRONIC TRANSMISSION.
ANY FACSIMILE FILING SHALL ALSO HAVE AN IDENTICAL ELECTRONIC FILING WITHIN FIVE BUSINESS DAYS
FOLLOWING THE TRANSMISSION OF SUCH FACSIMILE FILING.
To be used to report contributions (including loans) of $1,000 or more,
IF RECEIVED BETWEEN LAST REPORT DUE BEFORE AN ELECTION AND THE ELECTION.
Must be reported within two business days of receipt!
Identifying Informant:
Candidate or Committee Name Office Sought E-Mail
Filer ID (begins with the letter “C”)
Mailing Address (number and street) City State Zip
Full Name of Contributor
Contributor
Mailing Address
Received Date
Occupation &
(PAC Affiliation if applies)
Contribution Type*
Employer
Election
Amount
* Monetary, In-Kind or Loan
I certify and affirm that I have examined this report, and say that the information in this report is complete, true, and correct. Further I
affirm that the contents in this report are the same as the contents in the electronic filing submitted, if also electronically filed.
I further affirm that I understand that the above contribution(s) must also be reported on the next succeeding regularly scheduled
campaign contribution disclosure report.
Name of Candidate Chairman Treasurer
Signature Date
Georgia Government Transparency and Campaign Finance Commission | 200 Piedmont Avenue S.E. | Suite 1402 - West Tower | Atlanta Georgia, 30334
If you are e-fling with the GGT& CFC please use the facsimile number of 404-463-1988
Use Earlier of Post
Mark or Hand
Delivered Date
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Two Business Days Report of Contributions Received (Columbus Consolidated Government)

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Completed 2 August 2020

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