REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/657/14940271657/14940271657.pdf · 2014. 1. 31. · SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Any information copied from

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

FE5AN018

FEC

FORM 3

1. NAME OF COMMITTEE (in full)

ADDRESS (number and street)

Check if different than previously reported. (ACC)

FEC FORM 3(Revised 02/2003)

Office

Use

Only

NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C. §437g.

I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete.

Type or Print Name of Treasurer

Signature of Treasurer Date

4. TYPE OF REPORT (Choose One)

(a) Quarterly Reports:

12-Day PRE-Election Report for the:

Primary (12P) General (12G) Runoff (12R)

Convention (12C) Special (12S)

30-Day POST-Election Report for the:

General (30G) Runoff (30R) Special (30S)

CITY STATE ZIP CODE2. FEC IDENTIFICATION NUMBER

3. IS THIS NEW AMENDED

REPORT (N) OR (A)

in the

Election on State of

TYPE OR PRINT

REPORT OF RECEIPTS

AND DISBURSEMENTSFor An Authorized Committee

5. Covering Period through

in the

Election on State of

STATE DISTRICT

Office Use Only

April 15 Quarterly Report (Q1)

July 15 Quarterly Report (Q2)

October 15 Quarterly Report (Q3)

January 31 Year-End Report (YE)

Termination Report (TER)

(b)

Example: If typing, type

over the lines.

(c)

12FE4M5

31

31401

01

01

CARLTON H HODGES

CARLTON H HODGES

2013

[Electronically Filed]

C00543967

PAGE 1 / 103

201310

SAVANNAH GA

BUDDY CARTER FOR CONGRESS

200 E ST JULIAN ST SUITE 603

01/31/2014 16 : 36Image# 14940271657

2014

01 3112

GA

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FE5AN018

COLUMN B

Election Cycle-to-Date

COLUMN A

This Period

6. Net Contributions (other than loans)

(a) Total Contributions

(other than loans) (from Line 11(e)) ....

(b) Total Contribution Refunds

(from Line 20(d)) ..................................

(c) Net Contributions (other than loans)

(subtract Line 6(b) from Line 6(a)) ......

7. Net Operating Expenditures

(a) Total Operating Expenditures

(from Line 17) ......................................

(b) Total Offsets to Operating

Expenditures (from Line 14) ................

(c) Net Operating Expenditures

(subtract Line 7(b) from Line 7(a)) ......

8. Cash on Hand at Close of

Reporting Period (from Line 27) .................

9. Debts and Obligations Owed TO

the Committee (Itemize all on

Schedule C and/or Schedule D) ................

10. Debts and Obligations Owed BY

the Committee (Itemize all on

Schedule C and/or Schedule D) ................

For further information contact:

Federal Election Commission

999 E Street, NW

Washington, DC 20463

Toll Free 800-424-9530

Local 202-694-1100

FEC Form 3 (Revised 02/2003) Page 2

SUMMARY PAGEof Receipts and Disbursements

Report Covering the Period: From: To:

Write or Type Committee Name

118071.96

63685.94

416684.05

358185.96

PAGE 2 / 103

2013

357435.96

201310

140785.36

0.00

0.00 750.00

200000.00

118071.96


0.00

Image# 14940271658

0.00

140785.36

01 3112

63685.94

, , . , , .

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FE5AN018

COLUMN B


COLUMN A

Total This Period

11. CONTRIBUTIONS (other than loans) FROM:

(a) Individuals/Persons Other Than

Political Committees

(i) Itemized (use Schedule A) ...........

(ii) Unitemized ....................................

(iii) TOTAL of contributions

from individuals .......................

(b) Political Party Committees .................

(c) Other Political Committees

(such as PACs) ...................................

(d) The Candidate ....................................

(e) TOTAL CONTRIBUTIONS

(other than loans)

(add Lines 11(a)(iii), (b), (c), and (d)) ..

12. TRANSFERS FROM OTHER

AUTHORIZED COMMITTEES ....................

13. LOANS:

(a) Made or Guaranteed by the

Candidate ............................................

(b) All Other Loans ...................................

(c) TOTAL LOANS

(add Lines 13(a) and (b)) ....................

14. OFFSETS TO OPERATING

EXPENDITURES

(Refunds, Rebates, etc.) ............................

15. OTHER RECEIPTS

(Dividends, Interest, etc.) ...........................

16. TOTAL RECEIPTS (add Lines 11(e), 12, 13(c), 14, and 15) (Carry Total to Line 24, page 4) ............

DETAILED SUMMARY PAGEof Receipts

I. RECEIPTS

FEC Form 3 (Revised 12/2003) Page 3

Report Covering the Period: From: To:

Write or Type Committee Name

0.07

61698.00

50000.00

0.00

0.00

558219.41

102071.96

0.00

273976.96

0.00

0.00

PAGE 3 / 103

2013

13745.00

118071.96

2013

0.00

200000.00

10

0.00

0.00

168072.03

0.00

0.00

50000.00


296487.96

200000.00

33.45

Image# 14940271659

358185.96

01

16000.00

3112

88326.96

22511.00

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FE5AN018

COLUMN B


COLUMN A

Total This Period

17. OPERATING EXPENDITURES .....................

18. TRANSFERS TO OTHER

AUTHORIZED COMMITTEES .....................

19. LOAN REPAYMENTS:

(a) Of Loans Made or Guaranteed

by the Candidate .................................

(b) Of All Other Loans ..............................

(c) TOTAL LOAN REPAYMENTS

(add Lines 19(a) and (b)) .....................

20. REFUNDS OF CONTRIBUTIONS TO:

(a) Individuals/Persons Other

Than Political Committees ..................

(b) Political Party Committees ..................

(c) Other Political Committees

(such as PACs) ....................................

(d) TOTAL CONTRIBUTION REFUNDS

(add Lines 20(a), (b), and (c)) ..............

21. OTHER DISBURSEMENTS .........................

22. TOTAL DISBURSEMENTS

(add Lines 17, 18, 19(c), 20(d), and 21)

II. DISBURSEMENTS

DETAILED SUMMARY PAGEof DisbursementsFEC Form 3 (Revised 02/2003) Page 4

III. CASH SUMMARY

23. CASH ON HAND AT BEGINNING OF REPORTING PERIOD ...............................................

24 TOTAL RECEIPTS THIS PERIOD (from Line 16, page 3) .....................................................

25. SUBTOTAL (add Line 23 and Line 24) ..................................................................................

26. TOTAL DISBURSEMENTS THIS PERIOD (from Line 22) ......................................................

27. CASH ON HAND AT CLOSE OF REPORTING PERIOD

(subtract Line 26 from Line 25)..............................................................................................

, , . , , .

416684.05

63685.94

0.00

0.00

63685.94

750.00

0.00

750.00

0.00

0.00

0.00

PAGE 4 / 103

140785.36

0.00

312297.96

0.00

0.00

0.00

0.00

480369.99

0.00

0.00

168072.03

0.00

0.00

Image# 14940271660

63685.94

0.00

141535.36

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C


Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .



PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .


! ! ! , , .


! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

1000.00

1000.00

1000.00

1000.00

1000.00

GA

GA

6 SHE CRAB CIRCLE

1000 TOWNE CENTER BLVD.

1000.00

111 GREEN ISLAND ROAD


31411Transaction ID : SA11AI.5729

31411

GAPOOLER

SAVANNAH

SAVANNAH

GODLEY STATION DENTISTRY

ANDREWS REALTY PARTNERSHIP

Transaction ID : SA11AI.572331322


SELF-EMPLOYED

08

18

25

3000.00

2014

5

2014

2014

Image# 14940271661

11

10

10

103

CLYDE ANDREWS

2013

2013

JAMES ANDREWS

2013

MATTHEW ALLEN

DENTIST

DENTIST

BROKER


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


1000.00

1000.00

1000.00

1000.00

250.00

GA

GA

6200 SWEETBAY DRIVE

100 KING COTTON ROAD

250.00

2641 ORCHARD KNOB SE



31516

GABRUNSWICK

ATLANTA

BLACKSHEAR

SELF-EMPLOYED

RETIRED



BARBER'S PHARMACY

17

25

17

2250.00

2014

6

2014

2014

Image# 14940271662

12

11

12

103

FRED BARBER

2013

2013

BRANTLEY BARROW

2013

DEAN AUTEN

INSURANCE

PHARMACIST

YHC BOARD CHAIR


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


250.00

250.00

250.00

250.00

350.00

GA

VA

610 N SLAPPEY BLVD.

1799 NE HILLCREST LANE

350.00

8015 YORKTOWN DRIVE



31701

ORGRANTS PASS

ALEXANDRIA

ALBANY

GRANTS PASS PHARMACY

NCPS



THE PRESCRIPTION SHOPPE

22

19

23

850.00

2014

7

2014

2014

Image# 14940271663

10

12

10

103

MIKE BELCHER

2013

2013

PATRICK BERRYMAN

2013

MICHELE BELCHER

PHARMACIST

PHARMACIST

PHARMACY SERVICES


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


500.00

1000.00

500.00

1000.00

250.00

GA

NC

3 PETTIGREW DRIVE

155 WING MILL ROAD

250.00

99 BOONE TRAIL



31411

GAATLANTA

WEAVERVILLE

SAVANNAH

SELF-EMPLOYED

ASHEVILLE COMPOUNDING PHARMACY



TRONOX LLC

18

03

18

1750.00

2014

8

2014

2014

Image# 14940271664

12

12

10

103

D. WILLSON BLAKE

2013

2013

JOHN BOFF

2013

DAVID BILLS

LAWYER

SALES AND DISTRIBUTION MANAGER

PHARMACIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


250.00

750.00

250.00

250.00

1000.00

GA

GA

403 WHEELER STREET

20 PLANTATION DRIVE

1000.00

P.O. BOX 21697



31405

GAATLANTA

ST. SIMON'S ISLAND

SAVANNAH

GEORGIA PHARMACY ASSOCIATION

MERRILL LYNCH



WELLS FARGO

24

30

17

1500.00

2014

9

2014

2014

Image# 14940271665

12

12

10

103

LAWRENCE A BRODY

2013

2013

JAMES BROWN

2013

JAMES BRACEWELL

PHARMACIST-CEO

FINANCIAL ADVISOR

FINANCIAL ADVISOR


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


In-kind - TABLE & CHAIR RENTAL FOR F/R EVENT

In-kind - RENTAL OF F/R VENUE & POSTAGE

250.00

626.40

250.00

626.40

250.00

GA

GA

322 N MAIN STREET

126 CUYLER LANE

250.00

322 N MAIN STREET



31313

GAST. SIMON'S ISLAND

HINESVILLE

HINESVILLE

RETIRED

EDWARD JONES INVESTMENTS



LIBERTY COUNTY SCHOOL SYSTEM

17

31

31

1126.40

2014

10

2014

2014

Image# 14940271666

12

12

12

103

JENNIFER CARDELLA

2013

2013

MATT CARDELLA

2013

JOHN CAMPBELL

RETIRED U.S. ARMY COL.

TEACHER

FINANCIAL ADVISER


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


100.00

250.00

350.00

250.00

500.00

TX

GA

140 TURNBERRY WAY

8010 COLONIAL WOODS

500.00

27 SEAWATCH DRIVE



78230

TXBOERNE

SAVANNAH

SAN ANTONIO

OAKDELL PHARMACY

RETIRED



OAKDELL PHARMACY

24

24

25

850.00

2014

11

2014

2014

Image# 14940271667

11

10

10

103

JOHN CARSON

2013

2013

RAYMOND E CARTLEDGE

2013

JEFF CARSON

PHARMACIST

PHARMACIST

RETIRED


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


250.00

500.00

250.00

500.00

500.00

DC

GA

1001 L STREET NW #610

2303 MILITARY AVENUE

500.00

5 HAWKSBEARD LANE



20001

KSBAXTER SPRINGS

SAVANNAH

WASHINGTON

WOLKAR DRUG

SELF-EMPLOYED



RITE AID

24

17

16

1250.00

2014

12

2014

2014

Image# 14940271668

10

12

10

103

YONG CHOE

2013

2013

RUSS CLEMMONS

2013

BRIAN CASWELL

PHARMACIST

VP FED AFFAIRS & POLICY

DENTIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


350.00

1500.00

350.00

500.00

350.00

GA

AL

235 COMMODORE DRIVE

P.O. BOX 911

350.00

114 BROOKS BLVD.



31410

KSCIMARRON

BREWTON

SAVANNAH

CLARK PHARMACY

MEDICAL CENTER PHARMACY



LO COST PHARMACY

24

31

24

1200.00

2014

13

2014

2014

Image# 14940271669

10

12

10

103

CRAIG COCKE

2013

2013

CHARLES COTTRELL

2013

JAMES COAST

PHARMACIST

PHARMACIST

PHARMACIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


In-kind - CATERING EXPENSE FOR F/R EVENT

250.00

250.00

500.00

250.00

450.00

VA

GA

498 WYTHE CREEK ROAD

P.O. BOX 409

600.00

423 GEORGIA AVE SE



23662

GAYOUNG HARRIS

ATLANTA

POQUOSON

YOUNG HARRIS COLLEGE

AT&T



YORK DRUG INC

06

24

25

950.00

2014

14

2014

2014

Image# 14940271670

10

10

12

103

DAVID CREECY

2013

2013

KEVIN F CURTIN

2013

CATHY COX

COLLEGE ADMINISTRATOR

PHARMACIST

REGIONAL VP


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


In-kind - ATLANTA FUNDRAISER EXPENSES

500.00

300.00

500.00

300.00

1000.00

GA

GA

955 PAT HARALSON DRIVE

76 INMAN CIRCLE NE

1000.00

P.O. BOX 955



30512

GAATLANTA

BLAIRSVILLE

BLAIRSVILLE

MORRIS, MANNING & MARTIN

RICKS RENTAL INC



DAVENPORT TRANSPORTATION

16

17

17

1800.00

2014

15

2014

2014

Image# 14940271671

12

12

10

103

GARY DAVENPORT

2013

2013

RICKY DAVENPORT

2013

JASON D'CRUZ

PARTNER

POSTAL CONTRACTOR

OWNER


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


250.00

1250.00

250.00

1000.00

250.00

GA

GA

P.O. BOX 409

5002 LOWER JERSEY ROAD

250.00

P.O. BOX 51



30582

GAOXFORD

HINESVILLE

YOUNG HARRIS

KROGER PHARMACY

RETIRED



MARK DEHLER LLC

17

17

17

1500.00

2014

16

2014

2014

Image# 14940271672

12

12

12

103

MARK F DEHLER

2013

2013

BUDDY DELOACH

2013

MAHLLON DAVIDSON

PHARMACIST

ATTORNEY

RETIRED


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


In-kind - BEVERAGES FOR F/R EVENT

264.22

500.00

264.22

500.00

1000.00

NJ

GA

11 ARLINGTON CT.

507 EAST ST. JULIAN STREET

1000.00

815 EAST 68TH STREET



07059

GASAVANNAH

SAVANNAH

WARREN

SELF-EMPLOYED

SELF-EMPLOYED



SELF-EMPLOYED

07

24

10

1764.22

2014

17

2014

2014

Image# 14940271673

10

10

11

103

RAO DESU

2013

2013

KEVIN DICKENSON

2013

CLARK DERISO

PHYSICIAN

PHARMACIST

DENTIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


250.00

500.00

250.00

500.00

1000.00

GA

GA

222 JERICO WAY


1264.22

107 GATEWAY CENTER CIRCLE



31324

GASAVANNAH

BRUNSWICK

RICHMOND HILL

SELF-EMPLOYED

DIXON MANAGEMENT CORP.



RICHMOND HILL PHARMACY

16

30

17

1750.00

2014

18

2014

2014

Image# 14940271674

12

12

10

103

AL DIXON

2013

2013

BRUCE DIXON

2013

KEVIN DICKENSON

DENTIST

PHARMACIST

PRESIDENT


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


500.00

500.00

500.00

500.00

500.00

GA

GA

104 STRACHAN LANE

101 W. COURT STREET

500.00

451 MT. MEADOWS ROAD



31522

GAHINESVILLE

CLEVELAND

ST. SIMON'S ISLAND

DRYDEN ENTERPRISE INC

YOUNG HARRIS COLLEGE



DUKES DRUGS INC.

30

17

17

1500.00

2014

19

2014

2014

Image# 14940271675

12

12

12

103

J. ASHLEY DUKES

2013

2013

RANDY DUNN

2013

CLAUDE DRYDEN

PRINCIPAL

PHARMACIST

DIRECTOR OF ATHLETICS


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


500.00

250.00

500.00

250.00

1000.00

GA

TN

43 COTTON XING W

145 TRADERS WAY

1000.00

7206 DALTON PIKE SE



31411

GAPOOLER

CLEVELAND

SAVANNAH

SELF-EMPLOYED

TAKE CHARGE NUTRITION



SELF-EMPLOYED

18

03

31

1750.00

2014

20

2014

2014

Image# 14940271676

12

12

10

103

MELISSA EMERY

2013

2013

TERRY FORSHEE

2013

TRACY DURHAM

DENTIST

MANAGEMENT CONSULTANT

PHARMACIST-PRESIDENT


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


2600.00

250.00

2600.00

250.00

350.00

VA

GA

109 OLD ENGLISH CT SW

21 MINER CIR.

350.00

311 MCALPIN DRIVE



20175

PACOLLEGEVILLE

SAVANNAH

LEESBURG

SKIPPACK PHARMACY

OPTIM HEALTHCARE



LEESBURG PHARMACY

25

24

31

3200.00

2014

21

2014

2014

Image# 14940271677

12

10

10

103

CHERYL GARVIN

2013

2013

JOHN GEORGE

2013

ROBERT FRANKIL

PHARMACIST/OWNER

PHARMACIST

PHYSICIAN


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


250.00

250.00

350.00

250.00

500.00

NY

GA

9034 RIDGE ROAD

10 WASHINGTON AVENUE

500.00

P.O. BOX 816



14067

GASAVANNAH

WOODBINE

GASPORT

RETIRED

RETIRED



MIDDLEPORT FAMILY HEALTH CTR

17

24

17

1000.00

2014

22

2014

2014

Image# 14940271678

12

10

12

103

STEPHEN GIROUX

2013

2013

JIM GODLEY

2013

ANNE GINSBERG

RETIRED

PHARMACIST

RETIRED


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


350.00

500.00

350.00

500.00

250.00

GA

IA

450 SIMMONS ROAD

P.O. BOX 163

250.00

3553 MUIRFIELD DRIVE



31093

GAHINESVILLE

WATERLOO

WARNER ROBINS

SELF-EMPLOYED

GREENWOODY DRUG INC.



GRAVES PHARMACY

17

30

24

1100.00

2014

23

2014

2014

Image# 14940271679

10

12

12

103

DAVID GRAVES

2013

2013

ROBERT GREENWOOD

2013

LEN GRADDY

FINANCIAL GRP

PHARMACIST

PHARMACIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


250.00

500.00

250.00

500.00

500.00

GA

IL

113 DRAKES LANDING

110 COMANCHE ROAD

500.00

1006 KINGSBURY ROAD



31523

GABRUNSWICK

WASHINGTON

BRUNSWICK

RAINBOW DRUG STORE

RETIRED



RAINBOW DRUG STORE

17

17

24

1250.00

2014

24

2014

2014

Image# 14940271680

10

12

12

103

RICHARD GRIFFIS III

2013

2013

DONALD GRONEWOLD

2013

RICHARD GRIFFIS

OWNER

PHARMACIST

PHARMACIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


250.00

250.00

250.00

250.00

500.00

NJ

TX

14 SAGE STREET

P.O. BOX 365

500.00

P.O. BOX 152643



07733

GAKINGSLAND

ARLINGTON

HOLMDEL

W.H. GROSS CONSTRUCTION CO.

SELF-EMPLOYED



LOISAIDA RX

17

24

24

1000.00

2014

25

2014

2014

Image# 14940271681

10

10

12

103

JAGADEESH GUMMELLA

2013

2013

JOSEPH HARMISON

2013

WILLIAM GROSS

OWNER

PHARMACIST

PHARMACIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


250.00

750.00

250.00

250.00

500.00

GA

GA

402 RIVER STREET

15 TIMBERLAKE TRAIL

500.00

104 WIGMNORE CIRCLE



31601

GAJESUP

SAVANNAH

VALDOSTA

HARRIS ACE HARDWARE

RETIRED



RKS PHARMACEUTICALS INC

17

03

21

1000.00

2014

26

2014

2014

Image# 14940271682

10

12

12

103

ROBERT HATTON

2013

2013

IAN HEAP

2013

TIM HARRIS

OWNER

PHARMACIST

ATTORNEY


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


350.00

500.00

350.00

500.00

250.00

WA

WA

50 RIDGEVIEW DRIVE

P.O. BOX 31367

250.00

7317 35TH AVENUE NE



99301

GASEA ISLAND

SEATTLE

PASCO

HEARN FAMILY LIMITED LLP

RXTRA CARE INC



SELF-EMPLOYED

17

24

24

1100.00

2014

27

2014

2014

Image# 14940271683

10

10

12

103

ANNE HENNKSU

2013

2013

MICHAEL HENRY

2013

BUD HEARN

OWNER

PHARMACIST

PHARMACIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


350.00

250.00

350.00

250.00

2600.00

PA

VA

144 COOPER AVENUE

717 McDANIEL STREET

3600.00

P.O. BOX 154



17538

GAMONROE

URBANNA

LANDISVILLE

WALTON DRUG CO.

GLOUCESTER PHARMACY



SELF-EMPLOYED

19

24

24

3200.00

2014

28

2014

2014

Image# 14940271684

10

10

12

103

JOHN HINKLE III

2013

2013

KEITH HODGES

2013

R. GREG HICKMAN

CEO

PHARMACIST

PHARMACIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


250.00

600.00

250.00

100.00

500.00

VA

TX

1104 EMERALD DRIVE

324 DUNBARTON DRIVE

500.00

2445A NW LOOP



22308


STEPHENVILLE

ALEXANDRIA

AMERIS BANK

SELF-EMPLOYED



NATL COMMUNITY PHAR ASSOC

17

24

24

850.00

2014

29

2014

2014

Image# 14940271685

10

10

12

103

BRIAN D. HOEY

2013

2013

EDMUND HORTON

2013

MICHAEL HODGES

MARKET PRESIDENT

PHARMACIST

PHARMACIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


1000.00

2600.00

1000.00

2600.00

500.00

GA

GA

P.O. BOX 800

218 FIVE POUNDS ROAD

500.00

816 WILMINGTON ISLAND ROAD



31310


SAVANNAH

HINESVILLE

THE COASTAL BANK

OPTIM HEALTH



JONES, OSTEEN & JONES

17

30

21

4100.00

2014

30

2014

2014

Image# 14940271686

10

12

12

103

BILLY JONES

2013

2013

SUNDERRAJ KAMALESON

2013

WAYNE JOHNSON

BANKER

ATTORNEY

PHYSICIAN


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


1000.00

500.00

1000.00

500.00

500.00

GA

GA

218 MEDINAH

849 WOODSDALE TERRACE

500.00

211 MALLARD LOOP ROAD



31522

GAMACON

SAVANNAH

ST. SIMON'S ISLAND

SELF-EMPLOYED

OPTIM HEALTH



RICH PRODUCT CORP.

25

03

21

2000.00

2014

31

2014

2014

Image# 14940271687

10

12

11

103

JACK KILGORE

2013

2013

MICHAEL KLEINPETER

2013

MARSHA KAPILOFF

PHARMACIST

DIV. PRESIDENT

CEO


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


300.00

1000.00

300.00

1000.00

1000.00

GA

GA

P.O. BOX 330

1416 WALTHOUR ROAD

1000.00

1031 HEIDI TRAIL



31333

GASAVANNAH

BUCKHEAD

WALTHOURVILLE

EMERGENCY MEDICINE

THRIFY MAC DISCOUNT DRUG



GA ASSOC. OF WATER PROS.

30

19

07

2300.00

2014

32

2014

2014

Image# 14940271688

11

11

12

103

PAUL KREBS

2013

2013

GEORGE LAUNIUS

2013

BRIAN KORNBLATT

PHYSICIAN

PRESIDENT

PHARMACIST OWNER


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


250.00

500.00

250.00

500.00

350.00

GA

KS

2467 DEMERE ROAD

13 ROCKLEDGE LANE

350.00

13690 HIGHLAND SPRINGS



31522

PATUNKHANNOCK

WICHITA

ST. SIMON'S ISLAND

SELF-EMPLOYED

PRESTON PHARMACY



COASTAL CPAS LLC

24

20

30

1100.00

2014

33

2014

2014

Image# 14940271689

10

12

10

103

BEN LEE

2013

2013

ELLIOTT LEKAWA

2013

JOSEPH LECH

PHARMACIST

CPA

PHARMACIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


250.00

2000.00

250.00

1000.00

250.00

GA

GA

191 MERION ST.

1307 OYSTER POINT DRIVE

250.00

P.O. BOX 1643



31522

TXSUGAR LAND

ATHENS

ST. SIMONS ISLAND

PCCA

WESTERN JUDICIAL CIRCUIT



ALTAMA PHARMACY

25

02

19

1500.00

2014

34

2014

2014

Image# 14940271690

11

12

10

103

LON LEWIS

2013

2013

DAVID LOCK

2013

WILLIAM LETENDRE

PHARMACIST

PHARMACIST

ASSISTANT DA


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


250.00

1000.00

250.00

500.00

300.00

GA

GA

1082 JUDITH WAY

140 MOODY BRIDGE NE

300.00

1690 DRUID HILLS ROAD



30324

GALUDOWICI

ATLANTA

ATLANTA

LUDOWICI DRUGS

FROGUE CLARK LLC



GA ACADEMY OF IND PHARMACIES

18

31

20

1050.00

2014

35

2014

2014

Image# 14940271691

12

12

10

103

JEFF LUREY

2013

2013

JOSHUA MACKEY

2013

DALE LONG

TECH

PHARMACIST

DIR. OF STATE GOV. RELATIONS


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


200.00

1000.00

450.00

500.00

500.00

GA

GA

200 SUGARCANE DRIVE

2 RICHARDS AVENUE

500.00

5 NOBLE JONES LANE



30643

NJSUCCASUNNA

SAVANNAH

HARTWELL

PHARMACY PLUS NETWORK

RANITZ, MAHONEY, MAHONEY & PAC



MADDEN'S PHARMACY

30

18

25

1200.00

2014

36

2014

2014

Image# 14940271692

11

10

12

103

EDDIE MADDEN

2013

2013

TOM MAHONEY Jr.

2013

SRINIVAS MADDALI

PHARMACIST

PHARMACIST

ATTORNEY


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


500.00

500.00

500.00

500.00

250.00

GA

NJ

220 RICE MILL

4509 BELVEDERE PLACE

250.00

211 BENNINGTON TER



31522

GAMARIETTA

PARAMUS

ST. SIMON'S ISLAND

MALONE LAW

NEW AMSTERDAM DRUG MART



MCGINTY, GORDON & ASSOC.

18

17

24

1250.00

2014

37

2014

2014

Image# 14940271693

10

12

10

103

MICHAEL MALOY

2013

2013

SUNIL MANDALAPU

2013

ADAM MALONE

LAWYER

INSURANCE AGENT

PHARMACIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


350.00

350.00

350.00

350.00

350.00

TX

GA

410 GOLF CREST LANE

1480 ROSWELL ROAD

350.00

316 STEPHENSON AVENUE



78734

GAMARIETTA

SAVANNAH

AUSTIN

EAST MARIETTA DRUGS

ENDO ASSOC. OF SAVANNAH



DRIPPING SPRINGS PHARMACY

24

24

18

1050.00

2014

38

2014

2014

Image# 14940271694

10

10

10

103

JAMES MARTIN

2013

2013

REBECCA MARTIN

2013

PAMALA MARGUESS

PHARMACIST

PHARMACIST

ENDODONTIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


500.00

1000.00

500.00

1000.00

500.00

TX

FL

2535 ELDORADO PKWY

206 WYMBERLY ROAD

500.00

42 W MAIN STREET



75070


LAKELAND

MCKINNEY

VEMAR LLC

LAKELAND DRUG CO.



PARAGON HEALTHCARE

17

31

19

2000.00

2014

39

2014

2014

Image# 14940271695

12

12

12

103

BRUCE MCANALLY

2013

2013

IVEY MCCURDY

2013

VERNON MARTIN

PRESIDENT

PHARMACIST

PHARMACIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


350.00

350.00

350.00

350.00

250.00

LA

GA

4803 HESSMER AVENUE

P.O. BOX 467

250.00

17 MAD TURKEY CROSSING



70002

OKELK CITY

SAVANNAH

METAIRIE

PAUL JONES DRUGS

ENDODONTIC ASSOC OF SAVANNAH



SELF-EMPLOYED

24

24

05

950.00

2014

40

2014

2014

Image# 14940271696

10

10

10

103

KERRY MILANO

2013

2013

DALE MILES

2013

GINA MEADOR

DPH

PHARMACIST

ENDODONTIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


2600.00

1000.00

2600.00

1000.00

350.00

GA

AL

709 MILLER STREET

39 COVE DRIVE

350.00

3480 EASTERN BLVD.



30582

GASAVANNAH

MONTGOMERY

YOUNG HARRIS

ENDODONTIC ASSOC. OF SAVANNAH

INSTITUTIONAL PHARMACY SOLUTIO



RETIRED

09

17

07

3950.00

2014

41

2014

2014

Image# 14940271697

11

12

10

103

ZELL MILLER

2013

2013

DANIEL MIMS

2013

DEREK MILES

ENDODONTIST

RETIRED

PHARMACIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


600.00

500.00

600.00

500.00

250.00

FL

GA

4369 ST. ALBANS DRIVE

4177 US HWY 319 S

250.00

P.O. BOX 127



32257

GATIFTON

BLAIRSVILLE

JACKSONVILLE

MOON'S PHARMACY

NELSON TRACTOR COMPANY



PANAMA PHARMACY

18

24

17

1350.00

2014

42

2014

2014

Image# 14940271698

12

10

10

103

WILLIAM NAPIER

2013

2013

W.C. NELSON

2013

CYNTHIA MOON

PHARMACIST

PHARMACIST

OWNER


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


500.00

1000.00

500.00

1000.00

500.00

GA

GA

1 DEER RUN

1325 D STREET NE

500.00

4711 EASTBOURNE DRIVE NE



31411

DCWASHINGTON

ROSWELL

SAVANNAH

CAPITOL COUNSEL LLC

MCKESSON PROVIDER TECHNOLOGIES



OPTIM HEALTH

16

21

17

2000.00

2014

43

2014

2014

Image# 14940271699

12

10

12

103

CHRISTOPHER NICHOLS

2013

2013

JERRY NIX

2013

KYLE NEVINS

CONSULTANT

PHYSICIAN

CLINICAL PROGRAM MANAGER


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


500.00

250.00

500.00

250.00

350.00

GA

GA

P.O. BOX 1309

1505 E BJ TUNNELL BLVD.

350.00

P.O. BOX 2387



31310

OKMIAMI

BLAIRSVILLE

HINESVILLE

OSBORNE DRUGS

RETIRED



OSTEEN & OSTEEN

25

17

17

1100.00

2014

44

2014

2014

Image# 14940271700

12

12

10

103

JOEL OSTEEN

2013

2013

PAUL OWENBY

2013

WILLIAM OSBORNE

PHARMACIST

ATTORNEY

RETIRED


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


250.00

500.00

250.00

500.00

250.00

GA

CA

4295 OLD HWY 76

2 KENTUCKY AVENUE

250.00

19848 SUNSET VISTA ROAD



30513

GASAVANNAH

WALNUT

BLUE RIDGE

EPRA LAW

SELF-EMPLOYED



PARRIS PHARMACY

20

22

24

1000.00

2014

45

2014

2014

Image# 14940271701

10

10

12

103

MARK PARRIS

2013

2013

INDRAUADAN PATEL

2013

PAUL PAINTER

LAWYER

PHARMACIST

PHARMACIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


250.00

500.00

250.00

500.00

250.00

GA

GA

106B ROCK QUARRY ROAD

1350 ARBORWOOD RIDGE

250.00

1184 RIVER DRIVE SW



30281

GABISHOP

DARIEN

STOCKBRIDGE

FIERET PHARMACY

AMERIS BANK



PIERCE PHARMACY MGMT.

07

31

17

1000.00

2014

46

2014

2014

Image# 14940271702

12

12

11

103

LOREN PIERCE

2013

2013

HOWARD POE

2013

DONALD PIELA Jr.

PHARMACIST

PHARMACIST

CORPORATE LENDER


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


250.00

750.00

250.00

250.00

250.00

GA

GA

103 NORTH MAIN STREET

1372 MOUNTAIN PARK DRIVE

250.00

1091 KINGS ROAD



31313

GAKENNESAW

MIDWAY

HINESVILLE

MORRIS, MANNING & MARTIN

STATE FARM



RATCLIFFE & SMITH PC

18

17

17

750.00

2014

47

2014

2014

Image# 14940271703

12

12

10

103

THOMAS J. RATCLIFFE Jr.

2013

2013

MELISSA RAY

2013

GERALD POUNCEY Jr.

ATTORNEY/PARTNER

ATTORNEY

INSURANCE AGENT


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


500.00

250.00

500.00

250.00

300.00

AR

IN

19300 RILEY ROAD

1420 EVANS STREET

300.00

1150 EASTPORT CENTRE DRIVE



72206

GABAINBRIDGE

VALPARAISO

LITTLE ROCK

BAINBRIDGE PHARMACY

IN TOUCH PHARMACEUTICALS



ARKANSAS PHARMACIST ASSOC.

24

24

07

1050.00

2014

48

2014

2014

Image# 14940271704

11

10

10

103

MARK RILEY

2013

2013

RICK RONDINELLI

2013

EDWARD REYNOLDS

PHARMACIST

PHARMACIST

PHARMACIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


500.00

1000.00

500.00

1000.00

250.00

GA

GA

25 BARNETT DRIVE

108 CAROLINES RETREAT

250.00

37 LITTLE COMFORT ROAD



31406

GASAVANNAH

SAVANNAH

SAVANNAH

PADEREWSKI & ROUTHIER

JERRY BEETS & ASSOCIATES



SELF-EMPLOYED

18

18

27

1750.00

2014

49

2014

2014

Image# 14940271705

12

10

10

103

LARRY SCHMITZ

2013

2013

GREG SEDLOCK

2013

JULIE ANN ROUTHIER

DENTIST

DENTIST

INSURANCE AGENT


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


250.00

450.00

250.00

350.00

300.00

GA

PA

785 RALEIGH COURT

3808 SEVILLE ROAD

300.00

120 WILLOW LAKE DRIVE



30064

TXDENTON

CARLISLE

MARIETTA

COMMUNITY PHARMACY

HARRISBURG PHARMACY



SELF-EMPLOYED

24

24

24

900.00

2014

50

2014

2014

Image# 14940271706

10

10

10

103

JOHN SHERRER

2013

2013

DARRIN SILBAUGH

2013

KELLY SELBY

PHARMACIST

PHARMACIST

PHARMACIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


300.00

350.00

300.00

350.00

500.00

PA

GA

19 ERICA DRIVE

112 W. OAK STREET

500.00

13 W. BLUFF DRIVE



15701

GAMCRAE

SAVANNAH

INDIANA

SMITH'S PHARMACY

GA SKIN & CANCER CENTER



MEANS-LAUF SUPER DRUG

07

24

07

1150.00

2014

51

2014

2014

Image# 14940271707

11

10

11

103

DAVID SMITH

2013

2013

SIDNEY SMITH

2013

DANNY SMITH

PHARMACIST

PHARMACIST

PHYSICIAN


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


250.00

1000.00

250.00

1000.00

250.00

NY

KY

P.O. BOX 5269

12911 CHIPSTEAD ROAD

250.00

412 COUNTRY CLUB DRIVE



12205

VACHESTER

LEBANON

ALBANY

NAT'L ALLIANCE OF STATE ASSOC.

SELF-EMPLOYED



CLOUGH HARBOUR & ASSOCIATES

24

18

20

1500.00

2014

52

2014

2014

Image# 14940271708

12

10

10

103

JOHN SOBIECH

2013

2013

FRANK SOUTHALL

2013

REBECCA SNEAD

PHARMACIST

ENGINEER/PARTNER

PHARMACIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


500.00

250.00

500.00

250.00

100.00

GA

NJ

718 MERGANSER CIR.

1 OLD SOUTH LANE

350.00

2 WHISPERING WOODS



30427

GASAVANNAH

OAKLAND

GLENNVILLE

STEVENS, HALE & ASSOCIATES

MELBRAN PHARMACY



SELF-EMPLOYED

03

28

24

850.00

2014

53

2014

2014

Image# 14940271709

10

10

12

103

DENNIS STRICKLAND

2013

2013

KOMAR SURANENI

2013

HENRY STEVENS

INSURANCE

PHARMACIST

PHARMACIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


500.00

1000.00

500.00

1000.00

500.00

GA

GA

P.O. BOX 269

P.O. BOX 398

500.00

114 N. MARSH ROAD



31082

GABLAIRSVILLE

SAVANNAH

SANDERSVILLE

UNITED COMMUNITY BANK

COMPOUNDING SOLUTIONS OF SAVH



SANDERSVILLE RAILROAD CO.

17

31

17

2000.00

2014

54

2014

2014

Image# 14940271710

10

12

12

103

CHARLES TARBUTTON

2013

2013

DAVID TAYLOR

2013

JIMMY TALLENT

PRESIDENT/CEO

ASSISTANT VP

PHARMACIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


1000.00

500.00

1000.00

500.00

500.00

GA

PA

12854 WAYCROSS HWY

4069 WHITETAIL DRIVE

500.00

105 LAVYNNDON LANE



31560

NYCANANDAIANA

MECHANICSBURG

SCREVEN

SELF-EMPLOYED

RITE AID CORP



RETIRED

24

18

01

2000.00

2014

55

2014

2014

Image# 14940271711

10

10

10

103

LINDSAY THOMAS

2013

2013

ROBERT THOMPSON

2013

KIM TENREIRO

PHARMACIST

RETIRED

EXEC VP


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


200.00

2600.00

450.00

2600.00

250.00

FL

GA

15966 LAUREL CREEK DRIVE

P.O. BOX 607

250.00

10 WINDWALK LN



33446

GABRUNSWICK

SAVANNAH

DELRAY BEACH

SEASCAPE COMPANY

N/A



GUARDIAN PHARMACY

17

31

25

3050.00

2014

56

2014

2014

Image# 14940271712

11

12

12

103

ALAN TRASTER

2013

2013

WILLIAM ULMER

2013

KEN TOLLISON

REALTOR

PHARMACIST

RETIRED


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


In-kind - CATERING & ROOM RENTAL FOR F/REVENT

486.34

250.00

1736.34

250.00

250.00

GA

GA

599 MINGARRY DRIVE

1206 OLD CADET ROAD

250.00

306C MCALPIN DRIVE



31324

MOBONNE TERRE

SAVANNAH

RICHMOND HILL

PARKLAND HEALTH MART

SELF-EMPLOYED



SELF-EMPLOYED

24

17

31

986.34

2014

57

2014

2014

Image# 14940271713

12

12

10

103

CARL VARNEDOE

2013

2013

ROBERT VAUGHT

2013

LISA UMFLEET

PHARMACIST

ATTORNEY

ORTHODONTIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


500.00

350.00

500.00

350.00

500.00

NE

GA

1040 Q STREET

P.O. BOX 7061

500.00

244 BRADLEY CREEK DRIVE



68361

VAALEXANDRIA

SAVANNAH

GENEVA

CAPITAL COUNSEL LLC

O.C. WELCH FORD LINCOLN



WEAVER PHARMACY

17

24

18

1350.00

2014

58

2014

2014

Image# 14940271714

10

10

12

103

WILLIAM WEAVER

2013

2013

O.C. WELCH III

2013

JEFF WALTER

PARTNER

PHARMACIST

PRESIDENT


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


350.00

500.00

350.00

500.00

250.00

AL

AK

3494 GARRISON STREET

250 WAGON ROAD

250.00

117 GRANITE CREEK



35903

GASYLVANIA

SITKA

GADSDEN

WELLS PHARMACY SERVICES

WHITE'S PHARMACY



HOKES BLUFF DRUG SHOPPE

31

31

24

1100.00

2014

59

2014

2014

Image# 14940271715

10

12

12

103

CANDACE WEST

2013

2013

DIRK WHITE

2013

DAVID WELLS

PHARMACIST

PHARMACIST

PHARMACIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


1000.00

1000.00

1000.00

1000.00

500.00

GA

GA

320 HASCALL ROAD NW

10424 FOREST MEADOW DRIVE

500.00

113 BRADLEY CREEK CROSSING


88326.96


30309

OKOKLAHOMA CITY

SAVANNAH

ATLANTA

PPOA

SELF-EMPLOYED



CONCORD PHARMACY

25

30

18

2500.00

2014

60

2014

2014

Image# 14940271716

10

10

10

103

WILLIAM YORK

2013

2013

Dr. W. LEE YOUNG Jr.

2013

LONNY WILSON

PHARMACIST

PHARMACIST

PERIODONTIST


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


1000.00

2500.00

1000.00

2500.00

500.00

PA

DC

1300 MORRIS DRIVE

100 ABBOTT PARK RD.

500.00

600 NEW HAMPSHIRE AVENUE, NW


20037Transaction ID : SA11C.5747

19355

ILABBOTT PARK

WASHINGTON

CHESTERBROOK

C00400929

C00040279

C00150797

Transaction ID : SA11C.571560064


03

20

17

4000.00

2014

61

2014

2014

Image# 14940271717

12

12

12

103

D312 AP6D-2

SUITE 100

AMERISOURCEBERGEN CORPORATION POLITICAL ACTION COMMITTEE (ABC PAC)

2013

2013

BLANK ROME PAC

2013

ABBOTT LABORATORIES EMPLOYEE POLITICAL ACTION COMMITTEE


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


2000.00

1000.00

2000.00

1000.00

1000.00

GA

WI

P. O. BOX 232

ONE OXFORD CENTRE, MILES H. SIMON

1000.00

1550 COLUMBUS STREET



31714

PAPITTSBURGH

SUN PRAIRIE

ASHBURN

C00450866

C00195388

C00508309



20

03

19

4000.00

2014

62

2014

2014

Image# 14940271718

11

12

12

103

301 GRANT STREET 20TH FLOOR

CONCORDIA POLITICAL ACTION COMMITTEE, INC.

2013

2013

INDEPENDENT PHARMACY COOPERATIVE PAC (IPC PAC)

2013

BUCHANAN INGERSOLL & ROONEY PC COMMITTEE FOR EFFECTIVE GOVERNMENT 'BIRPC PAC'


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


1000.00

2500.00

1000.00

2500.00

1000.00

PA

GA

30 HUNTER LANE

1301 CONCORD TERRACE

1000.00

P.O. BOX 4418



17011

FLSUNRISE

ATLANTA

CAMP HILL

C00104083

C00469205

C00009639



18

17

25

4500.00

2014

63

2014

2014

Image# 14940271719

10

12

10

103

MC 041

RITE AID CORPORATION POLITICAL ACTION COMMITTEE

2013

2013

SUNTRUST BANK GOOD GOVERNMENT GROUP - GEORGIA

2013

MEDNAX, INC. FEDERAL POLITICAL ACTION COMMITTEE


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


1000.00

1000.00

2500.00

DE

C/O ZENECA INC.

104 WILMOT ROAD MS #1447

2500.00


16000.00

19850

ILDEERFIELD

WILMINGTON

C00279455

C00160770



30

03

3500.00

2014

64

2014

Image# 14940271720

12

12

103

1800 CONCORD PIKE, PO BOX 15437

ZENECA INC. POLITICAL ACTION COMMITTEE

2013

2013

WALGREEN CO PAC


ITEMIZED RECEIPTS




! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.


Date of Receipt


! ! ! , , .




Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.


Date of Receipt


! ! ! , , .







12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y


! ! ! , , .


! ! ! , , .


! ! ! , , .


50000.00

406 PURPLE FINCH DR

200000.00


50000.00

GAPOOLER

H4GA01039

CARTER'S PHARMACY

Transaction ID : SA13A.621431322

31

50000.00

2014

65

Image# 14940271721

12

103

2013

EARL LEROY CARTER

PHARMACIST

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS




! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................


FEC Schedule B (Form 3) (Revised 02/2009)


Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement


Mailing Address


! ! ! , , .

B. Date of Disbursement


Mailing Address


! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)


Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

P.O. BOX 53852

P.O. BOX 53852

402 E. MONTGOMERY CROSSROAD

302.12

29.20

7.95


Transaction ID : SB17.6070

AZ

AZ

GA

85072-3852

31406

85072-3852



10

10

MERCHANT FEES

10

MERCHANT FEES

CAMPAIGN T-SHIRTS

2013

339.27

ADVERTISING SPECIALTY SERVICES

2014

AMERICAN EXPRESS

2013

AMERICAN EXPRESS

66

2014

2014

2013

Image# 14940271722

31

103

01

29

PHOENIX

SAVANNAH

PHOENIX

001

004

001

FE5AN018






! ! ! , , .





Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Candidate Name


Senate

President

State: District:




Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

P.O. BOX 53852

P.O. BOX 53852

P.O. BOX 53852

297.35

7.95

193.60



AZ

AZ

AZ

85072-3852

85072-3852

85072-3852



11

12

MERCHANT FEES

10

MERCHANT FEES

MERCHANT FEES

2013

498.90

AMERICAN EXPRESS

2014

AMERICAN EXPRESS

2013

AMERICAN EXPRESS

67

2014

2014

2013

Image# 14940271723

31

103

27

02

PHOENIX

PHOENIX

PHOENIX

001

001

001

FE5AN018






! ! ! , , .





Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Candidate Name


Senate

President

State: District:




Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

200 EAST ST. JULIAN STREET

P.O. BOX 53852

P.O. BOX 53852

7.95

84.41

3432.00

STE 603



GA

AZ

AZ

31401

85072-3852

85072-3852



12

11

ACCOUNTING FEES

12

MERCHANT FEES

MERCHANT FEES

2013

3524.36

AMERICAN EXPRESS

2014

AMERICAN EXPRESS

2013

CAINES HODGES & COMPANY

68

2014

2014

2013

Image# 14940271724

27

103

27

20

PHOENIX

PHOENIX

SAVANNAH

001

001

001

FE5AN018






! ! ! , , .





Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Candidate Name


Senate

President

State: District:




Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

7031 HODGSON MEMORIAL DRIVE


3341 BENNING ROAD NE

SUITE C

76.00

2250.00

2000.00

SUITE C



GA

GA

DC

31406

20019

31406



10

10

FUNDRAISING CONSULTING

10


CAB FARE

2013

4250.00

CAPITOL CAB CO.

2014

CAPITOL COAST CONSULTING

2013


69

2014

2014

2013

Image# 14940271725

31

103

15

16

SAVANNAH

WASHINGTON

SAVANNAH

[MEMO ITEM]

003

002

003

FE5AN018






! ! ! , , .





Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Candidate Name


Senate

President

State: District:




Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y




SUITE C

SUITE C

3732.42

2250.00

190.49

SUITE C



GA

GA

GA

31406

31406

31406



10

11

INVITATIONS FOR FUNDRAISER AT THE LANDINGS

10


FUNDRAISER EXPENSES FOR ATLANTA FUNDRAISER

2013

6172.91


2014


2013


70

2014

2014

2013

Image# 14940271726

17

103

30

11

SAVANNAH

SAVANNAH

SAVANNAH

003

003

003

FE5AN018






! ! ! , , .





Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Candidate Name


Senate

President

State: District:




Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y




SUITE C

SUITE C

2250.00

2250.00

2250.00

SUITE C



GA

GA

GA

31406

31406

31406



11

12


11



2013

6750.00


2014


2013


71

2014

2014

2013

Image# 14940271727

15

103

30

15

SAVANNAH

SAVANNAH

SAVANNAH

003

003

003

FE5AN018






! ! ! , , .





Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Candidate Name


Senate

President

State: District:




Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

322 N MAIN STREET

200 C STREET SE

7031 HODGSON MEMORIAL DRIVESUITE C

2250.00

319.46

626.40



GA

DC

GA

31313

31406

20003



10

12

In-kind - TABLE & CHAIR RENTAL FOR F/R EVENT

12

LODGING


2013

2876.40


2014

CAPITOL HILL HOTEL

2013

JENNIFER CARDELLA

72

2014

2014

2013

Image# 14940271728

31

103

10

31

WASHINGTON

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17 18 19a 19b

20a 20b 20c 21

Disbursement For:

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State: District:

Category/Type

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Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

GA

406 PURPLE FINCH DR

1017 E. HWY 80

322 N MAIN STREET

SUITE 10

250.00

356.32

124.00



GA

GA

GA

31322

31313

31322



11

10

REIMBURSEMENT: SEE MEMO

12

POSTAGE FOR THANK YOU NOTES

In-kind - RENTAL OF F/R VENUE & POSTAGE

2013

730.32

MATT CARDELLA

2014

CARTER'S PHARMACY

2013

EARL LEROY CARTER

73

2014

2014

2013

Image# 14940271729

31

01

103

20

31

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Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

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Candidate Name


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President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

P.O. BOX 409

P.O. BOX 409

101 CONSTITUTION AVE NW

40.70

150.00

450.00



GA

GA

DC

30582

20001

30582



12

12

In-kind - CATERING EXPENSE FOR F/R EVENT

10

In-kind - ROOM RENTAL FOR F/R LUNCHEON

MEALS

2013

600.00

CHARLIE PALMER STEAK DC

2014

CATHY COX

2013

CATHY COX

74

2014

2014

2013

Image# 14940271730

10

103

06

06

YOUNG HARRIS

WASHINGTON

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Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

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Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

2041 MARTIN LUTHER KING JR

76 INMAN CIRCLE NE

76 INMAN CIRCLE NE

334.36

1000.00

16.77



DC

GA

GA

20020

30309

30309



10

10

CAB FARE

10

In-kind - ATLANTA FUNDRAISER EXPENSES


2013

1334.36

JASON D'CRUZ

2014

JASON D'CRUZ

2013

DC TAXICAB COMMISSION

75

2014

2014

2013

Image# 14940271731

16

103

16

10

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Category/Type

17 18 19a 19b

20a 20b 20c 21

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Primary General

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Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

5 W. BROUGHTON STREET


2041 MARTIN LUTHER KING JR

9.05

264.22

35.31



GA

GA

DC

31401

20020

31405



10

10

POSTAGE

10

In-kind - BEVERAGES FOR F/R EVENT

CAB FARE

2013

264.22

DC TAXICAB COMMISSION

2014

KEVIN DICKENSON

2013

FEDEX

76

2014

2014

2013

Image# 14940271732

10

103

10

10

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17 18 19a 19b

20a 20b 20c 21

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State: District:

Category/Type

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Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

75 JOHN WESLEY DOBBS AVE



756.12

756.12

756.12



GA

GA

GA

30303

30303

30303



10

11

PAYROLL EXPENSE

10

PAYROLL EXPENSE

PAYROLL EXPENSE

2013

2268.36

PHILLIP FORDHAM

2014

PHILLIP FORDHAM

2013

PHILLIP FORDHAM

77

2014

2014

2013

Image# 14940271733

10

103

24

07

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Category/Type

17 18 19a 19b

20a 20b 20c 21

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State: District:

Category/Type

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Primary General

Other (specify)


Candidate Name


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President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y




756.12

756.12

756.12



GA

GA

GA

30303

30303

30303



12

12

PAYROLL EXPENSE

11

PAYROLL EXPENSE

PAYROLL EXPENSE

2013

2268.36

PHILLIP FORDHAM

2014

PHILLIP FORDHAM

2013

PHILLIP FORDHAM

78

2014

2014

2013

Image# 14940271734

21

103

05

19

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Category/Type

17 18 19a 19b

20a 20b 20c 21

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President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


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President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

P.O. BOX 740234

P.O. BOX 740234

P.O. BOX 740234

189.38

133.24

165.22



GA

GA

GA

30374

30374-0234

30374



10

11

PAYROLL TAX EXPENSE

10

PAYROLL TAX DEPOSIT

PAYROLL TAX DEPOSIT

2013

487.84

GEORGIA DEPARTMENT OF LABOR

2014

GEORGIA DEPARTMENT OF REVENUE

2013


79

2014

2014

2013

Image# 14940271735

25

103

11

14

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Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

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President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

255 GOLD RIVERS CT.

255 GOLD RIVERS CT.

P.O. BOX 740234

FL 3

140.80

260.93

10.00

FL 3



CO

CO

GA

81621

30374

81621



10

11

MERCHANT FEES

12

MERCHANT FEES

PAYROLL TAX DEPOSIT

2013

411.73


2014

GLOBAL PAY

2013

GLOBAL PAY

80

2014

2014

2013

Image# 14940271736

10

103

02

04

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Category/Type

17 18 19a 19b

20a 20b 20c 21

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State: District:

Category/Type

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Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

255 GOLD RIVERS CT.

255 GOLD RIVERS CT.

255 GOLD RIVERS CT.

FL 3

FL 3

442.43

10.00

69.18

FL 3



CO

CO

CO

81621

81621

81621



12

12

MERCHANT FEES

11

MERCHANT FEES

MERCHANT FEES

2013

521.61

GLOBAL PAY

2014

GLOBAL PAY

2013

GLOBAL PAY

81

2014

2014

2013

Image# 14940271737

04

103

03

03

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Senate

President

State: District:




Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

507 ST. JOHN'S ROAD

2 ELIZABETH CIR.

1 AVIATION CIRCLE

10.84

479.75

175.00



GA

GA

DC

31313

20001

31406



10

11

DESIGN FEE FOR HINESVILLE FUNDRAISER

10


MEAL

2013

654.75

GORDON BIERSCH

2014

LEE HUGHES

2013

KATRINA BARROW

82

2014

2014

2013

Image# 14940271738

10

103

10

25

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Senate

President

State: District:




Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

11300 ATLANTIS PLACE



SUITE F

SUITE F

5745.90

5682.00

2000.00

SUITE F



GA

GA

GA

30022

30022

30022



11

12

POLLING AND STRATEGIC PLANNING

11

SOCIAL MEDIA/INTERNET CONSULTING

INSTALLATION & SETUP OF EMAIL MARKETING SYSTEM

2013

13427.90

LANDMARK COMMUNICATIONS

2014


2013


83

2014

2014

2013

Image# 14940271739

02

103

22

02

ALPHARETTA

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Senate

President

State: District:




Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

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Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

8724 FORD AVENUE

210 EAST DERENNE AVENUE

P.O. BOX 14558

950.00

291.36

67.50



GA

GA

GA

31324

31416

31405



10

10

GAS

10

ROOM RENTAL & REFRESHMENTS FOR FUNDRAISER

ADVERTISING RESEARCH & VIDEO

2013

1308.86

MONROE MARKETING

2014

OPTIM HEALTH

2013

PARKERS

84

2014

2014

2013

Image# 14940271740

16

103

21

04

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State: District:




Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

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Candidate Name


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President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


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President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

8724 FORD AVENUE

8724 FORD AVENUE

10 GODLEY STATION BLVD.

52.95

71.25

68.75



GA

GA

GA

31324

31322

31324



10

10

GAS

10

GAS

GAS

2013

192.95

PARKERS

2014

PARKERS

2013

PARKERS

85

2014

2014

2013

Image# 14940271741

15

103

21

28

RICHMOND HILL

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Senate

President

State: District:




Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

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Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


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President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

8724 FORD AVENUE


8724 FORD AVENUE

62.15

50.00

54.25



GA

GA

GA

31324

31324

31322



11

11

GAS

11

GAS

GAS

2013

166.40

PARKERS

2014

PARKERS

2013

PARKERS

86

2014

2014

2013

Image# 14940271742

04

103

05

12

POOLER

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Senate

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State: District:




Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

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Candidate Name


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President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


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President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

8724 FORD AVENUE

8724 FORD AVENUE

8724 FORD AVENUE

58.60

53.85

64.30



GA

GA

GA

31324

31324

31324



11

11

GAS

11

GAS

GAS

2013

176.75

PARKERS

2014

PARKERS

2013

PARKERS

87

2014

2014

2013

Image# 14940271743

12

103

18

21

RICHMOND HILL

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Senate

President

State: District:




Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

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Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

400 AIRWAYS AVENUE



45.60

68.80

24.00



GA

GA

GA

31408

31322

31322



12

10

PARKING

12

GAS

GAS

2013

114.40

PARKERS

2014

PARKERS

2013

SAVANNAH AIRPORT COMMISSION

88

2014

2014

2013

Image# 14940271744

16

103

27

10

POOLER

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Senate

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State: District:




Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

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Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

127 SWEET BAILEY COVE

1500 EPCOT RESORT BLVD.

400 AIRWAYS AVENUE

48.00

2234.20

1812.34



GA

FL

GA

31410

31408

32830



10

11

PRINTED INVITATIONS

10

CAMPAIGN FUNDRAISER AT NAT'L PHARMACY CONVENTION

PARKING

2013

4046.54

SAVANNAH AIRPORT COMMISSION

2014

SHERATON - WDW DOLPHIN RESORT

2013

SIMONS & ASSOCIATES

89

2014

2014

2013

Image# 14940271745

31

103

21

20

LAKE BUENA VISTA

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State: District:




Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

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Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

1029 NEW JERSEY AVE SE

460 AIRWAYS AVENUE

1915 E. VICTORY SQUARE DRIVE

38.51

7.91

18.72



DC

GA

GA

20003

31404

31408



10

10

CAB FARE

10

MEAL

OFFICE SUPPLIES

2013

0.00

STAPLES

2014

STARBUCKS

2013

SUN CAB

90

2014

2014

2013

Image# 14940271746

10

103

10

10

SAVANNAH

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State: District:




Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

1570 SOUTHLAND CIRCLE NW

PO BOX 9585

PO BOX 9585

64.37

70.40

216.82



GA

GA

GA

30318

31412-9585

31412-9585



12

10

RENTAL EQUIPMENT FOR ATLANTA FUNDRAISER

11

BANK FEES

BANK FEES

2013

134.77

THE COASTAL BANK

2014

THE COASTAL BANK

2013

TLC RENTS

91

2014

2014

2013

Image# 14940271747

29

103

27

16

SAVANNAH

SAVANNAH

ATLANTA

[MEMO ITEM]

001

001

FE5AN018






! ! ! , , .





Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Candidate Name


Senate

President

State: District:




Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

P.O. BOX 105083

331 1/2 PENNSYLVANIA AVE

2161 PIEDMONT ROAD NE

117.54

24.30

807.48



GA

DC

GA

30348

30324

20003



10

10

PAYROLL TAX DEPOSIT

10

MEAL

REFRESHMENTS FOR ATLANTA FUNDRAISER

2013

807.48

TOWER PACKAGE STORE

2014

TUNE INN INC

2013

UNITED STATES TREASURY

92

2014

2014

2013

Image# 14940271748

16

103

10

11

WASHINGTON

ATLANTA

ATLANTA

[MEMO ITEM]

[MEMO ITEM]

001

003

002

FE5AN018






! ! ! , , .





Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Candidate Name


Senate

President

State: District:




Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

4000 E. SKY HARBOR BLVD.

P.O. BOX 105083

P.O. BOX 105083

970.04

846.74

265.80



AZ

GA

GA

85034

30348

30348



12

10

AIRLINE TICKET

11

PAYROLL TAX DEPOSIT

PAYROLL TAX DEPOSIT

2013

2082.58


2014


2013

US AIRWAYS

93

2014

2014

2013

Image# 14940271749

14

103

13

11

ATLANTA

ATLANTA

PHOENIX

002

001

001

FE5AN018






! ! ! , , .





Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Candidate Name


Senate

President

State: District:




Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y




513.10

513.10

551.60



AZ

AZ

AZ

85034

85034

85034



11

11

AIRLINE TICKETS

11

AIRLINE TICKET

AIRLINE TICKETS

2013

1577.80

US AIRWAYS

2014

US AIRWAYS

2013

US AIRWAYS

94

2014

2014

2013

Image# 14940271750

18

103

19

22

PHOENIX

PHOENIX

PHOENIX

002

002

002

FE5AN018






! ! ! , , .





Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Candidate Name


Senate

President

State: District:




Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

1106 DRAYTON

TELFAIR SQUARE


551.60

115.00

650.76



GA

GA

AZ

31401

85034

31401-9991



11

10

PAYROLL EXPENSE

11

POSTAGE

AIRLINE TICKETS

2013

1317.36

US AIRWAYS

2014

US POSTAL SERVICE

2013

SARAH J VARDIAN

95

2014

2014

2013

Image# 14940271751

22

103

08

10

SAVANNAH

PHOENIX

SAVANNAH

001

002

001

FE5AN018






! ! ! , , .





Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Candidate Name


Senate

President

State: District:




Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

1106 DRAYTON

1106 DRAYTON

1106 DRAYTON

24.63

571.76

14.12



GA

GA

GA

31401

31401

31401



10

10

MILEAGE REIMBURSEMENT

10

PAYROLL EXPENSE


2013

610.51

SARAH J VARDIAN

2014

SARAH J VARDIAN

2013

SARAH J VARDIAN

96

2014

2014

2013

Image# 14940271752

10

103

24

25

SAVANNAH

SAVANNAH

SAVANNAH

001

001

001

FE5AN018






! ! ! , , .





Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Candidate Name


Senate

President

State: District:




Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

1106 DRAYTON

1106 DRAYTON

1106 DRAYTON

14.12

517.28

414.81



GA

GA

GA

31401

31401

31401



11

11

PAYROLL EXPENSE

11

PAYROLL EXPENSE


2013

946.21

SARAH J VARDIAN

2014

SARAH J VARDIAN

2013

SARAH J VARDIAN

97

2014

2014

2013

Image# 14940271753

07

103

07

21

SAVANNAH

SAVANNAH

SAVANNAH

001

001

001

FE5AN018






! ! ! , , .





Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Candidate Name


Senate

President

State: District:




Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

306C MCALPIN DRIVE

1106 DRAYTON

1106 DRAYTON

411.04

294.31

486.34



GA

GA

GA

31406

31401

31401



12

12

In-kind - CATERING & ROOM RENTAL FOR F/R EVENT

12

PAYROLL EXPENSE

PAYROLL EXPENSE

2013

1191.69

SARAH J VARDIAN

2014

SARAH J VARDIAN

2013

ROBERT VAUGHT

98

2014

2014

2013

Image# 14940271754

05

103

19

31

SAVANNAH

SAVANNAH

SAVANNAH

001

001

FE5AN018






! ! ! , , .





Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Mailing Address


! ! ! , , .



Candidate Name


Senate

President

State: District:




Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)


Candidate Name


Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

1399 NEW YORK AVENUESUITE 725

598.30


62653.89

DC 20005


12

ROOM RENTAL & CATERING FOR FUNDRAISER

2013

598.30

WALGREEN'S

2014

99

Image# 14940271755

12

103

WASHINGTON

003

FE5AN018

SCHEDULE C (FEC Form 3)

LOANS

PAGE OF

Use separate schedule(s)




SUBTOTALS This Period This Page (optional) .................................................................

TOTALS This Period (last page in this line only) .............................................................

FEC Schedule C (Form 3) (Revised 02/2003)

Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.

Name of Employer

Occupation

List All Endorsers or Guarantors (if any) to Loan Source

, , .

, , .

, , . , , . , , .

Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period

Date Incurred Date Due Interest Rate Secured:

Yes No . % (apr)

Election:

Primary

General

Other (specify)

LOAN SOURCE Full Name (Last, First, Middle Initial)

Mailing Address

City State ZIP Code

1. Full Name (Last, First, Middle Initial)

Mailing Address

City State ZIP Code , , .

Amount

Guaranteed

Outstanding:

Name of Employer

Occupation


Mailing Address

City State ZIP Code , , .Amount

Guaranteed

Outstanding:

Name of Employer

Occupation


Mailing Address


Guaranteed

Outstanding:

Name of Employer

Occupation


Mailing Address


Amount

Guaranteed

Outstanding:

TERMS

FOR LINE NUMBER:

(check only one) 13a

13b


0.00

Transaction ID : SC/10.4216

[PERSONAL FUNDS]

EARL LEROY CARTER

GA

2013


30

406 PURPLE FINCH DR

0.0004

POOLER

50000.00

2014

50000.00

100

50000.00

Image# 14940271756

103

12/1/2015

31322

FE5AN018


LOANS

PAGE OF









Name of Employer

Occupation


, , .

, , .

, , . , , . , , .



Yes No . % (apr)

Election:

Primary

General

Other (specify)


Mailing Address

City State ZIP Code


Mailing Address


Amount

Guaranteed

Outstanding:

Name of Employer

Occupation


Mailing Address


Guaranteed

Outstanding:

Name of Employer

Occupation


Mailing Address


Guaranteed

Outstanding:

Name of Employer

Occupation


Mailing Address


Amount

Guaranteed

Outstanding:

TERMS

FOR LINE NUMBER:


13b


0.00


[PERSONAL FUNDS]

EARL LEROY CARTER

GA

2013


28

406 PURPLE FINCH DR

0.0006

POOLER

50000.00

2014

50000.00

101

50000.00

Image# 14940271757

103

12/1/2015

31322

FE5AN018


LOANS

PAGE OF









Name of Employer

Occupation


, , .

, , .

, , . , , . , , .



Yes No . % (apr)

Election:

Primary

General

Other (specify)


Mailing Address

City State ZIP Code


Mailing Address


Amount

Guaranteed

Outstanding:

Name of Employer

Occupation


Mailing Address


Guaranteed

Outstanding:

Name of Employer

Occupation


Mailing Address


Guaranteed

Outstanding:

Name of Employer

Occupation


Mailing Address


Amount

Guaranteed

Outstanding:

TERMS

FOR LINE NUMBER:


13b


0.00


[PERSONAL FUNDS]

EARL LEROY CARTER

GA

2013


30

406 PURPLE FINCH DR

0.0009

POOLER

50000.00

2014

50000.00

102

50000.00

Image# 14940271758

103

12/1/2015

31322

Documents

REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/657/14940271657/14940271657.pdf · 2014. 1. 31. · SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS Any information copied from