15
State of Georgia Campaign Contribution Disclosure Report FILER ID: C2012000034 CFC FORM CCDR REV 1/11 1. Report Type 2. Filing is being made on behalf of: Filing Office Use Only Use Earlier of Post Mark or Hand Delivered Date E-Filed on 4/2/12 10:06 pm Original Report Candidate or Public Official C2012000034 - Committee to Elect Mary Davis Commissioner Mary Fair Davis County Commissioner, District 3 3. Identifying and Contact Information (1) Mary Fair Davis Full Name of Candidate or Non-Candidate Campaign Committee (3) 1100 Frazier Drive Augusta, GA 30909 Mailing Address (4) Telephone number is unavailable. Contact Phone Number (We will understand the release of this information as permission to call your office if necessary.) (5) If a Candidate or Public Official, is there a campaign committee (one or more persons) to make campaign transactions, keep the financial records of the campaign, or file the reports? YES (6) If so, is the Committee registered with the State Ethics Commission? YES (7) Chairperson: Clayton Pierce Boardman, lll Treasurer: William Patrick Fair Name of Chairperson and / or Treasurer of Committee (2) 03/29/2012 Today's Date 4. Period for which you are Reporting June 30, 2012 Dec. 31, 2012 March 31, 2012 June 30, 2012 September 30, 2012 October 25, 2012 December 31, 2012 6 days before Special Run-Off, 2012 6 days before Special Primary Run-Off, 2012 6 days before General Run-Off, 2012 6 days before Primary Run-Off, 2012 Dec. 31, 2012 15 days before Special, 2012 15 days before Special Primary, 2012 My Non Election Year My Election Year Run-Offs (Report Require Only if you are in a Run Off Election) Special Elections (Report Require Only if you are in a Special Election) Persons elected to office in each year following the year in which the election occurs Persons leaving office with excess funds until such funds are expended as provided in the Act Unsuccessful candidates with excess funds, or who receive contributions to retire debt incurred, until such funds are expended, or such unpaid debts are satisfied (December 31 filing only) X The electronic filing of this document constitutes an affirmation that the statement is true, complete, and correct. As per modifications of the Ethics in Government Act, filing a separate notarized affidavit is no longer required. See O.C.G.A. §§ 21-5-34.1(e) and 21-5-50(e). Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original Electronically Filed with the Georgia Government Transparency and Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

Mary Fair Davis Filing

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Page 1: Mary Fair Davis Filing

State of Georgia

Campaign Contribution Disclosure Report

FILER ID: C2012000034CFC FORM CCDR

REV 1/11

1. Report Type 2. Filing is being made on behalf of: Filing Office Use

Only

Use Earlier of Post

Mark or Hand

Delivered Date

E-Filed on

4/2/12 10:06 pmOriginal Report

Candidate or Public Official

C2012000034 -

Committee to Elect Mary Davis Commissioner

Mary Fair Davis

County Commissioner, District 3

3. Identifying and Contact Information

(1) Mary Fair Davis

Full Name of Candidate or Non-Candidate Campaign Committee

(3) 1100 Frazier Drive Augusta, GA 30909

Mailing Address

(4) Telephone number is unavailable.

Contact Phone Number (We will understand the release of this information as permission to call your office if necessary.)

(5) If a Candidate or Public Official, is there a campaign committee (one or more persons) to make campaign transactions, keep the financial records

of the campaign, or file the reports? YES (6) If so, is the Committee registered with the State Ethics Commission? YES

(7) Chairperson: Clayton Pierce Boardman, lll Treasurer: William Patrick Fair

Name of Chairperson and / or Treasurer of Committee

(2) 03/29/2012 Today's Date

4. Period for which you are Reporting

June 30, 2012

Dec. 31, 2012

March 31, 2012

June 30, 2012

September 30, 2012

October 25, 2012

December 31, 2012 6 days before Special

Run-Off, 2012

6 days before Special

Primary Run-Off,

2012

6 days before General

Run-Off, 2012

6 days before Primary

Run-Off, 2012

Dec. 31, 2012

15 days before

Special, 2012

15 days before

Special Primary,

2012

My Non Election Year My Election Year Run-Offs(Report Require Only if you are in a Run Off

Election)

Special Elections(Report Require Only if you are in a Special

Election)

Persons elected to office in each year

following the year in which the election

occurs

Persons leaving office with excess funds

until such funds are expended as provided in

the Act

Unsuccessful candidates with excess funds,

or who receive contributions to retire debt

incurred, until such funds are expended, or

such unpaid debts are satisfied (December

31 filing only)

X

The electronic filing of this document constitutes an affirmation that the statement is true, complete,

and correct. As per modifications of the Ethics in Government Act, filing a separate notarized

affidavit is no longer required. See O.C.G.A. §§ 21-5-34.1(e) and 21-5-50(e).

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original

Electronically Filed with the Georgia Government Transparency and

Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

Page 2: Mary Fair Davis Filing

CFC FORM CCDR

REV 1/11 FILER ID: C2012000034

State of Georgia

Campaign Contribution Disclosure Report

Summary Report

CONTRIBUTIONS RECEIVED

Cash AmountIn-Kind

Estimated Value

$0.00

$10,290.00

$25,025.00

$0.00

$0.00

$35,315.00

$35,315.00

$0.00

$1,355.50

$0.00

$1,355.50

$1,355.50

Total contributions previously reported.

Total amount of all itemized contributions received in this reporting period which are

listed on the "Itemized Contributions" page.

All loans received this reporting period.

Interest earned on campaign account this reporting period.

Total amount of all separate contributions of $100.00 or less received in this reporting

period and not listed on the "Itemized Contributions" page. "Common Source" contributions must be aggregated on the "Itemized Contributions" page.

Total contributions reported this reporting period.

(Line 3 + 3a + 3b +3c + 3d + 4)

Total contributions to date.

(Line 2 + 5)

Total expenditures made and reported prior to this reporting period.

Total amount of all itemized expenditures made in this reporting period which are

listed on the "Itemized Expenditures" page.

Total amount of all separate expenditures of $100.00 or less each that were made

in this reporting period and not listed on the "Itemized Expenditures" page.

Total expenditures reported this reporting period.

(Line 9 + 10)

Total expenditures to date.

(Line 8 + 11)

Amount of investments at the beginning of this reporting period.

$0.00

$158.85

$5,318.25

$5,477.10

$5,477.10

EXPENDITURES MADE

2

3

3a

3b

4

5

6

8

9

10

11

12

13

7

1

Cash Amount

I Have:

The following contributions, including Common Source, to report:

I Have:

The following expenditures to report:

In-Kind

Estimated

$0.00

$0.00

$0.00

$0.00

$0.00

14 Total amount of investments at the close of this reporting period.

Net Balance On Hand.

(Line 6 - 12 + 14)

15

$0.00

$0.00

$29,837.90

INVESTMENTS

3c

3d

Total amount of investments sold this reporting period.

Total amount of cash dividends and interest paid out this reporting period.$0.00

$0.00

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original

Electronically Filed with the Georgia Government Transparency and

Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

Page 3: Mary Fair Davis Filing

Outstanding Indebtedness

CFC FORM CCDR

REV 1/11

State of Georgia

Campaign Contribution Disclosure Report

Outstanding indebtedness at the beginning of this reporting period.

Loans received this reporting period.

Deferred payments of expenses this reporting period.

Payments made on loans this reporting period.

Credits received on loans/deferred payments this reporting period.

Payments this period on previously deferred expenses.

Total indebtedness at the close of this reporting period.

(line 1 + 2 + 3 - 4 - 5 - 6)

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

AmountGeneral 2012 Indebtedness

1

3

2

6

5

4

7

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original

Electronically Filed with the Georgia Government Transparency and

Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

Page 4: Mary Fair Davis Filing

Election

Cycle

Estimated Value

In-Kind ContributionsContributorFull Name of Contributor

Mailing Address

(Affiliation of Committee if any)Received Date

Contribution Type

a. Occupation &

b. Employer Description

Cash

Amount

Must list contributions received by a single contributor for which the aggregate total is more than $100.00

CFC FORM CCDR

REV 1/11 FILER ID: C2012000034

State of Georgia

Campaign Contribution Disclosure ReportItemized Contributions

03/08/2012General

$250.00 $0.00

Monetary

A & R Exterminating

PO Box 5764

Augusta, GA 30916

2012

02/29/2012General

$150.00 $0.00

Monetary

a. Sale

b. United BrokerageAdams, Jonathan and Mary

822 Windsor Ct

Augusta, GA 30909

2012

02/29/2012General

$300.00 $0.00

Monetary

a. Owner

b. Anderson Holding

Co

Anderson, Charles

729 Montrose Ct

Augusta, GA 30904

2012

02/22/2012General

$200.00 $0.00

Monetary

a. Owner

b. Howard Lumber CoBadger, Billy and Julie

2642 Henry St

Augusta, GA 30904

2012

02/08/2012General

$300.00 $0.00

Monetary

a. Owner

b. Sheehan's RestaurantBeck, John and Patricia

996 Highland Ave

Augusta, GA 30904

2012

02/17/2012General

$300.00 $0.00

Monetary

a. Owner

b. Resource Mgt

Augusta

Bennett, Jim and Fran

PO Box 937

Augusta, GA 30903

2012

02/06/2012General

$300.00 $0.00

Monetary

Blue Beech, LLC

43 Crystal Lake Dr

North Augusta, SC 29841

2012

02/01/2012General

$800.00 $0.00

Monetary

a. Retired

b. RetiredBoardman, Ann

PO Box 15027

Augusta, GA 30919

2012

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original

Electronically Filed with the Georgia Government Transparency and

Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

Page 5: Mary Fair Davis Filing

01/25/2012General

$500.00 $0.00

Monetary

a. CEO

b. Beacon Blue, LLCBoardman, Braye

PO Box 2404

Augusta, GA 30903

2012

01/25/2012General

$2,500.00 $0.00

Monetary

a. CEO

b. Flywheel, LLCBoardman, Clayton

720 St Sebastian Way Ste 100

Augusta, GA 30901

2012

01/30/2012General

$500.00 $0.00

Monetary

Boardman Et. Al.

PO Box 850

Augusta, GA 30903

2012

02/29/2012General

$300.00 $0.00

Monetary

a. CFO

b. Bowles ConstructionBowles, Joe and Sandy

914 Milledge Rd

Augusta, GA 30904

2012

03/09/2012General

$200.00 $0.00

Monetary

a. Investor

b. SelfBrigham, Breck

11 Rockbrook Rd

Augusta, GA 30909

2012

02/02/2012General

$200.00 $0.00

Monetary

a. Retired

b. RetiredBrittingham, Herman and Peggy

2708 Wellington Dr

Augusta, GA 30909

2012

02/22/2012General

$200.00 $0.00

Monetary

a. Entrepreneur

b. SelfBrosious, Alan

1071 Peninsula Crossing

Evans, GA 30809

2012

02/01/2012General

$250.00 $0.00

Monetary

a. President

b. Watson Brown

Foundation

Brown, Tad and Mary Kay

753 Bradberry Crk

Evans, GA 30809

2012

02/14/2012General

$200.00 $0.00

Monetary

a. Retired

b. RetiredBruns, Barbara

3114 Walton Way

Augusta, GA 30909

2012

02/22/2012General

$250.00 $0.00

Monetary

a. Retired

b. RetiredCallahan, Helen

1135 Arsenal Ave

Augusta, GA 30904

2012

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original

Electronically Filed with the Georgia Government Transparency and

Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

Page 6: Mary Fair Davis Filing

02/10/2012General

$300.00 $0.00

Monetary

a. Accountant

b. Cherry Bekaert and

Holland

Cates, J Douglas and Jacqueline

805 Walton Woods Ct

Augusta, GA 30909

2012

02/07/2012General

$300.00 $0.00

Monetary

a. Retired

b. RetiredCaye, Jr, Charles

PO Box 3965

Augusta, GA 30914

2012

02/10/2012General

$300.00 $0.00

Monetary

a. Sales Rep

b. Philip MorrisCollier, Tilden and Andrea

2807 Peachtree Pl

Augusta, GA 30909

2012

01/25/2012General

$150.00 $0.00

Monetary

a. Retired

b. RetiredConnell, Nanette

706 Montrose Ct

Augusta, GA 30904

2012

03/27/2012General

$125.00 $0.00

Monetary

a. Physician

b. SelfCook, Terrence and Linda

10 Summerville Ln

Augusta, GA 30909

2012

02/24/2012General

$250.00 $0.00

Monetary

a. Gastroenterologist

b. SelfCranford, Matthew and Donna

3027 Bransford Rd

Augusta, GA 30909

2012

02/10/2012General

$300.00 $0.00

Monetary

a. Landscape Architect

b. SelfDavis, Roger

120 5th St

Augusta, GA 30901

2012

02/29/2012General

$300.00 $0.00

Monetary

a. Realtor

b. Blanchard and

Calhoun

Douglass, Edwin and Ann Megan

3029 Bransford Rd

Augusta, GA 30909

2012

02/10/2012General

$250.00 $0.00

Monetary

a. Retired

b. RetiredDunstan, Margaret

2353 Walton Way

Augusta, GA 30904

2012

01/25/2012General

$0.00 $1,230.50

Facility, Refreshments for

campaign event

In-Kind

Enterprise Mill Events Center

1450 Greene St

Augusta, GA 30901

(Member of committee)

2012

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original

Electronically Filed with the Georgia Government Transparency and

Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

Page 7: Mary Fair Davis Filing

02/27/2012General

$200.00 $0.00

Monetary

a. Owner

b. ECP BenefitsEvans, Nick and Beth

823 Milledge Rd

Augusta, GA 30904

2012

02/07/2012General

$150.00 $0.00

Monetary

a. Student

b. StudentFair, Charles

348 Old Salem Way

Augusta, GA 30907

2012

02/01/2012General

$500.00 $0.00

Monetary

a. Retired

b. RetiredFair, William and Anne Marie

1129 Monte Sano Ave

Augusta, GA 30909

2012

02/03/2012General

$1,100.00 $0.00

Monetary

a. Attorney

b. SelfFair, III, William

736 St Charles Ave

Atlanta, GA 30306

2012

02/29/2012General

$300.00 $0.00

Monetary

a. Physician

b. SelfForgay, Andrew and Rochelle

3329 Wheeler Rd

Augusta, GA 30909

2012

01/30/2012General

$250.00 $0.00

Monetary

a. Retired

b. RetiredGiles, Rodger

PO Box 3596

Augusta, GA 30914

2012

02/29/2012General

$300.00 $0.00

Monetary

a. Physician

b. SelfGoodwin, Hank and Patti

2258 Wrightsboro Rd

Ste 301

Augusta, GA 30904

2012

02/29/2012General

$150.00 $0.00

Monetary

a. Owner

b. Forest SalesGrantham, Don

808 Quail St

Augusta, GA 30909

2012

02/10/2012General

$500.00 $0.00

Monetary

a. Owner

b. Hagler SystemsHagler, David and Kelly

3207 Huxley Dr

Augusta, GA 30909

2012

02/15/2012General

$300.00 $0.00

Monetary

a. Attorney

b. Fulcher, HaglerHagler, Mike and Pia

2815 Lombardy Ct

Augusta, GA 30909

2012

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original

Electronically Filed with the Georgia Government Transparency and

Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

Page 8: Mary Fair Davis Filing

01/25/2012General

$500.00 $0.00

Monetary

a. Attorney

b. SelfHagler, Steve and Alice

3014 Park Ave

Augusta, GA 30909

2012

03/06/2012General

$250.00 $0.00

Monetary

a. Retired

b. RetiredHerman, Billy and Peggy

PO Box 3814

Augusta, GA 30914

2012

02/03/2012General

$200.00 $0.00

Monetary

a. Real Estate

Appraiser

b. Self

Hollingsworth, William and Yvonne

8 Indian Creek Rd

Augusta, GA 30909

2012

02/21/2012General

$300.00 $0.00

Monetary

a. Physician

b. University

Anesthesiologists

Kleinbub, Matt and Debbie

1001 Peachtree Rd

Augusta, GA 30909

2012

02/10/2012General

$300.00 $0.00

Monetary

a. Homemaker

b. HomemakerKnox, Paula

451 Stevens Creek Rd

Augusta, GA 30907

2012

02/09/2012General

$300.00 $0.00

Monetary

a. Retired

b. RetiredLee, John and Alice

807 Carriage Ct

Augusta, GA 30909

2012

02/06/2012General

$300.00 $0.00

Monetary

a. Attorney

b. SelfLeiden, Zane

804 Windsor Ct

Augusta, GA 30909

2012

01/30/2012General

$500.00 $0.00

Monetary

Magnolia LLC

PO Box 850

Augusta, GA 30903

(Member of committee)

2012

02/28/2012General

$200.00 $0.00

Monetary

a. Owner

b. Augusta Business

Interiors

Mayo, John

2803 Lombardy Ct

Augusta, GA 30909

2012

02/08/2012General

$300.00 $0.00

Monetary

a. Teacher

b. Aldersgate PreschoolMcCollum, Mary Anne

451 Waverly Dr

Augusta, GA 30909

2012

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original

Electronically Filed with the Georgia Government Transparency and

Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

Page 9: Mary Fair Davis Filing

02/14/2012General

$300.00 $0.00

Monetary

a. Owner

b. Fireside Outdoor

Kitchens

McCully, Greig and Katherine

751 Tripps Ct

Augusta, GA 30909

2012

02/06/2012General

$500.00 $0.00

Monetary

a. Owner

b. McKnight

Construction

McKnight, William

2417 McDowell St

Augusta, GA 30904

2012

02/07/2012General

$300.00 $0.00

Monetary

a. Owner

b. McKnight

Construction

McKnight, III, Mason

PO Box 204718

Augusta, GA 30917

2012

02/09/2012General

$300.00 $0.00

Monetary

a. Owner

b. Social, IncMcLeod, David and Kathryn

2816 Hillcrest Ave

Augusta, GA 30909

2012

02/08/2012General

$300.00 $0.00

Monetary

a. Owner

b. Meybohm RealtyMeybohm, E G

3519 Wheeler Rd

Augusta, GA 30909

2012

02/29/2012General

$150.00 $0.00

Monetary

a. Homemaker

b. HomemakerMoses, Mary

49 Conifer Cir

Augusta, GA 30909

2012

02/06/2012General

$300.00 $0.00

Monetary

On the Levee Deli

1450 Greene St

Ste 600

Augusta, GA 30901

(Member of committee)

2012

01/30/2012General

$1,000.00 $0.00

Monetary

a. Retired

b. RetiredOsteen, Jr, H. M.

604 Milledge Rd

Augusta, GA 30904

2012

02/16/2012General

$300.00 $0.00

Monetary

a. Physician

b. Augusta ENTOwen, Glen

1314 Comfort Rd

Augusta, GA 30909

2012

03/13/2012General

$0.00 $125.00

Photography for campaign

literature

In-Kind

Paige Photography

1112 Council Rd

Augusta, GA 30909

2012

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original

Electronically Filed with the Georgia Government Transparency and

Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

Page 10: Mary Fair Davis Filing

02/13/2012General

$250.00 $0.00

Monetary

a. Cardiologist

b. Carolina Heart and

Vascular

Pennington, Weems and Adaire

6 Tall Pine Cir

Augusta, GA 30909

2012

03/15/2012General

$200.00 $0.00

Monetary

a. Executive

b. Dixie RiversidePerry, Les and DeeDee

3122 Montpelier Dr

Augusta, GA 30909

2012

02/14/2012General

$250.00 $0.00

Monetary

a. CFO

b. Pollock CompanyPollock, Joe

1138 Glenn Ave

Augusta, GA 30904

2012

02/21/2012General

$150.00 $0.00

Monetary

a. Owner

b. Poteet Funeral HomePoteet, Buzz and LaStarr

3 Summit Pl

Augusta, GA 30909

2012

01/25/2012General

$250.00 $0.00

Monetary

a. Realtor

b. Meybohm

Commercial

Prather, Lionel

2706 Bellevue Ave

Augusta, GA 30909

2012

02/29/2012General

$150.00 $0.00

Monetary

a. Realtor

b. Blanchard and

Calhoun

Rice, Susan

3126 Montpelier Dr

Augusta, GA 30909

2012

02/13/2012General

$250.00 $0.00

Monetary

a. Homemaker

b. HomemakerRoberts, Lisa

1107 Peachtree Rd

Augusta, GA 30909

2012

03/12/2012General

$150.00 $0.00

Monetary

a. Owner

b. Wild Wings Cafe,

Augusta Labs

Scholer, Jan and Tricie

1020 Highland Ave

Augusta, GA 30904

2012

02/29/2012General

$200.00 $0.00

Monetary

a. Representative

b. State of GASims, Barbara

10 Retreat Rd

Augusta, GA 30909

2012

02/29/2012General

$300.00 $0.00

Monetary

a. Medical Sales

b. ArthrexSims, Craig

3014 Bransford Rd

Augusta, GA 30909

2012

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original

Electronically Filed with the Georgia Government Transparency and

Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

Page 11: Mary Fair Davis Filing

02/09/2012General

$300.00 $0.00

Monetary

a. Regional Director

b. Renew DataSlaby, Richard and Soule

774 Camellia Rd

Augusta, GA 30909

2012

03/01/2012General

$300.00 $0.00

Monetary

a. Physician

b. SelfSmith, Randy and Becky

814 Milledge Rd

Augusta, GA 30904

2012

02/10/2012General

$200.00 $0.00

Monetary

a. Engineer

b. JLAThorstad, Donald and Dori

508 Stratford Dr

Augusta, GA 30909

2012

02/21/2012General

$200.00 $0.00

Monetary

a. CFO

b. WaynesWorksTrammell, Gary

3128 Walton Way

Augusta, GA 30909

2012

02/17/2012General

$150.00 $0.00

Monetary

a. Veterinarian

b. St Francis Animal

Hospital

Tribby, Mark and Catherine

1335 Monte Sano Ave

Augusta, GA 30904

2012

02/29/2012General

$200.00 $0.00

Monetary

a. Attorney

b. SelfWeigle, Dan and Krista

1 Summit Pl

Augusta, GA 30909

2012

02/29/2012General

$300.00 $0.00

Monetary

a. Attorney

b. Trotter JonesWeston, Jamie and Kristen

3527 Walton Way

Augusta, GA 30909

2012

02/08/2012General

$300.00 $0.00

Monetary

a. Owner

b. Summerville BlindsWilson, Tripp and Anna

2206 Gardner St

Augusta, GA 30904

2012

03/09/2012General

$300.00 $0.00

Monetary

a. Attorney

b. SelfWilson, Jr, James

945 Broad St

Ste 420

Augusta, GA 30901

2012

02/10/2012General

$300.00 $0.00

Monetary

a. Pharmacist

b. Surrey Center

Pharmacy

Wright, Earl

483 Highland Ave

Augusta, GA 30909

2012

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original

Electronically Filed with the Georgia Government Transparency and

Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

Page 12: Mary Fair Davis Filing

FILER ID: C2012000034

State of Georgia

Campaign Contribution Disclosure Report

Summary of Itemized Contributions Received

In-Kind Total for this period:

Cash Contributions Total for this period:

$1,355.50

$25,025.00

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original

Electronically Filed with the Georgia Government Transparency and

Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

Page 13: Mary Fair Davis Filing

CFC FORM CCDR

REV 1/11

State of Georgia

Campaign Contribution Disclosure Report

Loan Reporting

Person(s) responsible for

repayment of loan

Mailing Address

Date of Loan

Amount of Loan

Election Cycle

Name of Lender

Mailing Address

Occupation &

Place of Employment

Fiduciary Relationship

FILER ID: C2012000034

I have no loans to report this reporting period.

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original

Electronically Filed with the Georgia Government Transparency and

Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

Page 14: Mary Fair Davis Filing

List Name and Mailing Address of

Recipient

Expenditure Date

Expenditure Type

Occupation &

Employer

Expenditure Purpose Amount

Paid

CFC FORM CCDR

REV 1/11FILER ID: C2012000034

State of Georgia

Campaign Contribution Disclosure Report

Itemized ExpendituresMust list expenditures made to a single recipient for which the aggregate total is more than $100.00

$235.40 Mailing materials, letterhead01/31/2012

Expenditure

Augusta Minit Print

328 10th St

Augusta, GA 30901

$222.93 Envelopes, response cards02/21/2012

Expenditure

Augusta Minit Print

328 10th St

Augusta, GA 30901

$760.06 Food, Beverages for fund

raiser02/28/2012

Reimbursement

Beck, John

996 Highland Ave

Augusta, GA 30904

a. Owner

b. Sheehan's

Restaurant

$120.31 Refreshments02/20/2012

Reimbursement

Chew, Ginger

759 Oberlin Rd

Augusta, GA 30909

a. Development

Director

b. Episcopal Day

School

$225.00 Postage stamps02/16/2012

Reimbursement

Davis, Mary

813 Windsor Ct

Augusta, GA 30909

a. Director of

Development

b. St Mary Church

$356.68 Signs02/27/2012

Expenditure

FastSigns

2825 Washington Rd

Ste J

Augusta, GA 30909

$1,309.87 Stickers, T shirts02/09/2012

Expenditure

Kelly Promotional Products

3712 Benchmark Dr

Augusta, GA 30909

$488.67 Campain stickers02/01/2012

Expenditure

Kelly Promotional Products

3712 Benchmark Drive

Augusta, GA 30909

$621.94 T shirts03/29/2012

Expenditure

Kelly Promotional Products

3712 Benchmark Dr

Augusta, GA 30909

$977.39 Logo Cups for campaign03/01/2012

Expenditure

Phoenix Printing

601 Eleventh St

Augusta, GA 30901

FILER ID: C2012000034

State of Georgia

Campaign Contribution Disclosure Report

Summary of Itemized Expenditures Made

Paid Expenditures Total for this period: $5,318.25

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original

Electronically Filed with the Georgia Government Transparency and

Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941

Page 15: Mary Fair Davis Filing

CFC FORM CCDR

REV 1/11

State of Georgia

Campaign Contribution Disclosure Report

Investments StatementInvestment Name There are No Investments this reporting period

Institution/Person

Holding Account

Address

Address

City, State, Zip

Account Number

There are No Investments this reporting period

Investment Transactions

Interest Paid Out

Cash Dividends

Value at end of reporting period

Value at beginning of reporting period

Campaign Contribution Disclosure Report for 2012 March 31st - Election Year - Original

Electronically Filed with the Georgia Government Transparency and

Campaign Finance Commission on: 4/2/2012 10:06:00PM -- Confirmation #C201200003455941