52
OBBINS LITIGATION AND REGULATORY LAW CAREY MILLER DECT NE: (404) 856-3286 Email: cmiller@robblnsnrm.com RACHEL GAGE DIRECT LINE: (404) 856-3264 Email: rgage@robblnsf1rm.com March 20, 2020 VIA U.S. Mail and Email to C. Harvey The Honorable Brad Raffensperger Attn: Chris Harvey, Elections Director (whar[email protected]) Georgia Secretary of State 214 State Capitol Atlanta, Georgia 30334 Re: Challenge to the Eligibility and Qualifications of Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield, a registered voter and eligible elector in Georgia State House of Representatives District 91 ("House District 91"). Ms. Coffield resides and is registered to vote at 3261 Chaparral Way, Lithonia, Georgia, 30038. Ms. Coffield submits this Complaint challenging the eligibility and qualifications of Representative Jones, who recently qualified as a candidate for reelection as Representative r House District 91, in accordance with O.C.G.A. § 21-2-5. Under Georgia law, the burden of proof in an action challenging the eligibility of a candidate for office is placed entirely upon the candidate to establish his eligibility r office. Haynes v. Wells, 273 Ga. 106, 108-09 (2000). The party challenging the candidate "is not required to disprove anything" regarding the candidate's eligibility to run for office. Id. As rther detailed below, upon information and belief, Representative Jones does not reside within House District 91 and has not been a "resident of the territory embraced within [House District 91] for at least one year preceding" this year's election. O.C.G.A. § 28-2-1(b); see also Ga. Const. . III, Sec. II, Par. III(b). I. Factual Background The General Election for House District 91 will be held on November 3, 2020, and the primary election r the same will be held May 19, 2020. According to the Secretary of State's public website, Representative Jones submitted a notice of Ross1Ns· Ross ·ALLOY· BELINFANTE · LITTLEFIELD ,.cc 500 14TH STREET, NW • ATLANTA, GEORGIA 303 18 · www.robbinsfirm.com

R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

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Page 1: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

R_OBBINS LITIGATION AND REGULATORY LAW

CAREY MILLER

DIRECT LINE: (404) 856-3286 Email: [email protected]

RACHEL GAGE

DIRECT LINE: (404) 856-3264 Email: [email protected]

March 20, 2020

VIA U.S. Mail and Email to C. Harvey

The Honorable Brad Raffensperger Attn: Chris Harvey, Elections Director ([email protected]) Georgia Secretary of State 214 State Capitol Atlanta, Georgia 30334

Re: Challenge to the Eligibility and Qualifications of Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91.

Dear Secretary Raffensperger:

Our law firm represents Faye Coffield, a registered voter and eligible elector in Georgia State House of Representatives District 91 ("House District 91"). Ms. Coffield resides and is registered to vote at 3261 Chaparral Way, Lithonia, Georgia, 30038. Ms. Coffield submits this Complaint challenging the eligibility and qualifications of Representative Jones, who recently qualified as a candidate for reelection as Representative for House District 91, in accordance with O.C.G.A. § 21-2-5.

Under Georgia law, the burden of proof in an action challenging the eligibility of a candidate for office is placed entirely upon the candidate to establish his eligibility for office. Haynes v. Wells, 273 Ga. 106, 108-09 (2000). The party challenging the candidate "is not required to disprove anything" regarding the candidate's eligibility to run for office. Id. As further detailed below, upon information and belief, Representative Jones does not reside within House District 91 and has not been a "resident of the territory embraced within [House District 91] for at least one year preceding" this year's election. O.C.G.A. § 28-2-1(b); see also Ga. Const. Art. III, Sec. II, Par. III(b).

I. Factual Background

The General Election for House District 91 will be held on November 3, 2020,and the primary election for the same will be held May 19, 2020. According to the Secretary of State's public website, Representative Jones submitted a notice of

Ross1Ns· Ross ·ALLOY· BELINFANTE · LITTLEFIELD ,.cc

500 14TH STREET, NW • ATLANTA, GEORGIA 303 18 · www.robbinsfirm.com

Page 2: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,
Page 3: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,
Page 4: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,
Page 5: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,
Page 6: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

EXHIBIT 1

Page 7: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

CFC PFD 1/14 Use Earlier of Post Mark

STATE OF GEORGIA or Hand Delivered Date

PERSONAL FINANCIAL DISCLOSURE STATEMENT 200 Piedmont Avenue S.E. I Suite 1402 West Tower I Atlanta, GA 30334

1404-463-19801 www.ethics.ga.gov

Original 0 Amendment (Enter date of statement being amended)

Date of this Statement: .3 Q_ ff4 Covering Calendar Year: c29 13 Name of Public Officer or Candidate: \h-mcn #4. C75rC.i

Mailing Address: P. O.'BoX. %' agg, Lkcoh&r tcKil6

,treet or P.O. bOX City LVulity oLaLc tAp

Telephone Number: (Office/Home) 4(14 4 (C$ (90E (E-Mail) vr-r n3cne5 q thtrURg-raj I .com

Name of Public Office Held or Sought: " V.fl(b ('1%ur1s.( 51€.rif4 Filer ID: (F,IcrIDtIaIbe&nswiththeIe!ter'r)

P-a C

Check One: — 0.

r

0 Elected City or County Officer $Candidate for City or County Office

WHO FILES A FINANCIAL DISCLOSURE STATEMENT: Each public officer holding office in Georgia, and each person who qualifies as a candidate for election as a public officer for one of the offices listed below, and all others on the following list.

(A) Every constitutional officer; (B) Every elected state official; (C) The executive head of every state department or agency, whether elected or appointed; (D) Each member of the General Assembly; (E) Every elected county official, every elected county or area school superintendent, and every elected member of a county or

area board of education; and (F) Every elected municipal officer.

WHEN TO FILE A FINANCIAL DISCLOSURE STATEMENT: Public Officer: A Financial Disclosure Statement is filed not before January 1 and not later than July 1 of each year that a public officer holds office (except the year of election). The information to be provided shall be that from the preceding calendar year.

If the public officer chooses not to run for re-election or for another public office no Financial Disclosure Statement need be filed in the year qualifying to succeed him takes place. A public officer shall not be deemed to hold the office in a year in which the public officer holds office for less than 15 days.

Candidate for Public Office: A Financial Disclosure Statement covering the period of the preceding calendar year shall be filed no later than the fifteenth day following the date of qualifying as a candidate. Candidates for state wide office file not later than seven days after qualifying for office. Only one Financial Disclosure Statement is required per calendar year.

Special requirements for State Wide Candidates: Candidates for a public office elected state wide must file their Financial Disclosure Statements not later than seven days after qualifying or filing a notice of candidacy. State wide candidates must disclose more information than other candidates for public office and the additional disclosure sections required of state wide candidates must be completed in the year of election filing.

WHERE TO FILE A FINANCIAL DISCLOSURE STATEMENT: State /Statewide Office: Georgia Government Transparency & Campaign Finance Commission

County: County Election Superintendent

Municipality: City Clerk or Chief Executive Officer

Page 8: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

SECTION 1 MONETARY FEES RECEIVED

(This section to be completed by Public Officers only)

Identify each monetary fee or honorarium accepted from speaking engagements, participation in seminars, discussion panels, or other activities that directly relate to the official duties of, or to the office of the public officer, with a statement identifying the fee or honorarium and the person from whom it was accepted. (You may attach additional sheets of paper if necessary.)

I received: )(No monetary fee or honorarium, o Monetary fee(s) or honoraria as shown below.

Identify Fee or Honorarium

Identifying Information of Person from Who Accepted

And Amount Accepted

SECTION II FIDUCIARY POSITIONS

Name all fiduciary positions held by the candidate for public office or the public officer at any time during the covered year.

(You may expand this section if necessary to include all positions.) A fiduciary position is any position imposing a duty

to act primarily for another's benefit as officer, director, manager, partner, guardian, or other designations of general responsibility of a

business entity. A fiduciary position may be a paid or unpaid position. A business entity is any corporation, sole proprietorship, partnershii

limited partnership, limited liability company, limited liability partnership, professional corporation, enterprise, franchise, association, trust,

joint venture, or other entity, whether profit or nonprofit . (You may attach additional sheets of paper if necessary.)

I held: *No fiduciary positions in any business entity. o Fiduciary positions in the following business entity(ies).

IDENTIFY: I. Title of each position. 2. Name and address of business entity.

3. Principal activity of each business entity.

Business entity #1

Business entity #2

Business entity #3

Business entity #4

Page 9: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

Business entity 41

Business entity #2

Business entity #3

Business entity #4

Business entity #5

Q1cMI— 3

SECTION III DIRECT OWNERSHIP INTERESTS IN BUSINESS ENTITY

Direct ownership interest is the holding or possession of good legal or rightful title of property or the holding or enjoyment of real or beneficial use of the property by any person and includes any interest owned or held by a spouse of the person if such interest is held jointly or as tenants in common between the person and spouse.

Identify the name, address and principal activity of any business entity and the office held by and the duties of the candidate for public office or public officer within a business entity any time during the covered year in which a direct ownership interest: (A) Is more than 5 percent of the total interest in the business; or (B) Has a net fair market value of more than $5,000.00. (You may attach additional sheets of paper if necessary.)

I held: No direct ownership interests in any business entity.

o Direct ownership interests in the following business entity(ies).

IDENTIFY: I. Name and address of business entity. 2. Principal activity of business entity.

A. The office held by the candidate or the public officer within the business entity. 4. The duties of the candidate or the public officer within such business entity.

Ownership interests Check One or Both If Applicable

o Ownership interest is more than 5%

o Ownership interest has a net fair mar- ket value of more than $5,000.00

• Ownership interest is more than 5%

• Ownership interest has a net fair mar- ket value of more than $5,000.00

• Ownership interest is more than 5%

• Ownership interest has a net fair mar- ket value of more than $5,000.00

• Ownership interest is more than 5%

• Ownership interest has a net fair mar- ket value of more than $5,000.00

• Ownership interest is more than 5%

• Ownership interest has a net fair mar- ket value of more than $5,000.00

Page 10: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

SECTION IV DIRECT OWNERSHIP INTERESTS IN REAL PROPERTY

Direct ownership interest is the holding or possession of good legal or rightful title of property or the holding or enjoyment of real or beneficial use of the properly by any person and includes any interest owned or held by a spouse of the person if such interestis held jointly or as tenants in common between the person and spouse.

Identify each tract of real property in which the candidate for public office or public officer has a direct ownership interest as of December 31 of the covered year when that interest has a fair market value in excess of $5,000.00. "Fair market" value means the appraised value of the property for ad valorem tax purposes. (You may attach additional sheets of paper if necessary.) Check one box to show the applicable valuation range for each tract.

I had: o No ownership interests with a fair market value in excess of $5,000.00

Ownership interests with a fair market value in excess of $5,000.00

IDENTIFY: 1. County where property is located. 2. State where property is located. 3. General description of properly (give street address or location, size of tract, and nature or use of property).

The Value of this tract is

• Between $5,000 and $100,000

• Between $100,000.01 and $200,000

• More than $200,000

Property #2

Property 43

Properly #4

Property #5

The Value of this tract is

O Between $5,000 and $100,000 • Between $100,000.01 and $200,000

• More than $200,000

The Value of this tract is

o Between $5,000 and $100,000

• Between $100,000.01 and $200,000

• More than $200,000

The Value of this tract is

El Between $5,000 and $100,000 • Between $100,000.01 and $200,000

• More than $200,000

The Value of this tract is

0 Between $5,000 and $100,000 o Between $100,000.01 and $200,000

0 More than $200,000

Page 11: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

Property 94

Property #5

Onil-6 42_

SECTION V SPOUSE'S DIRECT OWNERSHIP INTERESTS IN REAL PROPERTY

Identify each tract of real property in which the filer's spouse has a direct ownership interest as of December 31 of the covered year when that interest has a fair market value in excess of $5,000.00 (You may attach additional sheets of paper if necessary.) Check

one box to show the applicable valuation range for each tract.

My spouse had: '4o ownership interests with a fair market value in excess of$ 5,000.00

o Ownership in the following tracts with a fair market value in excess of 5,000.00

IDENTIFY: 1. County where property is located.

2. State where property is located.

3. General description of property (give street address or location, size of tract, and nature or use of property).

Property #1

The Value of this tract is

• Between $5,000 and $100,000

• Between $100,000.01 and $200,000

• More than $200,000

Property 92

The Value of this tract is

• Between $5,000 and $100,000

• Between $100,000.01 and $200,000

• More than $200,000

Property #3 The Value of this tract is

• Between $5,000 and $100,000

• Between $100,009.01 and $200,000

• More than $200,000

The Value of this tract is

• Between $5,000 and $100,000

• Between $100,000.01 and $200,000

• More than $200,000

The Value of this tract is

• Between $5,000 and $100,000

• Between $100,000.01 and $200,000

• More than $200,000

Page 12: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

Filer's Occupatior Filer's Employer Employer's Addn Employer's Princi

SECTION VI EMPLOYMENT AND FAMILY MEMBERS

Filer's Spouse's Name Spouse's Occupatior Spouse's Employer Address of Spouse's Principal Activity of Spouse's Employer

SECTION VII INVESTMENT INTERESTS

List the name of any investment (do not list individual stocks and bonds that are held by mutual funds), in which the filer (either individually or with any other legal or natural person or entity) owns a direct ownership interest that:

I. is more than 5 percent of the total interests in such business or investment, or 2. Has a net fair market value of more than $5,000.00.

Business or Investment Entity #1

Name

Business or Investment Entity #2

Name

Business or Investment Entity #3 Name

Business or Investment Entity #4 Name

SECTION VIII KNOWN BUSINESS OR INVESTMENT INTERESTS OF SPOUSE AND DEPENDENT CHILDREN

Identify any business or investment known to the filer in which the filer's spouse or dependent children have a direct ownership interest (either individually or with any other legal or natural person or entity) which interest:

1. is more than 5 percent of the total interest in the business or investment,

2. has a net fair market value exceeding $10,000.00, or

3. is one in an entity for which the filer's spouse or a dependent child serves as an officer, director, equitable partner, or trustee.

(Do not list individual stocks and bonds that are held by mutual finds.)

Business or investment Entity #1

Name

Business or Investment Entity 42 Name

Business or Investment Entity #3 Name

Business or Investment Entity #4 Name --

Page 13: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

SECTION IX ANNUAL PAYMENTS RECEIVED

FROM THE STATE OF GEORGIA (This section to be completed by Public Officers only)

Identify all annual payments in excess of $]0,000.00 received by the public officer, or by any business entity identified in Section 1]]

above, from the State or any agency, department, commission or authority created by the State, and authorized and exempted from

disclosure under O.C.G.A. § 45-10-25.

I received:

)(No annual payments in excess of S10,000.00 from any State entity.

o Annual payments in excess of $10,000.00 from the below named State entity(ies).

IDENTIFY:

1. Name and address of State entity making the payments.

2. Amount of annual payment.

3. The general nature of the consideration rendered for the payment(s).

State entity source #1

State entity source 42

VERIFICATION BY OATH OR AFFIRMATION

State of Georgia

County of

.1, the undersigned, being duly sworn (affirm), depose and say that the infor/ation in statement is complete, trueiTcorrect.

Swom to and subscribed before nip on

Signature of tandidate or P icOfficer

Signature of Notary Public PENALTIES: Any person who knowingly fails to comply with or who knowingly violates any of the provisions of the Ethics in Government Act shall be guilty of misdemeanor.

My Commission expires

Page 14: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

EXHIBIT 2

Page 15: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

Date of this Statement: Covering Calendar Year:

Name of Public Officer or Candidate:

Mailing Address:

Telephone Number:

04/03/2016 2015

P.O. Box 362272 Decatur, GA 30036

Vernon Jones

Telephone Number:

Confirmation #F201401576235757

Electronically filed with the Georgia Government Transparency

and Campaign Finance Commission on 4/5/2016 4:44:20PM

2015 - Financial Disclosure Statement -- Candidate for Public Office

(404) 419-6034

STATE OF GEORGIAFINANCIAL DISCLOSURE STATEMENT

Original Statement

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).

CFC Form FD 01/11 - F201401576235757 Page 1 of 5Vernon Jones

Page 16: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

SECTION I

MONETARY FEES RECEIVED(This section to be completed by Public Officers only)

Identify each monetary fee or honorarium accepted from speaking engagements, participation in seminars, discussion panels, or other activities that

directly relate to the official duties of, or to the office of the public officer, with a statement identifying the fee or honorarium and the person or entity

from whom it was accepted.

Identify Fee or Honorarium Identifying Information of of Person or Entity from Whom AcceptedAmount Accepted

No monetary fee or honorarium.

SECTION II

FIDUCIARY POSITIONS

Name all fiduciary positions held by the candidate for public office or the public officer at any time during the covered year.. (You may expand this

section if necessary to include all positions.) A fiduciary position is any position imposing a duty to act primarily for another’s benefit as officer,

director, manager, partner, guardian, or other designations of general responsibility of a business entity. A fiduciary position may be a paid or unpaid

position. A business entity is any corporation, sole proprietorship, partnership, limited partnership, limited liability company, limited liability

partnership, professional corporation, enterprise, franchise, association, trust, joint venture, or other entity, whether profit or nonprofit.

Title of Position Name, address, and principal activity of business entity

No fiduciary positions in any business entity.

Direct ownership interest is the holding or possession of good legal or rightful title of property or the holding or enjoyment of real or beneficial use

of the property by any person and includes any interest owned or held by a spouse of the person if such interest is held jointly or as tenants in

common between the person and spouse.

Identify the name, address and principal activity of any business entity and the office held by and the duties of the candidate for public office or public

officer within a business entity any time during the covered year in which a direct ownership interest: (A) Is more than 5 percent of the total interest in

the business; or (B) Has a net fair market value of more than $5,000.00.

SECTION III

DIRECT OWNERSHIP INTERESTS IN BUSINESS ENTITY

Name, address, and principal activity of business entityOffice held by candidate or public officer

Duties of the candidate or public officer Ownership Interests

HENRY OLIVER COMPANY

P.O. 723, LITHONIA, GA 30038

(404) 419-6034

GOVERNMENT RELATIONS CONSULTING

PRESIDENT

CONSULTING SERVICES

Ownership interest is more

than 5%

CFC Form FD 01/11 - F201401576235757 Page 2 of 5Vernon Jones

Page 17: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

SECTION IV

DIRECT OWNERSHIP INTERESTS IN REAL PROPERTY

Direct ownership interest is the holding or possession of good legal or rightful title of property or the holding or enjoyment of real or beneficial use

of the property by any person and includes any interest owned or held by a spouse of the person if such interest is held jointly or as tenants in

common between the person and spouse.

Identify each tract of real property in which the candidate for public office or public officer has a direct ownership interest as of December 31 of the

covered year when that interest has a fair market value in excess of $5,000.00. “Fair market” value means the appraised value of the property for ad

valorem tax purposes. Check one box to show the applicable valuation range for each tract.

County and State where

property is located

General description of property (give street address or location,

size of tract, and nature or use of property) Value of tract

No ownership interests with a fair market value in excess of $5,000.00

SECTION V

SPOUSE'S DIRECT OWNERSHIP INTERESTS IN REAL PROPERTY

Identify each tract of real property in which the filer’s spouse has a direct ownership interest as of December 31 of the covered year when that interest

has a fair market value in excess of $5,000.00. Check one box to show the applicable valuation range for each tract.

County and State where

property is located

General description of property (give street address or location,

size of tract, and nature or use of property) Value of tract

No ownership interests with a fair market value in excess of $5,000.00

CFC Form FD 01/11 - F201401576235757 Page 3 of 5Vernon Jones

Page 18: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

SECTION VI

EMPLOYMENT AND FAMILY MEMBERS

Filer's Occupation:

Filer's Employer:

Employer's Address:

Employer's Principal Activity:

Filer's Spouse's Name:

Spouse's Occupation:

Spouse's Employer:

Spouse's Employer's Address:

Spouse's Employer Principal Activity:

Consultant

Self-employed

P.O. Box 723, LITHONIA, GA 30038

N/A

N/A

N/A

N/A

N/A

N/A

Filer's Secondary Occupation:

Filer's Secondary Employer:

Employer's Secondary Address:

Employer's Secondary Principal Activity:

Spouse's Secondary Occupation:

Spouse's Secondary Employer:

Spouse's Secondary Employer's Address:

Spouse's Secondary Employer's

Principal Activity:

N/A

SECTION VII

INVESTMENT INTERESTS

List the name of any business or subsidiary thereof or investment in which the filer (either individually or with any other legal or natural person or

entity) owns a direct ownership interest that: (1) is more than 5 percent of the total interests in such business or investment, or (2) has a net fair

market value of more than $5,000.00. (Do not list individual stocks and bonds that are held by mutual funds.)

Business or Investment Entity Name

No investment interests that is more than 5 percent of the total interests in such business or investment, or with a fair market value of more than

$5,000.00.

CFC Form FD 01/11 - F201401576235757 Page 4 of 5Vernon Jones

Page 19: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

SECTION VIII

KNOWN BUSINESS OR INVESTMENT INTERESTS OF SPOUSE AND DEPENDENT CHILDREN

Identify any business or investment known to the filer in which the filer’s spouse or dependent children have a direct ownership interest (either

individually or with any other legal or natural person or entity) which interest: (1) is more than 5 percent of the total interest in the business or

investment, (2) has a net fair market value exceeding $10,000.00, or (3) is one in an entity for which the filer’s spouse or a dependent child serves as an

officer, director, equitable partner, or trustee. (Do not list individual stocks and bonds that are held by mutual funds.)

a. Name of Business or Investment Entity,

b. Ownership (spouse/dependent children),

c. Indicate if officer, director, equitable

partner, or trustee (where applicable)

No known business or investment interests of spouse and dependent children.

SECTION IX

ANNUAL PAYMENTS RECEIVED

FROM THE STATE OF GEORGIA(This section to be completed by Public Officers only)

Identify all annual payments in excess of $10,000.00 received by the public officer, or by any business entity identified in Section III above, from the

State or any agency, department, commission or authority created by the State, and authorized and exempted from disclosure under O.C.G.A. §

45-10-25.

Name, address of state entity making payment, and general nature of the

consideration for the payment

Amount of annual payment

No annual payments in excess of $10,000.00 from any State entity.

CFC Form FD 01/11 - F201401576235757 Page 5 of 5Vernon Jones

Page 20: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

Date of this Statement: Covering Calendar Year:

Name of Public Officer or Candidate:

Mailing Address:

Telephone Number:

06/26/2017 2016

P.O. Box 362272 Decatur, GA 30036

Vernon Jones

Telephone Number:

Confirmation #F201401576237321

Electronically filed with the Georgia Government Transparency

and Campaign Finance Commission on 6/26/2017 8:35:36PM

2016 - Financial Disclosure Statement -- Elected Public Officer

(404) 419-6034

STATE OF GEORGIAFINANCIAL DISCLOSURE STATEMENT

Original Statement

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).

CFC Form FD 01/11 - F201401576237321 Page 1 of 5Vernon Jones

Page 21: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

SECTION I

MONETARY FEES RECEIVED(This section to be completed by Public Officers only)

Identify each monetary fee or honorarium accepted from speaking engagements, participation in seminars, discussion panels, or other activities that

directly relate to the official duties of, or to the office of the public officer, with a statement identifying the fee or honorarium and the person or entity

from whom it was accepted.

Identify Fee or Honorarium Identifying Information of of Person or Entity from Whom AcceptedAmount Accepted

No monetary fee or honorarium.

SECTION II

FIDUCIARY POSITIONS

Name all fiduciary positions held by the candidate for public office or the public officer at any time during the covered year.. (You may expand this

section if necessary to include all positions.) A fiduciary position is any position imposing a duty to act primarily for another’s benefit as officer,

director, manager, partner, guardian, or other designations of general responsibility of a business entity. A fiduciary position may be a paid or unpaid

position. A business entity is any corporation, sole proprietorship, partnership, limited partnership, limited liability company, limited liability

partnership, professional corporation, enterprise, franchise, association, trust, joint venture, or other entity, whether profit or nonprofit.

Title of Position Name, address, and principal activity of business entity

No fiduciary positions in any business entity.

Direct ownership interest is the holding or possession of good legal or rightful title of property or the holding or enjoyment of real or beneficial use

of the property by any person and includes any interest owned or held by a spouse of the person if such interest is held jointly or as tenants in

common between the person and spouse.

Identify the name, address and principal activity of any business entity and the office held by and the duties of the candidate for public office or public

officer within a business entity any time during the covered year in which a direct ownership interest: (A) Is more than 5 percent of the total interest in

the business; or (B) Has a net fair market value of more than $5,000.00.

SECTION III

DIRECT OWNERSHIP INTERESTS IN BUSINESS ENTITY

Name, address, and principal activity of business entityOffice held by candidate or public officer

Duties of the candidate or public officer Ownership Interests

HENRY OLIVER COMPANY

P.O. 723, LITHONIA, GA 30038

(404) 419-6034

GOVERNMENT RELATIONS CONSULTING

PRESIDENT

CONSULTING SERVICES

Ownership interest is more

than 5%

CFC Form FD 01/11 - F201401576237321 Page 2 of 5Vernon Jones

Page 22: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

SECTION IV

DIRECT OWNERSHIP INTERESTS IN REAL PROPERTY

Direct ownership interest is the holding or possession of good legal or rightful title of property or the holding or enjoyment of real or beneficial use

of the property by any person and includes any interest owned or held by a spouse of the person if such interest is held jointly or as tenants in

common between the person and spouse.

Identify each tract of real property in which the candidate for public office or public officer has a direct ownership interest as of December 31 of the

covered year when that interest has a fair market value in excess of $5,000.00. “Fair market” value means the appraised value of the property for ad

valorem tax purposes. Check one box to show the applicable valuation range for each tract.

County and State where

property is located

General description of property (give street address or location,

size of tract, and nature or use of property) Value of tract

No ownership interests with a fair market value in excess of $5,000.00

SECTION V

SPOUSE'S DIRECT OWNERSHIP INTERESTS IN REAL PROPERTY

Identify each tract of real property in which the filer’s spouse has a direct ownership interest as of December 31 of the covered year when that interest

has a fair market value in excess of $5,000.00. Check one box to show the applicable valuation range for each tract.

County and State where

property is located

General description of property (give street address or location,

size of tract, and nature or use of property) Value of tract

No ownership interests with a fair market value in excess of $5,000.00

CFC Form FD 01/11 - F201401576237321 Page 3 of 5Vernon Jones

Page 23: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

SECTION VI

EMPLOYMENT AND FAMILY MEMBERS

Filer's Occupation:

Filer's Employer:

Employer's Address:

Employer's Principal Activity:

Filer's Spouse's Name:

Spouse's Occupation:

Spouse's Employer:

Spouse's Employer's Address:

Spouse's Employer Principal Activity:

Consultant

Self-employed

P.O. Box 723, LITHONIA, GA 30038

N/A

N/A

N/A

N/A

N/A

N/A

Filer's Secondary Occupation:

Filer's Secondary Employer:

Employer's Secondary Address:

Employer's Secondary Principal Activity:

Spouse's Secondary Occupation:

Spouse's Secondary Employer:

Spouse's Secondary Employer's Address:

Spouse's Secondary Employer's

Principal Activity:

SECTION VII

INVESTMENT INTERESTS

List the name of any business or subsidiary thereof or investment in which the filer (either individually or with any other legal or natural person or

entity) owns a direct ownership interest that: (1) is more than 5 percent of the total interests in such business or investment, or (2) has a net fair

market value of more than $5,000.00. (Do not list individual stocks and bonds that are held by mutual funds.)

Business or Investment Entity Name

No investment interests that is more than 5 percent of the total interests in such business or investment, or with a fair market value of more than

$5,000.00.

CFC Form FD 01/11 - F201401576237321 Page 4 of 5Vernon Jones

Page 24: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

SECTION VIII

KNOWN BUSINESS OR INVESTMENT INTERESTS OF SPOUSE AND DEPENDENT CHILDREN

Identify any business or investment known to the filer in which the filer’s spouse or dependent children have a direct ownership interest (either

individually or with any other legal or natural person or entity) which interest: (1) is more than 5 percent of the total interest in the business or

investment, (2) has a net fair market value exceeding $10,000.00, or (3) is one in an entity for which the filer’s spouse or a dependent child serves as an

officer, director, equitable partner, or trustee. (Do not list individual stocks and bonds that are held by mutual funds.)

a. Name of Business or Investment Entity,

b. Ownership (spouse/dependent children),

c. Indicate if officer, director, equitable

partner, or trustee (where applicable)

No known business or investment interests of spouse and dependent children.

SECTION IX

ANNUAL PAYMENTS RECEIVED

FROM THE STATE OF GEORGIA(This section to be completed by Public Officers only)

Identify all annual payments in excess of $10,000.00 received by the public officer, or by any business entity identified in Section III above, from the

State or any agency, department, commission or authority created by the State, and authorized and exempted from disclosure under O.C.G.A. §

45-10-25.

Name, address of state entity making payment, and general nature of the

consideration for the payment

Amount of annual payment

No annual payments in excess of $10,000.00 from any State entity.

CFC Form FD 01/11 - F201401576237321 Page 5 of 5Vernon Jones

Page 25: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

Date of this Statement: Covering Calendar Year:

Name of Public Officer or Candidate:

Mailing Address:

Telephone Number:

03/20/2018 2017

P.O. Box 362272 Decatur, GA 30036

Vernon Jones

Telephone Number:

Confirmation #F201401576238857

Electronically filed with the Georgia Government Transparency

and Campaign Finance Commission on 3/20/2018 10:16:58PM

2017 - Financial Disclosure Statement -- Elected Public Officer

(404) 419-6034

STATE OF GEORGIAFINANCIAL DISCLOSURE STATEMENT

Original Statement

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).

CFC Form FD 01/11 - F201401576238857 Page 1 of 5Vernon Jones

Page 26: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

SECTION I

MONETARY FEES RECEIVED(This section to be completed by Public Officers only)

Identify each monetary fee or honorarium accepted from speaking engagements, participation in seminars, discussion panels, or other activities that

directly relate to the official duties of, or to the office of the public officer, with a statement identifying the fee or honorarium and the person or entity

from whom it was accepted.

Identify Fee or Honorarium Identifying Information of of Person or Entity from Whom AcceptedAmount Accepted

No monetary fee or honorarium.

SECTION II

FIDUCIARY POSITIONS

Name all fiduciary positions held by the candidate for public office or the public officer at any time during the covered year.. (You may expand this

section if necessary to include all positions.) A fiduciary position is any position imposing a duty to act primarily for another’s benefit as officer,

director, manager, partner, guardian, or other designations of general responsibility of a business entity. A fiduciary position may be a paid or unpaid

position. A business entity is any corporation, sole proprietorship, partnership, limited partnership, limited liability company, limited liability

partnership, professional corporation, enterprise, franchise, association, trust, joint venture, or other entity, whether profit or nonprofit.

Title of Position Name, address, and principal activity of business entity

No fiduciary positions in any business entity.

Direct ownership interest is the holding or possession of good legal or rightful title of property or the holding or enjoyment of real or beneficial use

of the property by any person and includes any interest owned or held by a spouse of the person if such interest is held jointly or as tenants in

common between the person and spouse.

Identify the name, address and principal activity of any business entity and the office held by and the duties of the candidate for public office or public

officer within a business entity any time during the covered year in which a direct ownership interest: (A) Is more than 5 percent of the total interest in

the business; or (B) Has a net fair market value of more than $5,000.00.

SECTION III

DIRECT OWNERSHIP INTERESTS IN BUSINESS ENTITY

Name, address, and principal activity of business entityOffice held by candidate or public officer

Duties of the candidate or public officer Ownership Interests

HENRY OLIVER COMPANY

P.O. 723, LITHONIA, GA 30038

(404) 419-6034

GOVERNMENT RELATIONS CONSULTING

PRESIDENT

CONSULTING SERVICES

Ownership interest is more

than 5%

CFC Form FD 01/11 - F201401576238857 Page 2 of 5Vernon Jones

Page 27: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

SECTION IV

DIRECT OWNERSHIP INTERESTS IN REAL PROPERTY

Direct ownership interest is the holding or possession of good legal or rightful title of property or the holding or enjoyment of real or beneficial use

of the property by any person and includes any interest owned or held by a spouse of the person if such interest is held jointly or as tenants in

common between the person and spouse.

Identify each tract of real property in which the candidate for public office or public officer has a direct ownership interest as of December 31 of the

covered year when that interest has a fair market value in excess of $5,000.00. “Fair market” value means the appraised value of the property for ad

valorem tax purposes. Check one box to show the applicable valuation range for each tract.

County and State where

property is located

General description of property (give street address or location,

size of tract, and nature or use of property) Value of tract

No ownership interests with a fair market value in excess of $5,000.00

SECTION V

SPOUSE'S DIRECT OWNERSHIP INTERESTS IN REAL PROPERTY

Identify each tract of real property in which the filer’s spouse has a direct ownership interest as of December 31 of the covered year when that interest

has a fair market value in excess of $5,000.00. Check one box to show the applicable valuation range for each tract.

County and State where

property is located

General description of property (give street address or location,

size of tract, and nature or use of property) Value of tract

No ownership interests with a fair market value in excess of $5,000.00

CFC Form FD 01/11 - F201401576238857 Page 3 of 5Vernon Jones

Page 28: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

SECTION VI

EMPLOYMENT AND FAMILY MEMBERS

Filer's Occupation:

Filer's Employer:

Employer's Address:

Employer's Principal Activity:

Filer's Spouse's Name:

Spouse's Occupation:

Spouse's Employer:

Spouse's Employer's Address:

Spouse's Employer Principal Activity:

Consultant

Self-employed

P.O. Box 723, LITHONIA, GA 30038

N/A

N/A

N/A

N/A

N/A

N/A

Filer's Secondary Occupation:

Filer's Secondary Employer:

Employer's Secondary Address:

Employer's Secondary Principal Activity:

Spouse's Secondary Occupation:

Spouse's Secondary Employer:

Spouse's Secondary Employer's Address:

Spouse's Secondary Employer's

Principal Activity:

SECTION VII

INVESTMENT INTERESTS

List the name of any business or subsidiary thereof or investment in which the filer (either individually or with any other legal or natural person or

entity) owns a direct ownership interest that: (1) is more than 5 percent of the total interests in such business or investment, or (2) has a net fair

market value of more than $5,000.00. (Do not list individual stocks and bonds that are held by mutual funds.)

Business or Investment Entity Name

No investment interests that is more than 5 percent of the total interests in such business or investment, or with a fair market value of more than

$5,000.00.

CFC Form FD 01/11 - F201401576238857 Page 4 of 5Vernon Jones

Page 29: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

SECTION VIII

KNOWN BUSINESS OR INVESTMENT INTERESTS OF SPOUSE AND DEPENDENT CHILDREN

Identify any business or investment known to the filer in which the filer’s spouse or dependent children have a direct ownership interest (either

individually or with any other legal or natural person or entity) which interest: (1) is more than 5 percent of the total interest in the business or

investment, (2) has a net fair market value exceeding $10,000.00, or (3) is one in an entity for which the filer’s spouse or a dependent child serves as an

officer, director, equitable partner, or trustee. (Do not list individual stocks and bonds that are held by mutual funds.)

a. Name of Business or Investment Entity,

b. Ownership (spouse/dependent children),

c. Indicate if officer, director, equitable

partner, or trustee (where applicable)

No known business or investment interests of spouse and dependent children.

SECTION IX

ANNUAL PAYMENTS RECEIVED

FROM THE STATE OF GEORGIA(This section to be completed by Public Officers only)

Identify all annual payments in excess of $10,000.00 received by the public officer, or by any business entity identified in Section III above, from the

State or any agency, department, commission or authority created by the State, and authorized and exempted from disclosure under O.C.G.A. §

45-10-25.

Name, address of state entity making payment, and general nature of the

consideration for the payment

Amount of annual payment

No annual payments in excess of $10,000.00 from any State entity.

CFC Form FD 01/11 - F201401576238857 Page 5 of 5Vernon Jones

Page 30: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

Date of this Statement: Covering Calendar Year:

Name of Public Officer or Candidate:

Mailing Address:

Telephone Number:

06/02/2019 2018

P.O. Box 362272 Decatur, GA 30036

Vernon Jones

Telephone Number:

Confirmation #F201401576240271

Electronically filed with the Georgia Government Transparency

and Campaign Finance Commission on 6/2/2019 9:34:06PM

2018 - Financial Disclosure Statement -- Elected Public Officer

(404) 419-6034

STATE OF GEORGIAFINANCIAL DISCLOSURE STATEMENT

Original Statement

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).

CFC Form FD 01/11 - F201401576240271 Page 1 of 5Vernon Jones

Page 31: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

SECTION I

MONETARY FEES RECEIVED(This section to be completed by Public Officers only)

Identify each monetary fee or honorarium accepted from speaking engagements, participation in seminars, discussion panels, or other activities that

directly relate to the official duties of, or to the office of the public officer, with a statement identifying the fee or honorarium and the person or entity

from whom it was accepted.

Identify Fee or Honorarium Identifying Information of of Person or Entity from Whom AcceptedAmount Accepted

No monetary fee or honorarium.

SECTION II

FIDUCIARY POSITIONS

Name all fiduciary positions held by the candidate for public office or the public officer at any time during the covered year.. (You may expand this

section if necessary to include all positions.) A fiduciary position is any position imposing a duty to act primarily for another’s benefit as officer,

director, manager, partner, guardian, or other designations of general responsibility of a business entity. A fiduciary position may be a paid or unpaid

position. A business entity is any corporation, sole proprietorship, partnership, limited partnership, limited liability company, limited liability

partnership, professional corporation, enterprise, franchise, association, trust, joint venture, or other entity, whether profit or nonprofit.

Title of Position Name, address, and principal activity of business entity

No fiduciary positions in any business entity.

Direct ownership interest is the holding or possession of good legal or rightful title of property or the holding or enjoyment of real or beneficial use

of the property by any person and includes any interest owned or held by a spouse of the person if such interest is held jointly or as tenants in

common between the person and spouse.

Identify the name, address and principal activity of any business entity and the office held by and the duties of the candidate for public office or public

officer within a business entity any time during the covered year in which a direct ownership interest: (A) Is more than 5 percent of the total interest in

the business; or (B) Has a net fair market value of more than $5,000.00.

SECTION III

DIRECT OWNERSHIP INTERESTS IN BUSINESS ENTITY

Name, address, and principal activity of business entityOffice held by candidate or public officer

Duties of the candidate or public officer Ownership Interests

HENRY OLIVER COMPANY

P.O. 723, LITHONIA, GA 30038

(404) 419-6034

GOVERNMENT RELATIONS CONSULTING

PRESIDENT

CONSULTING SERVICES

Ownership interest is more

than 5%

CFC Form FD 01/11 - F201401576240271 Page 2 of 5Vernon Jones

Page 32: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

SECTION IV

DIRECT OWNERSHIP INTERESTS IN REAL PROPERTY

Direct ownership interest is the holding or possession of good legal or rightful title of property or the holding or enjoyment of real or beneficial use

of the property by any person and includes any interest owned or held by a spouse of the person if such interest is held jointly or as tenants in

common between the person and spouse.

Identify each tract of real property in which the candidate for public office or public officer has a direct ownership interest as of December 31 of the

covered year when that interest has a fair market value in excess of $5,000.00. “Fair market” value means the appraised value of the property for ad

valorem tax purposes. Check one box to show the applicable valuation range for each tract.

County and State where

property is located

General description of property (give street address or location,

size of tract, and nature or use of property) Value of tract

No ownership interests with a fair market value in excess of $5,000.00

SECTION V

SPOUSE'S DIRECT OWNERSHIP INTERESTS IN REAL PROPERTY

Identify each tract of real property in which the filer’s spouse has a direct ownership interest as of December 31 of the covered year when that interest

has a fair market value in excess of $5,000.00. Check one box to show the applicable valuation range for each tract.

County and State where

property is located

General description of property (give street address or location,

size of tract, and nature or use of property) Value of tract

No ownership interests with a fair market value in excess of $5,000.00

CFC Form FD 01/11 - F201401576240271 Page 3 of 5Vernon Jones

Page 33: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

SECTION VI

EMPLOYMENT AND FAMILY MEMBERS

Filer's Occupation:

Filer's Employer:

Employer's Address:

Employer's Principal Activity:

Filer's Spouse's Name:

Spouse's Occupation:

Spouse's Employer:

Spouse's Employer's Address:

Spouse's Employer Principal Activity:

Consultant

Self-employed

P.O. Box 723, LITHONIA, GA 30038

N/A

N/A

N/A

N/A

N/A

N/A

Filer's Secondary Occupation:

Filer's Secondary Employer:

Employer's Secondary Address:

Employer's Secondary Principal Activity:

Spouse's Secondary Occupation:

Spouse's Secondary Employer:

Spouse's Secondary Employer's Address:

Spouse's Secondary Employer's

Principal Activity:

SECTION VII

INVESTMENT INTERESTS

List the name of any business or subsidiary thereof or investment in which the filer (either individually or with any other legal or natural person or

entity) owns a direct ownership interest that: (1) is more than 5 percent of the total interests in such business or investment, or (2) has a net fair

market value of more than $5,000.00. (Do not list individual stocks and bonds that are held by mutual funds.)

Business or Investment Entity Name

No investment interests that is more than 5 percent of the total interests in such business or investment, or with a fair market value of more than

$5,000.00.

CFC Form FD 01/11 - F201401576240271 Page 4 of 5Vernon Jones

Page 34: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

SECTION VIII

KNOWN BUSINESS OR INVESTMENT INTERESTS OF SPOUSE AND DEPENDENT CHILDREN

Identify any business or investment known to the filer in which the filer’s spouse or dependent children have a direct ownership interest (either

individually or with any other legal or natural person or entity) which interest: (1) is more than 5 percent of the total interest in the business or

investment, (2) has a net fair market value exceeding $10,000.00, or (3) is one in an entity for which the filer’s spouse or a dependent child serves as an

officer, director, equitable partner, or trustee. (Do not list individual stocks and bonds that are held by mutual funds.)

a. Name of Business or Investment Entity,

b. Ownership (spouse/dependent children),

c. Indicate if officer, director, equitable

partner, or trustee (where applicable)

No known business or investment interests of spouse and dependent children.

SECTION IX

ANNUAL PAYMENTS RECEIVED

FROM THE STATE OF GEORGIA(This section to be completed by Public Officers only)

Identify all annual payments in excess of $10,000.00 received by the public officer, or by any business entity identified in Section III above, from the

State or any agency, department, commission or authority created by the State, and authorized and exempted from disclosure under O.C.G.A. §

45-10-25.

Name, address of state entity making payment, and general nature of the

consideration for the payment

Amount of annual payment

No annual payments in excess of $10,000.00 from any State entity.

CFC Form FD 01/11 - F201401576240271 Page 5 of 5Vernon Jones

Page 35: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

Date of this Statement: Covering Calendar Year:

Name of Public Officer or Candidate:

Mailing Address:

Telephone Number:

03/10/2020 2019

P.O. Box 362272 Decatur, GA 30036

Vernon Jones

Telephone Number:

Confirmation #F201401576241480

Electronically filed with the Georgia Government Transparency

and Campaign Finance Commission on 3/10/2020 9:55:40PM

2019 - Financial Disclosure Statement -- Elected Public Officer

(404) 419-6034

STATE OF GEORGIAFINANCIAL DISCLOSURE STATEMENT

Original Statement

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).

CFC Form FD 01/11 - F201401576241480 Page 1 of 5Vernon Jones

Page 36: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

SECTION I

MONETARY FEES RECEIVED(This section to be completed by Public Officers only)

Identify each monetary fee or honorarium accepted from speaking engagements, participation in seminars, discussion panels, or other activities that

directly relate to the official duties of, or to the office of the public officer, with a statement identifying the fee or honorarium and the person or entity

from whom it was accepted.

Identify Fee or Honorarium Identifying Information of of Person or Entity from Whom AcceptedAmount Accepted

No monetary fee or honorarium.

SECTION II

FIDUCIARY POSITIONS

Name all fiduciary positions held by the candidate for public office or the public officer at any time during the covered year.. (You may expand this

section if necessary to include all positions.) A fiduciary position is any position imposing a duty to act primarily for another’s benefit as officer,

director, manager, partner, guardian, or other designations of general responsibility of a business entity. A fiduciary position may be a paid or unpaid

position. A business entity is any corporation, sole proprietorship, partnership, limited partnership, limited liability company, limited liability

partnership, professional corporation, enterprise, franchise, association, trust, joint venture, or other entity, whether profit or nonprofit.

Title of Position Name, address, and principal activity of business entity

No fiduciary positions in any business entity.

Direct ownership interest is the holding or possession of good legal or rightful title of property or the holding or enjoyment of real or beneficial use

of the property by any person and includes any interest owned or held by a spouse of the person if such interest is held jointly or as tenants in

common between the person and spouse.

Identify the name, address and principal activity of any business entity and the office held by and the duties of the candidate for public office or public

officer within a business entity any time during the covered year in which a direct ownership interest: (A) Is more than 5 percent of the total interest in

the business; or (B) Has a net fair market value of more than $5,000.00.

SECTION III

DIRECT OWNERSHIP INTERESTS IN BUSINESS ENTITY

Name, address, and principal activity of business entityOffice held by candidate or public officer

Duties of the candidate or public officer Ownership Interests

HENRY OLIVER COMPANY

P.O. 723, LITHONIA, GA 30038

(404) 419-6034

GOVERNMENT RELATIONS CONSULTING

PRESIDENT

CONSULTING SERVICES

Ownership interest is more

than 5%

CFC Form FD 01/11 - F201401576241480 Page 2 of 5Vernon Jones

Page 37: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

SECTION IV

DIRECT OWNERSHIP INTERESTS IN REAL PROPERTY

Direct ownership interest is the holding or possession of good legal or rightful title of property or the holding or enjoyment of real or beneficial use

of the property by any person and includes any interest owned or held by a spouse of the person if such interest is held jointly or as tenants in

common between the person and spouse.

Identify each tract of real property in which the candidate for public office or public officer has a direct ownership interest as of December 31 of the

covered year when that interest has a fair market value in excess of $5,000.00. “Fair market” value means the appraised value of the property for ad

valorem tax purposes. Check one box to show the applicable valuation range for each tract.

County and State where

property is located

General description of property (give street address or location,

size of tract, and nature or use of property) Value of tract

No ownership interests with a fair market value in excess of $5,000.00

SECTION V

SPOUSE'S DIRECT OWNERSHIP INTERESTS IN REAL PROPERTY

Identify each tract of real property in which the filer’s spouse has a direct ownership interest as of December 31 of the covered year when that interest

has a fair market value in excess of $5,000.00. Check one box to show the applicable valuation range for each tract.

County and State where

property is located

General description of property (give street address or location,

size of tract, and nature or use of property) Value of tract

No ownership interests with a fair market value in excess of $5,000.00

CFC Form FD 01/11 - F201401576241480 Page 3 of 5Vernon Jones

Page 38: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

SECTION VI

EMPLOYMENT AND FAMILY MEMBERS

Filer's Occupation:

Filer's Employer:

Employer's Address:

Employer's Principal Activity:

Filer's Spouse's Name:

Spouse's Occupation:

Spouse's Employer:

Spouse's Employer's Address:

Spouse's Employer Principal Activity:

Consultant

Self-employed

P.O. Box 723, LITHONIA, GA 30038

N/A

N/A

N/A

N/A

N/A

N/A

Filer's Secondary Occupation:

Filer's Secondary Employer:

Employer's Secondary Address:

Employer's Secondary Principal Activity:

Spouse's Secondary Occupation:

Spouse's Secondary Employer:

Spouse's Secondary Employer's Address:

Spouse's Secondary Employer's

Principal Activity:

SECTION VII

INVESTMENT INTERESTS

List the name of any business or subsidiary thereof or investment in which the filer (either individually or with any other legal or natural person or

entity) owns a direct ownership interest that: (1) is more than 5 percent of the total interests in such business or investment, or (2) has a net fair

market value of more than $5,000.00. (Do not list individual stocks and bonds that are held by mutual funds.)

Business or Investment Entity Name

No investment interests that is more than 5 percent of the total interests in such business or investment, or with a fair market value of more than

$5,000.00.

CFC Form FD 01/11 - F201401576241480 Page 4 of 5Vernon Jones

Page 39: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

SECTION VIII

KNOWN BUSINESS OR INVESTMENT INTERESTS OF SPOUSE AND DEPENDENT CHILDREN

Identify any business or investment known to the filer in which the filer’s spouse or dependent children have a direct ownership interest (either

individually or with any other legal or natural person or entity) which interest: (1) is more than 5 percent of the total interest in the business or

investment, (2) has a net fair market value exceeding $10,000.00, or (3) is one in an entity for which the filer’s spouse or a dependent child serves as an

officer, director, equitable partner, or trustee. (Do not list individual stocks and bonds that are held by mutual funds.)

a. Name of Business or Investment Entity,

b. Ownership (spouse/dependent children),

c. Indicate if officer, director, equitable

partner, or trustee (where applicable)

No known business or investment interests of spouse and dependent children.

SECTION IX

ANNUAL PAYMENTS RECEIVED

FROM THE STATE OF GEORGIA(This section to be completed by Public Officers only)

Identify all annual payments in excess of $10,000.00 received by the public officer, or by any business entity identified in Section III above, from the

State or any agency, department, commission or authority created by the State, and authorized and exempted from disclosure under O.C.G.A. §

45-10-25.

Name, address of state entity making payment, and general nature of the

consideration for the payment

Amount of annual payment

No annual payments in excess of $10,000.00 from any State entity.

CFC Form FD 01/11 - F201401576241480 Page 5 of 5Vernon Jones

Page 40: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

EXHIBIT 3

Page 41: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

3/19/2020 DeKalb County Property Appraisal

https://propertyappraisal.dekalbcountyga.gov/Datalets/PrintDatalet.aspx?pin=16 055 05 013&gsp=SALES&taxyear=2019&jur=000&ownseq=0&card=1… 1/1

1 of 4

PARID: 16 055 05 013Tax Dist: 80-STONECRESTHICKS SONJA ALYCE 5560 MAYFAIR CROSSING DR

Sales

Sale Date Price Tran Code Grantor Grantee Instrument Book / Page08/31/2001 111,000 0 - Valid Sale FMV JONES VERNON A HICKS SONJA ALYCE WD - WARRANTY DEED 12543 / 0026703/14/1997 104,400 0 - Valid Sale FMV MCMILLAN

MCDONALDBUILDERS INC

JONES VERNON A WD - WARRANTY DEED 09435 / 00205

10/02/1996 160,000 1 - Multiple ParcelSale

REL PROPERTIES INC MCMILLANMCDONALDBUILDERS INC

WD - WARRANTY DEED 09172 / 00747

10/16/1995 0 S - Old Code NoLonger Used

LW -LIMITEDWARRANTYDEED

08737 / 00431

Sale Details

Sale Date 08/31/2001Price $111,000Deed Book 12543Deed Page 00267Plat Book 0102Plat Page 0006Buyer 1 HICKS SONJA ALYCEBuyer 2 Seller 1 JONES VERNON ASeller 2

Page 42: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

EXHIBIT 4

Page 43: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

3/19/2020 DeKalb County Property Appraisal

https://propertyappraisal.dekalbcountyga.gov/Datalets/PrintDatalet.aspx?pin=15 145 18 007&gsp=SALES&taxyear=2019&jur=000&ownseq=0&card=1… 1/4

PARID: 15 145 18 007Tax Dist: 61-ATLANTAJONES VERNON 854 MORELAND AVE SE

Parcel

Status ACTIVEParcel ID 15 145 18 007Alt ID 4865691Address 854 MORELAND AVEUnit City ATLANTAZip Code 30316-2663Neighborhood 1420Super NBHD Class R3 - RESIDENTIAL LOTLand Use Code 101-Residential 1 familyLiving Units Zoning -Appraiser VITELIO - VICTOR LLAVERIAS (404) 371-2573

Mailing Address

IJ LLCP O BOX 190496ATLANTA GA 31119

Current Ownership

Owner Co-OwnerJONES VERNON

Ownership on January 1st

Owner Co-OwnerJONES VERNON

Notices of Assessment

Tax Year Notice Type Download2019 Annual Notice Click Here2018 Annual Notice Click Here2017 Annual Notice Click Here

Property Tax Information

Click Here for Property Tax Information

Appraised Values

Tax Year Class Land Building Total2019 R3 41,700 206,700 248,4002018 R3 36,834 170,304 207,1382017 R3 41,700 170,200 211,9002016 R3 41,700 114,100 155,8002015 R3 41,700 86,800 128,500

Page 44: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

3/19/2020 DeKalb County Property Appraisal

https://propertyappraisal.dekalbcountyga.gov/Datalets/PrintDatalet.aspx?pin=15 145 18 007&gsp=SALES&taxyear=2019&jur=000&ownseq=0&card=1… 2/4

2014 R3 48,100 73,200 121,3002013 R3 48,300 45,900 94,2002012 R3 48,300 45,900 94,2002011 R3 48,300 63,660 111,9602010 R3 48,300 102,300 150,6002009 R3 48,300 102,300 150,600

Assessed Values

Tax Year Class Land Building Total2019 R3 16,680 82,680 99,3602018 R3 14,734 68,122 82,8562017 R3 16,680 68,080 84,7602016 R3 16,680 45,640 62,3202015 R3 16,680 34,720 51,4002014 R3 19,240 29,280 48,5202013 R3 19,320 18,360 37,6802012 R3 19,320 18,360 37,6802011 R3 19,320 25,464 44,7842010 R3 19,320 40,920 60,2402009 R3 19,320 40,920 60,240

Appeals

Tax Year Hearing Type Subkey Original Notice Date File Date Appeal Status2011 Assessment Notice 1 05/27/2011 Notice Record2012 Assessment Notice 1 05/29/2012 01/07/2013 Time Elapsed2013 Assessment Notice 1 05/28/2013 Time Elapsed2014 Assessment Notice 1 05/30/2014 Time Elapsed2015 Assessment Notice 1 05/29/2015 Time Elapsed2016 Assessment Notice 1 06/03/2016 Time Elapsed2017 Assessment Notice 1 06/02/2017 Time Elapsed2018 Assessment Notice 1 06/01/2018 Time Elapsed2019 Assessment Notice 1 05/31/2019 Time Elapsed

Values

Tax Year Hearing Type Subkey Total FMV2011 Assessment Notice 1 $111,9602012 Assessment Notice 1 $94,2002013 Assessment Notice 1 $94,2002014 Assessment Notice 1 $121,3002015 Assessment Notice 1 $128,5002016 Assessment Notice 1 $155,8002017 Assessment Notice 1 $211,9002018 Assessment Notice 1 $207,1382019 Assessment Notice 1 $248,400

Land

Land Type G - SITELand Code 2 - SITE VALUESquare Feet 0

Page 45: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

3/19/2020 DeKalb County Property Appraisal

https://propertyappraisal.dekalbcountyga.gov/Datalets/PrintDatalet.aspx?pin=15 145 18 007&gsp=SALES&taxyear=2019&jur=000&ownseq=0&card=1… 3/4

1 of 3

Calculated Acres 0Deeded Acres .2Parcel ID 15 145 18 007Address 854 MORELAND AVE SEUnit City ATLANTAZip Code 30316-2663Neighborhood 1420Class R3 - RESIDENTIAL LOTLand Use Code 101-Residential 1 familySuper NBHD Zoning -

Residential Structure

Building # 1Land Class R3 - RESIDENTIAL LOTStories 1Construction 2 - BRICKStyle 09 - SINGLE FAMILY RESIDENTIALLiving Area 1,682Quality Grade 015Condition AVYear Built 1934Remodeled Year Effective Year Bedrooms 3Full Baths 1Half Baths 0Total Fixtures 5Fireplaces 1AC 3 - CENTRALBasement 1 - SEE ADDITIONSUnfinished Area Finished Basement Living Area Functional Obsolescene 95Economic Obsolescence 90% Complete 100

Additions

Addition Number Description Area0 --- 1,6821 BSMT UNDER DWELLING--- 8412 -SCREEN PORCH-- 170

Sales

Sale Date Price Tran Code Grantor Grantee Instrument Book / Page05/31/2019 0 4 - Affiliated/Related

PartiesIJ LLC JONES VERNON WD - WARRANTY DEED 27615 / 00202

12/19/2017 215,000 1 - Multiple Parcel Sale GRAVES JENNIE RUTH IJ LLC LW - LIMITEDWARRANTYDEED

26682 / 00553

01/28/1974 0 0 - Valid Sale FMV WD - WARRANTY DEED 03130 / 00615

Sale Details

Page 46: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

3/19/2020 DeKalb County Property Appraisal

https://propertyappraisal.dekalbcountyga.gov/Datalets/PrintDatalet.aspx?pin=15 145 18 007&gsp=SALES&taxyear=2019&jur=000&ownseq=0&card=1… 4/4

Sale Date 05/31/2019Price $0Deed Book 27615Deed Page 00202Plat Book Plat Page 10 0Buyer 1 JONES VERNONBuyer 2 Seller 1 IJ LLCSeller 2

Page 47: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

EXHIBIT 5

Page 48: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

_ RECEIVED.^

|:25

rFEC

FORM 1

STATEMENT OFORGANIZATION

1. NAME OF [fn] (Check if name Example: If typing, typeCOMMITTEE (in full) LUI is changed) over the lines.

i\/ f'^VA/TlAl ~I^A/ f",G* C/Yl? fl f>A/r<?T> CO^Iv i£jfN/iiUlM i i>J L/M |t*»Ji iriL/f|i l\ /it/if Vn ill iLi-^h-T i i i i i

1 i i i i i i i i i i i i i i i i i i i i i i i i i i i i i

ADDRESS (number a

0 (Check if atis changed)

iP D *?£.Ay \Olf\LtQtf\nd street) l [ l l lL/HI lOLJAj ll rl llVl f\i \(O 1 1 1 1

-)dro— 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

]AT/JtNTA< i

£U'UWVI1 1 * • • • • i,̂ ,̂ —

Office Use Only

[12FE4M5 """H

, , , ,1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

M &/,/,/,9i-i , , , iCITY

COMMITTEE'S E-MAIL ADDRESS (Please provide only one e-mail address)

r=n ^ . IXip"SwjffJNt I . I I I I . I I I I I I I I I I I I I I I I I I I I I I I|1 (Check if address ' * r ' f'HJ is changed) i

COMMITTEE'S WEB PAGE ADDRESS (URL)

(Check if addressis changed)

I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I

2. DATE

3. FEC IDENTIFICATION NUMBER

4. IS THIS STATEMENT NEW (N) OR AMENDED (A)

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

Li so.Type or Print Name of Treasurer

jjSignature of Treasurer / S\L0&.

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

ANY CHANGE IN INFORMATION SHOULD BE REPORTED WITHIN 10 DAYS.

[_ OfficeUseOnly

For further Information contact: CCf CO DM 1Federal Election Commission PCU FUnm IToll Free 800-424-9530 (Revised 02/2009) ILocal 202-694-1100 — 1

Page 49: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

r nFEC Form 1 (Revised 02/2009) Page 2

5. TYPE OF COMMITTEE

Candidate Committee:

(a)

Name ofCandidate

This committee is a principal campaign committee. (Complete the candidate information below.)

This committee is an authorized committee, and is NOT a principal campaign committee. (Complete the candidateinformation below.)

CandidateParty Affiliation

i i i i i i i i i i i i i i i i i i

House Senate PresidentState

District

(c)

Name ofCandidate

This committee supports/opposes only one candidate, and is NOT an authorized committee.

Party Committee:

(d)||—»—*-̂ a (National, State i—"—"—=fl (Democratic,

This committee is a |_j, „ |J or subordinate) committee of the „ „ |[ Republican, etc.) Party.

Political Action Committee (PAC):

(e) [LJ| This committee is a separate segregated fund. (Identify connected organization on line 6.) Its connected organization is a:

Corporation w/o Capital Stock Labor Organization

Cooperative

(f)

Corporation (j_j|

n inlMembership Organization |UJ Trade Association

[LJ In addition, this committee is a Lobbyist/Registrant PAC.

D This committee supports/opposes more than one Federal candidate, and is NOT a separate segregated fund or partycommittee, (i.e., nonconnected committee)

|(j| In addition, this committee is a Lobbyist/Registrant PAC.

[[J| In addition, this committee is a Leadership PAC. (Identify sponsor on line 6.)

Joint Fundraising Representative:

(g)

(h)

This committee collects contributions, pays fundraising expenses and disburses net proceeds for two or more politicalcommittees/organizations, at least one of which is an authorized committee of a federal candidate.

This committee collects contributions, pays fundraising expenses and disburses net proceeds for two or more politicalcommittees/organizations, none of which is an authorized committee of a federal candidate.

Committees Participating in Joint Fundraiser

1. M i l l I I I I I I I I I I i FEC ID

2.

3.

4.

1 FEC ID

I I. I l

I FEC ID number

ID number

L J

Page 50: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

r nFEC Form 1 (Revised 02/2009) Page 3

Write or Type Committee Name

wrnpn Jones -k?C6. Name of Any Connected Organization, Affiliated Committee, Joint Fundraising Representative, or Leadership PAC Sponsor

Mailing Address

I

I I I I I I I I I I I I I I I I I I I I i I I , . . i l-l i i . I

CITY STATE ZIP CODE

Relationship: fl Connected Organization FlAffiliated Committee fj Joint Fundraising Representative |j Leadership PAC SponsornJ Lra kfeJ bJ

7. Custodian of Records: Identify by name, address (phone number - optional) and position of the person in possession of committeebooks and records.

Full Name friKT/irNJ I'C.L//fi /rlQiQif^ifc i i i i i i i i i i i i i i i i i i i i i i i I

Mailing Address l/ii \U\ • i/^Q/x \ / \ f \Urf\I \fo i i i i I i i i i i i i i i i i i I i I

I i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i I

\frtfLAdrrfl i i QA iS/./i/ffi-i . . . iTitle or Position CITY STATE ZIP CODE

Telephone number iffflff- iff/0 -

8. Treasurer: List the name and address (phone number - optional) of the treasurer of the committee; and the name and address ofany designated agent (e.g., assistant treasurer).

i i i i i i i i i i i

\ t \ t l)\> i iffiU^Aj I/ \T\£/rfifi$Mailing Address t\t \> i i^j I/ \ \ r i I I I I I i I i i I I I I I I I I i

Page 51: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

r ~iFEC Form 1 (Revised 02/2009) Page 4

Full Name of

Mailing Address

Title or Position

CITY

I I I I I

ft/.f./ffi-ii i i i fc^fl af.|.fifi-i . . . iSTATE ZIP CODE

Te.ephone number

Banks or Other Depositories: List all banks or other depositories in which the committee deposits funds, holds accounts, rentssafety deposit boxes or maintains funds.

Name of Bank, Depository, etc.

Mailing Address

I I I I I I I I I I

CITY STATE ZIP CODE

Name of Bank, Depository, etc.

1 I I I I I I I I i I I I I I I I I I I I I I 1 I I I I I i I i i i I i I I I

Mailing Address I I i i I I I I I I I i I I i i I I i I I I I I I i I I I I i i i i I

I I i i I i I I I I I i i I i i I i i I I I I I I i i i i i I I I I I

I I i i I I I I I I I I I I i I I I I I I I I I I I I l~l I I I I

CITY STATE ZIP CODE

L J

Page 52: R OBBINS - GeorgiaPol...Representative Vernon Jones, Candidate for Georgia State House of Representatives District 91. Dear Secretary Raffensperger: Our law firm represents Faye Coffield,

Federal Election CommissionENVELOPE REPLACEMENT PAGE FOR INCOMING DOCUMENTS

The FEC added this page to the end of this filing to indicate how it was received.

Hand DeliveredDate of Receipt

PostmarkedUSPS First Class Mail

USPS Registered/CertifiedPostmarked (R/C)

PostmarkedUSPS Priority Mail

Delivery Confirmation™ or Signature Confirmation™ Label

USPS Express MailPostmarked

Postmark Illegible

No Postmark

Overnight Delivery Service (Specify):Shipping Date

Next Business Day Delivery

Received from House Records & Registration OfficeDate of Receipt

Received from Senate Public Records OfficeDate of Receipt

Received from Electronic Filing OfficeDate of Receipt

Other (Specify):Date of Receipt or Postmarked

PREPARER DATE PREPARED(3/2005)