Daniel to Barbour

8/2/2019 Daniel to Barbour

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State of Georgia

Campaign Contribution Disclosure Report

FILER ID: NC2009000067SEC FORM CCDR

REV 06/2009

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

Onl

Use Earlier of Post

Mark or Hand

Delivered Date

E-Filed on

1/5/11 10:39 amOriginal Report

Report of Organization or Person Other than Candidate's Campaign Committee

NC2009000067 -

Haley's Leadership PAC

3. Identifying and Contact Information

(1) Haley's Leadership PAC

Full Name of Candidate or Non-Candidate Campaign Committee

(3) P O Box 1186 Jackson, MS 39215

Mailing Address

(4) (202) 974-1382

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 recordsof the campaign, or file the reports? N/A (6) If so, is the Committee registered with the State Ethics Commission? N/A

(7) Chairperson: Henry Barbour Treasurer: Heather Larrison

Name of Chairperson and / or Treasurer of Committee

(2) 01/04/2011 Today's Date

4. Period for which you are Reporting

June 30, 2010

Dec. 31, 2010

March 31, 2010

June 30, 2010

September 30, 2010

October 25, 2010

December 31, 20106 days before Special

Run-Off, 2010

6 days before Special

Primary Run-Off,

2010

6 days before General

Run-Off, 2010

6 days before Primary

Run-Off, 2010

Dec. 31, 2010

15 days before

Special, 2010

15 days before

Special Primary,

2010

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 2010 December 31st - Election Year - OriginalElectronically Filed with the State Ethics Commission on: 1/5/2011 10:39:16AM -- Confirmation #NC200900006731567


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SEC FORM CCDR

REV 06/2009 FILER ID: NC2009000067

State of Georgia


Summary Report

CONTRIBUTIONS RECEIVED

Cash AmountIn-Kind

Estimated Value

$422,140.00

$100.00

$117,500.00

$0.00

$0.00

$117,600.00

$539,740.00

$5,634.52

$0.00

$0.00

$0.00

$5,634.52

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 less than $101.00 received in thisreporting 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 less than $101.00 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

$359,236.27

$146,853.55

$506,089.82

$506,089.82

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

$33,650.18

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



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Outstanding Indebtedness

SEC FORM CCDR

REV 06/2009

State of Georgia


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 2010 Indebtedness

1

3

2

6

5

4

7



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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 $101.00 or more

SEC FORM CCDR

REV 06/2009 FILER ID: NC2009000067

State of Georgia


Itemized Contributions

10/26/2010General

$10,000.00 $0.00

Monetary

Allergan U.S.A., Inc.

2525 Dupont Drive

Irvine, CA 92612

2010

12/14/2010General

$100,000.00 $0.00

Monetary

a. Executive

b. Crest Investment

Group

Daniel, Jamal

600 Travis Street

Suite 6800

Houston, TX 77002

2010

11/30/2010

General

$5,000.00 $0.00

Monetary

HNTB Holdings LTD

715 Kirk DriveKansas City, MO 64105

2010

11/22/2010General

$2,500.00 $0.00

Monetary

National Rifle Association

11250 Waples Mill Road

Fairfax, VA 22030

2010

FILER ID: NC2009000067

State of Georgia


Summary of Itemized Contributions Received

In-Kind Total for this period:

Cash Contributions Total for this period:

$0.00

$117,500.00



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SEC FORM CCDR

REV 06/2009

State of Georgia


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


I have no loans to report this reporting period.



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List Name and Mailing Address of

Recipient

Expenditure Date

Expenditure Type

Occupation &

Employer

Expenditure Purpose Amount

Paid

SEC FORM CCDR

REV 06/2009FILER ID: NC2009000067

State of Georgia


Itemized ExpendituresMust list expenditures made to a single recipient for which the aggregate total is $101.00 or more

$17.95Credit Card Processing Fees11/05/2010

Expenditure

American Express

PO Box 53852Phoenix, AZ 85072

$861.86Printing & Reproduction12/07/2010

Expenditure

Amerimail

PO Box 2174

Jackson, MS 39225

$523.50Printing & Reproduction10/29/2010

Expenditure

Amerimail

PO Box 2174

Jackson, MS 39225

$162.50Bookkeeping12/01/2010

Expenditure

Bolles Business Services, LLC

18500 Mink Hollow Road

Highland, MD 20777

$187.50Bookkeeping11/02/2010

Expenditure

Bolles Business Services, LLC

18500 Mink Hollow Road

Highland, MD 20777

$150.00Legal Fees11/26/2010

Expenditure

Bryan Cave LLP

1155 F Street, NW

Washington, DC 20004

$400.00Database Maintaince11/04/2010

Expenditure

CMDI

7704 Leesburg Pike

Falls Church, VA 22043

$400.00Database Maintaince12/07/2010

Expenditure

CMDI

7704 Leesburg Pike

Falls Church, VA 22043

$69.87Credit Card Processing Fees11/02/2010

Expenditure

Elavon Merchant Services

7300 Chapman Highway

Knoxville, TN 37920

$10,000.00Consulting11/15/2010

Expenditure

Hederman Group

PO Box 12012

Jackson, MS 39236

$10,000.00Consulting12/10/2010

Expenditure

Hederman Group

PO Box 12012

Jackson, MS 39236

$2,500.00Political Contribution10/26/2010

Expenditure

Herbert for Governor

55 East Broadway

Salt Lake City, UT 84111



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$2,139.87Consulting11/08/2010

Expenditure

Lambert, Mallory

108 Novara Trail

Madison, MS 39110

a. Consultant

b. Self Employed

$2,001.20Consulting12/07/2010

Expenditure

Lambert, Mallory

108 Novara Trail

Madison, MS 39110

a. Self Employed

b. Consultant

$1,510.00Consulting10/29/2010

Expenditure

Maggie Clark Media Services

139 Bent Creek Drive

Brandon, MS 39047

$3,730.36Data Maintaince12/02/2010

Expenditure

Peachtree Data

2905 Premiere Parkway

Suite 200

Duluth, GA 30097

$2,500.00Political Contribution10/26/2010

Expenditure

Sandoval for Governor

PO Box 370297

Las Vegas, NV 89137

$48.65Postage & Delivery11/29/2010

Expenditure

The Larrison Group

PO Box 33045


$5,000.00Consulting12/01/2010

Expenditure

The Larrison Group

PO Box 33045


$5,000.00Consulting11/02/2010

Expenditure

The Larrison Group

PO Box 33045


$16,000.00Consulting10/26/2010

Expenditure

The Tarrance Group

201 N. Union Street

Ste 410

Alexandria, VA 22314

$1,525.59Consulting12/02/2010

Expenditure

The Tarrance Group

201 N. Union Street

Ste 410


$80,343.00Consulting12/22/2010

Expenditure

The Tarrance Group

201 N. Union Street

Ste 410


$1,056.19Consulting10/28/2010

Expenditure

The Tarrance Group

201 N. Union Street

Ste 410Alexandria, VA 22314

$725.51Consulting11/04/2010

Expenditure

The Tarrance Group

201 N. Union Street




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State of Georgia


Summary of Itemized Expenditures Made

Paid Expenditures Total for this period: $146,853.55



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SEC FORM CCDR

REV 06/2009

State of Georgia


Investments Statement

Investment Name There are No Investments this reporting period

Institution/Person

Holding Account

Address

AddressCity, 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 2010 December 31st - Election Year - OriginalEl t i ll Fil d ith th St t Ethi C i i 1/5/2011 10 39 16AM C fi ti #NC200900006731567

Daniel to Barbour

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