State of Georgia
Campaign Contribution Disclosure Report
FILER ID: NC2009000067
SEC FORM CCDR REV 06/2009
1. Report Type2. Filing is being made on behalf of:Filing Office UseOnlUse Earlier of PostMark or HandDelivered Date
E-Filed on1/5/11 10:39 am
Report of Organization or Person Other than Candidate's Campaign Committee
NC2009000067 -Haley's Leadership PAC3. 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
(4) (202) 974-1382
Contact Phone Number (We will understand the release of this information as permission to call your office if necessary.)
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?
(6) If so, is the Committee registered with the State Ethics Commission?
(7) Chairperson: Henry Barbour Treasurer: Heather Larrison
Name of Chairperson and / or Treasurer of Committee
4. Period for which you are Reporting
June 30, 2010Dec. 31, 2010March 31, 2010June 30, 2010September 30, 2010October 25, 2010December 31, 20106 days before SpecialRun-Off, 20106 days before SpecialPrimary Run-Off,20106 days before GeneralRun-Off, 20106 days before PrimaryRun-Off, 2010Dec. 31, 201015 days beforeSpecial, 201015 days beforeSpecial Primary,2010
My Non Election YearMy Election YearRun-Offs
(Report Require Only if you are in a Run Off Election)
(Report Require Only if you are in a SpecialElection)
Persons elected to office in each year following the year in which the electionoccursPersons leaving office with excess fundsuntil such funds are expended as provided inthe ActUnsuccessful candidates with excess funds,or who receive contributions to retire debtincurred, until such funds are expended, or such unpaid debts are satisfied (December 31 filing only)
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 notarizedaffidavit is no longer required.
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