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SEC FORM CCDR REV 06/2009

FILER ID: NC2009000067

State of Georgia

Campaign Contribution Disclosure Report


1. Report Type 2. Filing is being made on behalf of:
Report of Organization or Person Other than Candidate's Campaign Committee

Original Report

NC2009000067 Haley's Leadership PAC

Filing Office Use Only E-Filed on 1/5/11 10:39 am Use Earlier of Post Mark or Hand Delivered Date

3. Identifying and Contact Information

(1) Haley's Leadership PAC


Full Name of Candidate or Non-Candidate Campaign Committee

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

(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 records of 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

4. Period for which you are Reporting

My Non Election Year


June 30, 2010 Dec. 31, 2010
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)

My Election Year
March 31, 2010 June 30, 2010 September 30, 2010 October 25, 2010 X December 31, 2010

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)

6 days before Primary Run-Off, 2010 6 days before General Run-Off, 2010 6 days before Special Primary Run-Off, 2010 6 days before Special Run-Off, 2010

15 days before Special Primary, 2010 15 days before Special, 2010

Dec. 31, 2010

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 - Original Electronically Filed with the State Ethics Commission on: 1/5/2011 10:39:16AM -- Confirmation #NC200900006731567

SEC FORM CCDR REV 06/2009

FILER ID: NC2009000067

State of Georgia Campaign Contribution Disclosure Report

Summary Report
CONTRIBUTIONS RECEIVED
1 2 3 3a 3b 3c 3d
I Have: The following contributions, including Common Source, to report: In-Kind Estimated Value Cash Amount

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 investments sold this reporting period. Total amount of cash dividends and interest paid out this reporting period. Total amount of all separate contributions of less than $101.00 received in this reporting period and not listed on the "Itemized Contributions" page.
"Common Source" contributions must be aggregated on the "Itemized Contributions" page.

$5,634.52 $0.00

$422,140.00 $117,500.00 $0.00 $0.00 $0.00 $0.00

4 5 6

$0.00 $0.00 $5,634.52

$100.00 $117,600.00 $539,740.00

Total contributions reported this reporting period. (Line 3 + 3a + 3b +3c + 3d + 4) Total contributions to date. (Line 2 + 5)

EXPENDITURES MADE
7 8 9 10 11 12
I Have: The following expenditures to report: In-Kind Estimated Cash Amount

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)

$0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $146,853.55 $359,236.27 $506,089.82 $506,089.82

INVESTMENTS
13 14 Amount of investments at the beginning of this reporting period. Total amount of investments at the close of this reporting period. $0.00 $0.00

15

Net Balance On Hand. (Line 6 - 12 + 14)

$33,650.18

Campaign Contribution Disclosure Report for 2010 December 31st - Election Year - Original Electronically Filed with the State Ethics Commission on: 1/5/2011 10:39:16AM -- Confirmation #NC200900006731567

SEC FORM CCDR REV 06/2009

State of Georgia Campaign Contribution Disclosure Report

Outstanding Indebtedness
General 2010 Indebtedness
1 2 3 4 5 6 7 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)
Amount

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Campaign Contribution Disclosure Report for 2010 December 31st - Election Year - Original Electronically Filed with the State Ethics Commission on: 1/5/2011 10:39:16AM -- Confirmation #NC200900006731567

SEC FORM CCDR REV 06/2009

FILER ID: NC2009000067

State of Georgia Campaign Contribution Disclosure Report


Must list contributions received by a single contributor for which the aggregate total is $101.00 or more Full Name of Contributor Mailing Address (Affiliation of Committee if any) Contributor Received Date Contribution Type a. Occupation & b. Employer Election Cycle
2010 General

Itemized Contributions

In-Kind Contributions Cash Amount Estimated Value Description

Allergan U.S.A., Inc. 2525 Dupont Drive Irvine, CA 92612

10/26/2010 Monetary

$10,000.00

$0.00

Daniel, Jamal 600 Travis Street Suite 6800 Houston, TX 77002

12/14/2010 Monetary

a. Executive b. Crest Investment Group

2010 General

$100,000.00

$0.00

HNTB Holdings LTD 715 Kirk Drive Kansas City, MO 64105

11/30/2010 Monetary

2010 General

$5,000.00

$0.00

National Rifle Association 11250 Waples Mill Road Fairfax, VA 22030

11/22/2010 Monetary

2010 General

$2,500.00

$0.00

FILER ID: NC2009000067

State of Georgia

Campaign Contribution Disclosure Report Summary of Itemized Contributions Received


In-Kind Total for this period: Cash Contributions Total for this period: $0.00 $117,500.00

Campaign Contribution Disclosure Report for 2010 December 31st - Election Year - Original Electronically Filed with the State Ethics Commission on: 1/5/2011 10:39:16AM -- Confirmation #NC200900006731567

SEC FORM CCDR REV 06/2009

FILER ID: NC2009000067

State of Georgia Campaign Contribution Disclosure Report

Loan Reporting
Name of Lender Mailing Address Date of Loan Amount of Loan Election Cycle Person(s) responsible for repayment of loan Mailing Address Occupation & Place of Employment Fiduciary Relationship

I have no loans to report this reporting period.

Campaign Contribution Disclosure Report for 2010 December 31st - Election Year - Original Electronically Filed with the State Ethics Commission on: 1/5/2011 10:39:16AM -- Confirmation #NC200900006731567

SEC FORM CCDR REV 06/2009

FILER ID: NC2009000067

State of Georgia Campaign Contribution Disclosure Report


Must list expenditures made to a single recipient for which the aggregate total is $101.00 or more List Name and Mailing Address of Recipient Expenditure Date Expenditure Type Occupation & Employer Expenditure Purpose Amount Paid

Itemized Expenditures

American Express PO Box 53852 Phoenix, AZ 85072 Amerimail PO Box 2174 Jackson, MS 39225 Amerimail PO Box 2174 Jackson, MS 39225 Bolles Business Services, LLC 18500 Mink Hollow Road Highland, MD 20777 Bolles Business Services, LLC 18500 Mink Hollow Road Highland, MD 20777 Bryan Cave LLP 1155 F Street, NW Washington, DC 20004 CMDI 7704 Leesburg Pike Falls Church, VA 22043 CMDI 7704 Leesburg Pike Falls Church, VA 22043 Elavon Merchant Services 7300 Chapman Highway Knoxville, TN 37920 Hederman Group PO Box 12012 Jackson, MS 39236 Hederman Group PO Box 12012 Jackson, MS 39236 Herbert for Governor 55 East Broadway Salt Lake City, UT 84111

11/05/2010 Expenditure

Credit Card Processing Fees

$17.95

12/07/2010 Expenditure

Printing & Reproduction

$861.86

10/29/2010 Expenditure

Printing & Reproduction

$523.50

12/01/2010 Expenditure

Bookkeeping

$162.50

11/02/2010 Expenditure

Bookkeeping

$187.50

11/26/2010 Expenditure

Legal Fees

$150.00

11/04/2010 Expenditure

Database Maintaince

$400.00

12/07/2010 Expenditure

Database Maintaince

$400.00

11/02/2010 Expenditure

Credit Card Processing Fees

$69.87

11/15/2010 Expenditure

Consulting

$10,000.00

12/10/2010 Expenditure

Consulting

$10,000.00

10/26/2010 Expenditure

Political Contribution

$2,500.00

Campaign Contribution Disclosure Report for 2010 December 31st - Election Year - Original Electronically Filed with the State Ethics Commission on: 1/5/2011 10:39:16AM -- Confirmation #NC200900006731567

Lambert, Mallory 108 Novara Trail Madison, MS 39110 Lambert, Mallory 108 Novara Trail Madison, MS 39110 Maggie Clark Media Services 139 Bent Creek Drive Brandon, MS 39047 Peachtree Data 2905 Premiere Parkway Suite 200 Duluth, GA 30097 Sandoval for Governor PO Box 370297 Las Vegas, NV 89137 The Larrison Group PO Box 33045 Washington, DC 20033 The Larrison Group PO Box 33045 Washington, DC 20033 The Larrison Group PO Box 33045 Washington, DC 20033 The Tarrance Group 201 N. Union Street Ste 410 Alexandria, VA 22314 The Tarrance Group 201 N. Union Street Ste 410 Alexandria, VA 22314 The Tarrance Group 201 N. Union Street Ste 410 Alexandria, VA 22314 The Tarrance Group 201 N. Union Street Ste 410 Alexandria, VA 22314 The Tarrance Group 201 N. Union Street Alexandria, VA 22314

11/08/2010 Expenditure

a. Consultant b. Self Employed

Consulting

$2,139.87

12/07/2010 Expenditure

a. Self Employed b. Consultant

Consulting

$2,001.20

10/29/2010 Expenditure

Consulting

$1,510.00

12/02/2010 Expenditure

Data Maintaince

$3,730.36

10/26/2010 Expenditure

Political Contribution

$2,500.00

11/29/2010 Expenditure

Postage & Delivery

$48.65

12/01/2010 Expenditure

Consulting

$5,000.00

11/02/2010 Expenditure

Consulting

$5,000.00

10/26/2010 Expenditure

Consulting

$16,000.00

12/02/2010 Expenditure

Consulting

$1,525.59

12/22/2010 Expenditure

Consulting

$80,343.00

10/28/2010 Expenditure

Consulting

$1,056.19

11/04/2010 Expenditure

Consulting

$725.51

Campaign Contribution Disclosure Report for 2010 December 31st - Election Year - Original Electronically Filed with the State Ethics Commission on: 1/5/2011 10:39:16AM -- Confirmation #NC200900006731567

FILER ID: NC2009000067

State of Georgia

Campaign Contribution Disclosure Report Summary of Itemized Expenditures Made


Paid Expenditures Total for this period: $146,853.55

Campaign Contribution Disclosure Report for 2010 December 31st - Election Year - Original Electronically Filed with the State Ethics Commission on: 1/5/2011 10:39:16AM -- Confirmation #NC200900006731567

SEC FORM CCDR REV 06/2009

State of Georgia Campaign Contribution Disclosure Report

Investments Statement
Investment Name
Institution/Person Holding Account Address Address City, State, Zip Investment Transactions

There are No Investments this reporting period


Account Number

There are No Investments this reporting period

Value at beginning of reporting period Value at end of reporting period Cash Dividends Interest Paid Out

Campaign Contribution Disclosure Report for 2010 December 31st - Election Year - Original Electronically Filed with the State Ethics Commission on: 1/5/2011 10:39:16AM -- Confirmation #NC200900006731567