CFC-Form DOI 8/2020 DECLARATION OF INTENTION TO ACCEPT CAMPAIGN CONTRIBUTIONS Georgia Government Transparency and Campaign Finance Commission 200 Piedmont Ave. S.E. / Suite 1416 – West Tower / Atlanta, GA 30334 1 Date: 06/09/2021 Candidate Name: Kasim Reed Address: 151 Ted Turner Dr 3d Floor 2 City, State Zip: Atlanta, GA 30303 Email: [email protected] Phone: (470) 440-5073 Select Office Type: State County Municipal ✔ 3 Name of Office Sought or Held: Mayor District, Post, Ward, or Judicial Circuit*: Atlanta *Must include last name of incumbent Judge for Judicial races. Next Election Year Office will be on the Ballot: 4 2021 Verification Jan Bryson I, _____________________________________________ , do hereby swear (or affirm) that the foregoing information is complete, true, and correct to the best of my knowledge and belief pursuant to O.C.G.A. §§ 21- 5-1, et. seq.; and 16-10-20. SIGN HERE Jan Bryson ______________________________________________________ For Office Use Only Filer ID if applicable: Approved By: _________________________________ Date: ______________________________________ Electronically submitted to GGTCFC on 06/09/2021 09:33:47 AM CFC-Form RC 8/2020 REGISTRATION OF CANDIDATE’S CAMPAIGN COMMITTEE Georgia Government Transparency and Campaign Finance Commission 200 Piedmont Ave. S.E. / Suite 1416 – West Tower / Atlanta, GA 30334 1 Date: 06/09/2021 Committee Name: Kasim Reed for Atlanta Address: 151 Ted Turner Dr, 3d Floor 2 City, State, Zip: Atlanta, GA 30303 [email protected] Phone: (470) 440-5073 Email: Select Office Type: State County Municipal ✔ Name of Office Sought or Held: Mayor 3 District, Post, Ward, or Judicial Circuit*: Atlanta *Must include last name of incumbent Judge for Judicial races. Chairperson Name: Jan Prisby Bryson 4 151 Ted Turner Dr, 3d Floor Address: Atlanta, GA 30303 City, State, Zip: Email: [email protected] Phone: (470) 440-5073 Treasurer Name: Roderick E. Edmond 151 Ted Turner Dr, 3d Floor Address: 5 City, State, Zip: Atlanta, GA 30303 [email protected] Email: Phone: (470) 440-5073 ___ Verification ___________________________ Telephone: Jan Bryson ___________________________ I, _______________________________________ , do hereby swear (or affirm) that the foregoing information is complete, true, and correct to the best of my knowledge and belief pursuant to O.C.G.A. §§ 21-5-1, et. seq.; and 16-10-20. SIGN HERE Jan Bryson _________________________________________ For Office Use Only Filer ID if applicable: Approved By: _________________________________ Date __________________________ Electronically submitted to GGTCFC on 06/09/2021 09:33:47 AM
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