a. Signature of Candidate b. Organization/Chairperson/Treasurer
Commission ExpirationSignature of Notary Public
Sworn to and subscribed before me on _________________________________, _________
I, Nicholas Mulkey, being duly sworn (affirm), depose and say that the information in this report form is complete, true, andcorrect. Further, I affirm that the contents in this report are the same as the contents in the electronic filing submitted, if alsoelectronically filed.
State of Georgia County of ____________________________
b40f913151d24bc09d5c992eff865844
7/10/2017 9:02:21 PM
(year)2017Dec. 31,
(year)2017Special,
15 days before
(year)2017
Special Primary,
15 days before
(year)2017Run-Off
6 days before Special
(year)2017Primary Run-Off
6 days before Special
(year)2017Run-Off
6 days before General
(year)2017Run-Off
6 days before Primary
(year)2017Dec. 31,
(year)2017October 25,
(year)2017September 30,
(year)2017June 30,
(year)2017March 31,
(year)2017January 31,
*Persons leaving office with excess funds untilsuch funds are expended as provided in the Act*Unsuccessful candidates with excess funds, orwho receive contributions to retire debtincurred, until such funds are expended, or suchunpaid debts are satisfied (December 31 filingonly)
(year)2017December 31,
(year)2017June 30,
Supplemental Reporting
(year)2017June 30,
(year)2017January 31,
(Report required only if you are ina Run-Off Election)
Special ElectionRun-OffsMy Election YearMy Non Election Year
You Must Check Only One Box
Period for which you are Reporting4.
Name of Committee TreasurerName of Committee Chairperson
Consolata SikinyiJamila YoungIf yes, complete the following:(7)
NoYesIf yes, is the committee registered with the Commission?(6)
NoYesfinancial records of the campaign or file the reports?
If a Candidate or Public Official is there a campaign committee (one or more persons) to make campaign transactions, keep(5)
E-MailPrimary Contact Phone Number
and/ or(4)
Zip CodeStateCityMailing Address
30303GAAtlanta(3)
Today’s DateFull Name of Candidate or Other Than Candidate Campaign Committee
7/10/2017(2)Nicholas Mulkey(1)
Identifying and Contact Information3.
(Filer ID that begins with the letter “NC”)
C2017000264Filer ID:
Nicholas MulkeyCommittee Name:
Organization or Person Other than Candidate’s CampaignCommittee
(Filer ID that begins with the letter “C”)
F2017020495Filer ID
(Include county, municipality, district, post or judicial circuit)
Atlanta City Council Member District 2Office Held or Sought
Candidate or Public Official
Filing is being made on behalf of (Select One):2.
Amendment #
Amendment
Original
(Select One)
Report Type1.
Campaign Contribution Disclosure Report
Georgia Government Transparency and Campaign Finance Commission
200 Piedmont Avenue S.E. | Suite 1402 West Tower | Atlanta, GA 30334 | 404-463-1980 |www.ethics.ga.gov
Page 1 of 13Nicholas MulkeyPublic Officer/Candidate/Other Than Candidate Committee Name
CFC-CCDR 1/14 Page 1 of 13
Summary Report
State of Georgia
Campaign Contribution Disclosure Report
CONTRIBUTIONS RECEIVED
$0.00$0.00Net balance on hand.(Line 6 - 12 + 14)
15
TOTAL NET BALANCE ON HAND
$0.00Total value of investments held at the end of this reporting period.14
$0.00Total value of investments held at the beginning of this reporting period.13
INVESTMENTS
$1,948.12$0.00
Total expenditures to date. Total to be carried forward to next report of thiselection cycle*.(Line 8 + 11)
12
$1,948.12$0.00Total expenditures reported this period.(Line 9 + 10)
11
$952.83$0.00Total amount of all separate expenditures of $100.00 or less that were madein this reporting period and not listed on the "Itemized Expenditures" page
10
$995.29$0.00Total amount of all itemized expenditures made in this reporting period which arelisted on the "Itemized Expenditures" page.
9
$0.00$0.00
Total expenditures made and reported prior to this reporting period. If this is theA. First report of this Election Cycle*, ENTER 0.B. Second or subsequent filing ENTER Line 12 of previous report.
8I have the following expenditures to report:
I have no expenditures to report.7
EXPENDITURES MADE
$2,621.00$757.79
Total contributions to date. Total to be carried forward to next report of thiselection cycle*.(Line 2 + 5)
6
$2,621.00$757.79Total contributions reported this period.(Line 3 + 3a + 3b + 3c + 3d + 4)
5
$115.00$0.00
Total amount of all separate contributions of $100 or less received in thisreporting period and not listed on the "Itemized Contributions" page."Common Source" contributions must be aggregated on the "ItemizedContributions" page.
4
$0.00Total amount of cash dividends and interest paid out this reporting period.3d
$0.00Total amount of investments sold this reporting period.3c
$0.00Interest earned on campaign account this reporting period.3b
$0.00All loans received this reporting period.3a
$2,506.00$757.79Total amount of all itemized contributions received in this reporting period whichis listed on the "Itemized Contributions" page.
3
$0.00$0.00
A. If this is the first time to file a disclosure report for the current office sought,ENTER 0 in both columns (one time only); orB. If this is the first report of this Election Cycle*, ENTER 0 in the in-kindcolumn and list any net balance on hand brought forward from the previouselection cycle in the cash amount column (Line 15 of previous report, or totalfunds left over at year end of previous cycle); orC. If this filing is the second or subsequent filing of this Election Cycle, list totalsfrom Line 6 of previous report in both the in-kind and cash amount columns.
2
Cash AmountIn-Kind
Estimated ValueI have the following contributions, including Common Source, to report:
I have no contributions to report.1
* O.C.G.A. 21-5-3(10) : Election cycle means the period from the day following the date of an election or appointment of a person to elective public office through andof the next such election of a person to the same public office and shall be construed and applied separately for each elective office including the date.
Page 2 of 13Nicholas MulkeyPublic Officer/Candidate/Other Than Candidate Committee Name
CFC-CCDR 1/14 Page 2 of 13
Outstanding Indebtness
Campaign Contribution Disclosure Report
State of Georgia
AmountElection Year:Election Cycle*:
Total indebtedness at the close of this reporting period. (Line 1 + 2 + 3 - 4 - 5 - 6)7
Payments this reporting period on previously deferred expenses.6
Credits received on loans this reporting period.5
Payments made on loans this reporting period.4
Deferred payment of expenses this reporting period.3
Loans received this reporting period.2
Outstanding indebtedness at the beginning of this reporting period.1
* Election Cycle (Primary, General, Special, Special Primary, Run-Off Primary, Run-Off General, Run-Off Special, Run-Off Special Primary)Public Officer/Candidate/Other Than Candidate Committee Name
Page 3 of 13Nicholas MulkeyPublic Officer/Candidate/Other Than Candidate Committee Name
CFC-CCDR 1/14 Page 3 of 13
Itemized Contributions
Campaign Contribution Disclosure Report
State of Georgia
Note: Loans are no longer reported in “Itemized Contributions” section. See Loan Reporting section below.
Must list contributions received by a single contributor for which the aggregate total more than $100.00.
Description
Estimated Value
In-KindContributions
CashAmount
ElectionCycle**
Occupation &Employer
Received DateContribution Type*
ContributorFull Name of ContributorMailing Address(Affiliation of Committee if any)
Description
$1,000.00
Est. Value
$1,000.00
Cash Amt.
Run-Off SpecialPrimary
Run-Off Special
Run-Off General
Run-Off Primary
Special Primary
Special
General
Primary
Employer
Fitness Trainer
Occupation
Credit Received onLoan
Common Source
In-Kind
Monetary
4/28/2017
Date
Aff. Comm.
30303GA
ZipState
Atlanta
City
Address 2
170 N. Side Dr. Apt. 506, Atlanta,GA 30313
Address
Windom
Last Name
Justin
First Name or Business Name
Description
Estimated Value
In-KindContributions
CashAmount
ElectionCycle**
Occupation &Employer
Received DateContribution Type*
ContributorFull Name of ContributorMailing Address(Affiliation of Committee if any)
Description
$656.00
Est. Value
$656.00
Cash Amt.
Run-Off SpecialPrimary
Run-Off Special
Run-Off General
Run-Off Primary
Special Primary
Special
General
Primary
Employer
Personal Assistant
Occupation
Credit Received onLoan
Common Source
In-Kind
Monetary
6/9/2017
Date
Aff. Comm.
30303GA
ZipState
Atlanta
City
Address 2
20 Marietta St. Unit 9B, Atlanta,GA 30303
Address
Ogbuehi
Last Name
Amara
First Name or Business Name
$1,656.00$1,656.00Itemized Contributions Page Total
* Contribution Type (Monetary, In-Kind, Common Source, Credit Received on Loan)
** Election Cycle (Primary, General, Special, Special Primary, Run-Off Primary, Run-Off General, Run-Off Special, Run-Off Special Primary)
*** If any such person(s) shall have a fiduciary relationship to the lending institution or party making the advance or extension of credit
Page 4 of 13Nicholas MulkeyPublic Officer/Candidate/Other Than Candidate Committee Name
CFC-CCDR 1/14 Page 4 of 13
Description
Estimated Value
In-KindContributions
CashAmount
ElectionCycle**
Occupation &Employer
Received DateContribution Type*
ContributorFull Name of ContributorMailing Address(Affiliation of Committee if any)
Description
$100.00
Est. Value
$100.00
Cash Amt.
Run-Off SpecialPrimary
Run-Off Special
Run-Off General
Run-Off Primary
Special Primary
Special
General
Primary
Employer
Lawyer
Occupation
Credit Received onLoan
Common Source
In-Kind
Monetary
6/15/2017
Date
Aff. Comm.
30303GA
ZipState
Albany
City
Address 2
1909 Old Dominion Dr., Albany,GA 31721
Address
Young
Last Name
Jamila
First Name or Business Name
Description
Estimated Value
In-KindContributions
CashAmount
ElectionCycle**
Occupation &Employer
Received DateContribution Type*
ContributorFull Name of ContributorMailing Address(Affiliation of Committee if any)
Description
$250.00
Est. Value
$250.00
Cash Amt.
Run-Off SpecialPrimary
Run-Off Special
Run-Off General
Run-Off Primary
Special Primary
Special
General
Primary
Employer
Real Estate Broker
Occupation
Credit Received onLoan
Common Source
In-Kind
Monetary
6/15/2017
Date
Aff. Comm.
30303GA
ZipState
Atlanta
City
Address 2
44 Inman Cir, Atlanta, GA 30309
Address
Kansas
Last Name
Gene
First Name or Business Name
$350.00$350.00Itemized Contributions Page Total
* Contribution Type (Monetary, In-Kind, Common Source, Credit Received on Loan)
** Election Cycle (Primary, General, Special, Special Primary, Run-Off Primary, Run-Off General, Run-Off Special, Run-Off Special Primary)
*** If any such person(s) shall have a fiduciary relationship to the lending institution or party making the advance or extension of credit
Page 5 of 13Nicholas MulkeyPublic Officer/Candidate/Other Than Candidate Committee Name
CFC-CCDR 1/14 Page 5 of 13
Description
Estimated Value
In-KindContributions
CashAmount
ElectionCycle**
Occupation &Employer
Received DateContribution Type*
ContributorFull Name of ContributorMailing Address(Affiliation of Committee if any)
Description
$300.00
Est. Value
$300.00
Cash Amt.
Run-Off SpecialPrimary
Run-Off Special
Run-Off General
Run-Off Primary
Special Primary
Special
General
Primary
Employer
Civil Servant
Occupation
Credit Received onLoan
Common Source
In-Kind
Monetary
5/16/2017
Date
Aff. Comm.
30303GA
ZipState
Atlanta
City
Address 2
1192 Hine Ridge Rd., Atlanta,GA, 30324
Address
Velarde
Last Name
Flor
First Name or Business Name
Description
Estimated Value
In-KindContributions
CashAmount
ElectionCycle**
Occupation &Employer
Received DateContribution Type*
ContributorFull Name of ContributorMailing Address(Affiliation of Committee if any)
Description
$100.00
Est. Value
$100.00
Cash Amt.
Run-Off SpecialPrimary
Run-Off Special
Run-Off General
Run-Off Primary
Special Primary
Special
General
Primary
Employer
Retiree
Occupation
Credit Received onLoan
Common Source
In-Kind
Monetary
6/12/2017
Date
Aff. Comm.
30303GA
ZipState
Atlanta
City
Address 2
20 Marietta St. Apt. 9A, Atlanta,GA 30303
Address
Casper
Last Name
Catherine
First Name or Business Name
$400.00$400.00Itemized Contributions Page Total
* Contribution Type (Monetary, In-Kind, Common Source, Credit Received on Loan)
** Election Cycle (Primary, General, Special, Special Primary, Run-Off Primary, Run-Off General, Run-Off Special, Run-Off Special Primary)
*** If any such person(s) shall have a fiduciary relationship to the lending institution or party making the advance or extension of credit
Page 6 of 13Nicholas MulkeyPublic Officer/Candidate/Other Than Candidate Committee Name
CFC-CCDR 1/14 Page 6 of 13
Description
Estimated Value
In-KindContributions
CashAmount
ElectionCycle**
Occupation &Employer
Received DateContribution Type*
ContributorFull Name of ContributorMailing Address(Affiliation of Committee if any)
Description
$100.00
Est. Value
$100.00
Cash Amt.
Run-Off SpecialPrimary
Run-Off Special
Run-Off General
Run-Off Primary
Special Primary
Special
General
Primary
Employer
Nurse
Occupation
Credit Received onLoan
Common Source
In-Kind
Monetary
6/30/2017
Date
Aff. Comm.
30303GA
ZipState
Albany
City
Address 2
207 Lexington Dr., Albany, GA31705
Address
Zackery
Last Name
Ruby
First Name or Business Name
Description
Estimated Value
In-KindContributions
CashAmount
ElectionCycle**
Occupation &Employer
Received DateContribution Type*
ContributorFull Name of ContributorMailing Address(Affiliation of Committee if any)
Website andSupplies
Description
$457.79
Est. Value
$457.79
Cash Amt.
Run-Off SpecialPrimary
Run-Off Special
Run-Off General
Run-Off Primary
Special Primary
Special
General
Primary
Employer
Civil Servant
Occupation
Credit Received onLoan
Common Source
In-Kind
Monetary
4/24/2017
Date
Aff. Comm.
30303GA
ZipState
Atlanta
City
Address 2
20 Marietta St., Atlanta, GA30303
Address
Mulkey
Last Name
Nicholas
First Name or Business Name
$557.79$557.79Itemized Contributions Page Total
* Contribution Type (Monetary, In-Kind, Common Source, Credit Received on Loan)
** Election Cycle (Primary, General, Special, Special Primary, Run-Off Primary, Run-Off General, Run-Off Special, Run-Off Special Primary)
*** If any such person(s) shall have a fiduciary relationship to the lending institution or party making the advance or extension of credit
Page 7 of 13Nicholas MulkeyPublic Officer/Candidate/Other Than Candidate Committee Name
CFC-CCDR 1/14 Page 7 of 13
Description
Estimated Value
In-KindContributions
CashAmount
ElectionCycle**
Occupation &Employer
Received DateContribution Type*
ContributorFull Name of ContributorMailing Address(Affiliation of Committee if any)
Meet & GreetFood/Drinks
Description
$300.00
Est. Value
$300.00
Cash Amt.
Run-Off SpecialPrimary
Run-Off Special
Run-Off General
Run-Off Primary
Special Primary
Special
General
Primary
Employer
Self Employed
Occupation
Credit Received onLoan
Common Source
In-Kind
Monetary
5/19/2017
Date
Aff. Comm.
30303GA
ZipState
Atlanta
City
Address 2
215 Peidmont Ave, Atlanta, GA30308
Address
Rose
Last Name
Shantae
First Name or Business Name
$300.00$300.00Itemized Contributions Page Total
* Contribution Type (Monetary, In-Kind, Common Source, Credit Received on Loan)
** Election Cycle (Primary, General, Special, Special Primary, Run-Off Primary, Run-Off General, Run-Off Special, Run-Off Special Primary)
*** If any such person(s) shall have a fiduciary relationship to the lending institution or party making the advance or extension of credit
Page 8 of 13Nicholas MulkeyPublic Officer/Candidate/Other Than Candidate Committee Name
CFC-CCDR 1/14 Page 8 of 13
Loan Reporting
1.Occupation &2.Place of Employment3.Fiduciary Relationship***
Person(s) responsible forrepayment of loan &Mailing Address
1.Date of Loan2.Amount of Loan3.Election Cycle**
Name of Lender&
Mailing Address
Other Than CandidateCommittee Name
Candidate
Public Officer
3.
2.
1.
ZipState
City
Address 2
Address
Last Name
First Name
Run-Off SpecialPrimary
Run-Off SpecialRun-Off GeneralRun-Off PrimarySpecial PrimarySpecialGeneralPrimary
3.
2.
1.
ZipState
City
Address 2
Address
Lender Last Name
Lender Name (First Name, Business, Inst.)
* Contribution Type (Monetary, In-Kind, Common Source, Credit Received on Loan)** Election Cycle (Primary, General, Special, Special Primary, Run-Off Primary, Run-Off General, Run-Off Special, Run-Off Special Primary)*** If any such person(s) shall have a fiduciary relationship to the lending institution or party making the advance or extension of credit
$0.00Loan Page TotalReference: OCGA § 21-5-34(b)(1)
Page 9 of 13Nicholas MulkeyPublic Officer/Candidate/Other Than Candidate Committee Name
CFC-CCDR 1/14 Page 9 of 13
Itemized Expenditures
Campaign Contribution Disclosure Report
State of Georgia
AmountPaid
ExpenditurePurpose
Occupation &Employer
Expenditure DateExpenditure Type*
List Name and Mailing Addressof Recipient
total more than$100.00.aggregateMust list expenditures made to a single recipient for which the
$170.37Printing of Flyers
Fed Ex
Employer
Printing/MailingService
Occupation
Investment
Payment on Deferred Expense
Deferred Payment
3rd Party
Credit Card
Reimbursement
Refund
Loan Repayment
In-Kind
Expenditure
5/15/2017
Date
30306GA
ZipState
Atlanta
City
Address 2
1047 Ponce De Leon, Atlanta, GA30306
Address
Last Name
Fed Ex
First Name
$107.76Volunteer Event
Employer
Food Service
Occupation
Investment
Payment on Deferred Expense
Deferred Payment
3rd Party
Credit Card
Reimbursement
Refund
Loan Repayment
In-Kind
Expenditure
5/16/2017
Date
GA
ZipState
Atlanta
City
Address 2
Address
Last Name
Chick Fil A
First Name
$250.68Custom Shirt
Employer
Online T-shirt PrintShop
Occupation
Investment
Payment on Deferred Expense
Deferred Payment
3rd Party
Credit Card
Reimbursement
Refund
Loan Repayment
In-Kind
Expenditure
6/5/2017
Date
VA
ZipState
City
Address 2
Address
Last Name
Custom Ink LLC
First Name
* Expenditure Type (Expenditure, In-Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment on Deferred Expense, Investment)
$528.81Page Total
Public Officer/Candidate/Other Than Candidate Committee Name
Page 10 of 13Nicholas MulkeyPublic Officer/Candidate/Other Than Candidate Committee Name
CFC-CCDR 1/14 Page 10 of 13
$196.48Campaign Flyers
Employer
Copy/Print Shop
Occupation
Investment
Payment on Deferred Expense
Deferred Payment
3rd Party
Credit Card
Reimbursement
Refund
Loan Repayment
In-Kind
Expenditure
6/12/2017
Date
30309GA
ZipState
Atlanta
City
Address 2
1450 West Peachtree St., Atlanta,GA 30309
Address
Last Name
Same Day Printing
First Name
$270.00Campaign Signs
Employer
Occupation
Investment
Payment on Deferred Expense
Deferred Payment
3rd Party
Credit Card
Reimbursement
Refund
Loan Repayment
In-Kind
Expenditure
6/14/2017
Date
32803FL
ZipState
Orlando
City
Address 2
1813 East Colonial Dr. , Orlando,FL 32803
Address
Last Name
Sign Depot
First Name
* Expenditure Type (Expenditure, In-Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment on Deferred Expense, Investment)
$466.48Page Total
Public Officer/Candidate/Other Than Candidate Committee Name
Page 11 of 13Nicholas MulkeyPublic Officer/Candidate/Other Than Candidate Committee Name
CFC-CCDR 1/14 Page 11 of 13
Investments Statement
Campaign Contribution Disclosure Report
State of Georgia
LossProfitValue of investment
soldValue of investment
purchasedPerson(s) Involved in TransactionDate
Investment Transactions
Cash Dividends $
Interest Paid Out $
Difference in value $
Value at end of reporting period $
Value at beginning of reporting period $
Account #
ZipStateCity
Address2
Mailing Address
Institution/PersonHolding Account
1. Investment Name
$0.00Page Total Loss:
$0.00Page Total Profit:
$0.00Page Total Interest Paid Out:
$0.00Page Total Cash Dividends:
$0.00Total difference in value
$0.00Total value of investments at end of reporting period
$0.00Total value of investments at beginning of reporting period
Page 12 of 13Nicholas MulkeyPublic Officer/Candidate/Other Than Candidate Committee Name
CFC-CCDR 1/14 Page 12 of 13
Addendum Statement
Campaign Contribution Disclosure Report
State of Georgia
be listed on Addendum Statement.should notInformation that is to be reported in the body of the report
The Addendum Statement should be used for explanation of any additional information needed to complete an accurate filing of this report.
Page 13 of 13Nicholas MulkeyPublic Officer/Candidate/Other Than Candidate Committee Name
CFC-CCDR 1/14 Page 13 of 13