AFFL2500-1016  STATE OF GEORGIA  Georgia Government Transparency and Campaign Finance Commission 200 Piedmont. Ave SE, Suite 1402-West Tower, Atlanta, GA 30334 AFFIDAVIT OF A CANDIDATE'S, INTENT NOTTOI EXCEED $2,500. IN  CONTRIBUTIONS AND/OR: EXPENDITURES  Per O.C.G.A. $21-5-340)d.10,  isac candidate for /public officer of  (Full Name of Candidate)  in.  (Office Sought/or Held)  (City or County)  By submitting this form Iam affirming that I, the above named candidate, do noti intend to accept during this election cycle* a combined total of contributions exceeding $2,500.00 for the campaign nor make a combined total of expenditures exceeding $2,500. If the above named candidate does not exceed $2,500.00 in contributions or expenditures then the candidate SHALL not have toi file a report under Iunderstand thati ifI, the above named candidate, exceed the $2,5001 limit for either accepting contributions or making expenditures for such campaign duringt the election cycle, but do not accept a combined total of contributions exceeding $5,000.00 or make expenditures exceeding $5,000.001 then) I, the above named candidate, SHALL be required toi file onlyt the June 30 and] December 31 reports required by O.C.G.A. $21-5-34 (c) (2). Thei first of such reports shall include all contributions received Furthermore, Iunderstand thati ifI,t the above named candidate accepts a combined total of contributions exceeding $5,000.00-or: makes expenditures exceeding $5,000.00 for such campaign during any such election cycle, then such candidate or campaign committee chairperson or treasurer shall thereupon be subject to the reporting requirements of this Code section the same as if the written notice authorized by *"Election cycle" means thep periodf from the day following the date ofa ane election or appointment ofap persont toe elective public office through and including the date oft then nexts such election ofap persont tot thes same public office and shall bec construed: and applieds separately for eache elective  O.C.G.A. $21-5-34 (c).  and expenditures made beginning January 1 ofs such calendar year.  this subsection hadi not been filed.  office. State of Georgia best ofr my knowledge: and belief. Swor toa ands subscribed before mec on. Signature ofl Notary Public My Commission expires on.  County of  I, the undersigned, being dulys swom, dos swear or affirm, certify: and sayt that this affidavit: andt thei information! hereinabovei is true, complete and correctt to the  Signature of CimdatefChaimalesure: filing Affidavit  Notary Seal