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State Ethics Commission 200 Piedmont Avenue SE | Suite 1416, West Tower | Atlanta, Georgia 30334 | 404-463-1980 | www-ethics.ga.gov COMPLAINT FORM Allleging a Violation of the Georgia Government Transparency and Campaign Finance Act JURISDICTION: This office has jurisdiction ONLY in matters involving financial disclosure, campaign finance, and lobbyist isclosure._O.C.G.A. $45-1-6 covers state vendor disclosure law as outlined in the Campaign Finance Actin O.C.G.A. Title 21-5 et seq and 0.C.G.A, §45-1-6 covering state vendor disclosure law. Please ensure that your complaint is within the Commission's jurisdition, Mail or hand delivery original signed/notarized form and attachments to above address. I. PERSON BRINGING COMPLAINT = COMPLAINANT: Marjorie Taylor Greene [3 Central Plaza #142 [Rome IGA County: |Floyd | Zip: 80161 1-706-504-9554 E-mail (optional AGAINST WHOM COMPLAINT IS BROUGHT = RESP( Fani Taifa Willis [Fulton County District Attorney's Office, 3rd Floor, 136 Pryor Street [Atlanta [ State: [GA County: [Fulton | zip: 80303) ‘Telephone: [1-404-612-4639 Title of office held or sought: ao District Attorney, Fulton County il, STATEMENT OF FACTS: % late the actions ofthe Respondent upon which your complatit s Based along wi an ALLEGATION that such facts Conse One OF More violations of te Georgia Government Transparency and Campaign Finance Act. See JURISDICTION above. Include relevant dates and the ‘names and adéresses of oxher persons who you believe have knowledge ofthe facts and attack any documentation evidence that support he facts in this complaint. Please see § 21-5-6,23 reganding attorneys" fs, [Please see attached pages for Statement of Facts. (if continued on other side or additional paper, please check here X IV. VERIFICATION BY OATH OR AFFIRMATION — ORIGINAL NOTARY & SIGNATURES REQUIRED. STATEOF__OC county or__Washiagton |, the undersigned Complainant, being duly sworn, depose (affirm) and say that the information in this Complaint is true and corrget to the best of my knowledge and belief

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