Baucom,Clancy_2024-4th-Qtr-Part2Yes
Do not use this form to update information.
8.Number of Fundraisers this Report
d.Period Begin Balance d. Period Begin Balance
Signer has not received
mandatory training
CRO-1000 NC State Board of Elections December 2007
FOR OFFICE USE ONLY
____________
Date Received:
Date Postmarked:
Date Scanned:Employee:
____________
3.Account Information
b.Mailing Address (include City, State and Zip Code)
Municipal State/County
3.Account Information
Referendum
d.Date Filed
CERTIFICATION
_______________
Printed Name of Signer Signature of Appointed Treasurer Date
Hand Delivered
I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B & 22D-22M of
Chapter 163 of the NC General Statutes and that no funds are commingled with prohibited or other non-disclosed
funds. I further certify that this report is complete, true and correct and that I have been trained by the NC State Board
___________________________Employee:
e.Phone Number
Disclosure Report Cover Amendment
No
Use this form for general report and committee information, must be signed and submitted along with other detailed forms.
1.Committee Information
a.Full Name c. ID Number
a.Financial Institution Full Name
Thirty-five day
Pre-election"Booster Fund"
Legal Expense FundReferendum
Pre-primary
a.Financial Institution Full Name
Special
Semi-annual
Mid Year
Year End
Final
10.Special Report Name
Organizational
Pre-runoff
Mid Year
Fourth
Third
Second
First
Quarterly
Semi-annual
Organizational
Year End
Pre-referendum
Final
Supplemental Final
Annual
Special
Candidate Campaign
Joint Fundraiser PAC
Party
Presidential Election Year Candidates Fund
Building Fund
Organizational
Other:
7.Type of Fund (if applicable, check one)
Special
Final
2. Report Year 3.Period Start Date (mm/dd/yy)
_______________
Employee:
5.Treasurer Full Name
9.Type of Report (check only one type of report from one category)
4.Period End Date (mm/dd/yy)
NC Public Campaign Financing Fund
6.Type of Committee (Check One)
Registered Mail
Please Note: This form cannot be used to amend committee information such as the committee address, treasurer,
assistant treasurer, custodian of books information, or account information.
You must amend the Statement of Organization (CRO-2100A-E) to make committee changes.
Date Data Entered: _______________Employee:____________
Electronically Filed
Normal Mail
Delivery Method
c. Account Codeb.Purpose c.Account Code b. Purpose
$$
ELECT CLANCY BAUCOM UNI-EVCCM1-C-001
01/08/2025
2024 10/20/2024 12/31/2024
JINGER KELLEY
FIRST CITIZENS BANK
TRACK CAMPAIGN
CONTRIBUTIONS &
EXPENSES
01
PO BOX 1350
NORWOOD, NC 28128
X
(828) 776-2774
2,868.45
01/08/2025
X
0
Jinger Kelley
Yes
4)$$
5)$$
6)$$
7)$$
8)$$
9)$$
10)$$
11)
$$
$$
$$
$$
$$
12)$$
13)
$$
$$
$$
14)$$
15)$$
16)$$
17)$$
18)$$
19)$$
20)$
21)$
22)$
23)$
24)$
25)$$
26)$$
27)$$
28)$$
(CRO-1430)
TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,11a,11b,11c,11d and 11e)
13b)
(CRO-1310)
(CRO-1510)
(CRO-1320)
(CRO-1420)
(CRO-1240)
CRO-1100 NC State Board of Elections
Administrative Support
48-Hour Notice Reports Sum
August 2008
Debts and Obligations owed by the Committee
Debts and Obligations owed to the Committee
(CRO-2220)
Forgiven Loans (CRO-1440)
(CRO-1720)
(CRO-1620)
(CRO-1610)
(CRO-1710)
In-Kind Contributions
TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)
Non-Monetary Gifts Given to Other Committees (CRO-1330)
Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18)
EXPENDITURES
13a) Operating Expenditures
RECEIPTS
Aggregated Contributions from Individuals (CRO-1205)
Total thisTotal this
1. Committee Full Name (and Fund if applicable)
Reporting Period Election CycleStart of Election Cycle: January 1, ________
Amendment
NoDetailed Summary
Cash on Hand at Start
3. ID Number 2. Type of Report
Contributions from Individuals
Loan Proceeds
(CRO-1210)
(CRO-1220)
(CRO-1230)
(CRO-1410)
Contributions from Other Political Committees
Contributions from Political Party Committees
11b)
Interest on Bank Accounts
11d)
Contributions from Not-For-Profit Organizations
11a)
Other Receipt Sources
11c)
Use this form to summarize all disclosure reporting forms and to total monetary information
(CRO-1250)
(CRO-1250)
(CRO-1250)Outside Sources of Income
Refunds/Reimbursements to the Committee
Refunds/Reimbursements from the Committee
Legal Expense Fund - Other Sources (CRO-1270)
(CRO-1310)
(CRO-1310)
(CRO-1265)
Aggregated Non-Media Expenditures (CRO-1315)
Disbursements
13c)
11e) Exempt Purchase Price Sales
Coordinated Party Expenditures
Contributions to Candidates/Political Committees
Contributions to be Refunded (CRO-1215)
Account Transfers Within the Committee
Loan Repayments
Outstanding Loans (incl. ones from other campaigns)
ADDITIONAL INFORMATION
ELECT CLANCY BAUCOM 2024 Fourth Quarter UNI-EVCCM1-C-001
2,868.45 0.00
0.00 0.00
0.00 289.56
0.00 0.00
0.00 5,000.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 5,289.56
0.00 725.30
0.00 0.00
109.38 1,515.63
0.00 0.00
0.00 0.00
0.00 0.00
0.00 289.56
109.38 2,530.49
X
2023
2,759.07 2,759.07
0.00
5,000.00
0.00
0.00
0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00 0.00
Yes
Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political
Operating Expenses Contributions to Candidates/Political Committees Coordinated Party Expenditures
2. ID Number
3. Type of Disbursement (Please use separate CRO-1310 forms for each type of Disbursement.)
1. Committee Full Name (and Fund if applicable)
Amendment
No_____of
committees and coordinated party expenditures
PgDisbursements _____1 X
ELECT CLANCY BAUCOM UNI-EVCCM1-C-001
X
1
f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount
(include city, state, & zip)
Municipality:
k. Required Remarks
Remove4. Payee Information Add
c. Level Registered (Specify)
Federal
State
County:
a. Full Name, Mailing Address & Phone
$
e. Election Sum to Date
d. Commentsb. Coordinated Committee Name
$
$G 109.3811/27/2024
SWEET UNION REPUBLICAN WOMEN
2104 PLEASANT KNOLL LN
MONROE, NC 28112
01 Debit Card
265.63
X
$
7. Purpose Codes (List detailed expenditure code in (h.) above)
A* - Media B* - Printing C* - Fundraising D - To Another Candidate
E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses
I - Postage J - Penalties K* - Office Expenses
December 2009CRO-1310 NC State Board of Elections
Q* - Donation to Legal Expense Fund
O* Other
* Codes require detailed explanation in required remarks field (k)
6. Total of ALL CRO-1310 Pages
5. Total only this Page
(This line goes in line 13b of Detailed Summary Page CRO-1100 if Contrib to Candidates/Political Comm)
(This line goes in line 13a of Detailed Summary Page CRO-1100 if Operating Expenses)$
(This line goes in line 13c of Detailed Summary Page CRO-1100 if Coordinated Party Expenditures)
109.38
109.38
Yes
2. ID Number 1. Committee Full Name (and Fund if applicable)
_____
Amendment
No
Use this form to report any outstanding loans received during a previous reporting period and until the loan is paid in full.
_____ofPgOutstanding Loans
ELECT CLANCY BAUCOM
X11
UNI-EVCCM1-C-001
%
g. Rate
$$
k. Full Name of Lending Institution l. Loan Number
e. Start Date (mm/dd/yyyy)
b. Job Title/Profession
(include city, state, & zip)
d. Comments
3. Lender Information Add Remove
a. Full Name, Mailing Address & Phone
c. Employer's Name/Specific Field
h. Security Pledged
f. End Date (mm/dd/yyyy)
j. Remaining Loan Balancei. Original Loan Amount
CLANCY BAUCOM
5820 LAYWERS RD EAST
MARSHVILLE, NC 28103
OWNER
ARBOR FIELDS
12/06/2023
0.00 0 5,000.00 5,000.00
$4. Total only this Page
(This line must be on line 21 of Detailed Summary Page CRO-1100)$
NC State Board of Elections December 2007CRO-1430
5. Total of ALL CRO-1430 Pages
5,000.00
5,000.00