Bention,Jimmy_2023-Year-endAmendment
Disclosure Report Cover ❑ Yes ®. .No
Use this form for general report and committee information, must be signed and submitted along with other detailed forms.
Iln not ncc thie fnrm to nndate infnrmatinn
1. Committee Information
a. Full Name
c. ID Number
Committee to Elect Rev. Bention, Sr.
b. Mailing Address. (include City, State and Zip Code)
d. Date Filed
302 Tucker Street
08/08/2024
Monroe, NC 28110
e. Phone Number
704-572-0879
2i Report Year
3. Period Start Data (mm/adtyy)
4. Period End Date ` '
mm/dd
S. Treasurer Full Name
2023
07/01/2023
12/31/2023
Latoya L. Bention
6. T ' e of Committee (Check One)
9. Tvve of'Re ort (check only
overtype: o re artfrom,on6 tate o
® Candidate Campaign ❑ Party
Municipal-
State/County . I
❑ Organizational
❑ Organizational
-Referendum
❑ Organizational
❑ PAC ❑ Referendum
Independent ❑ Joint Fundraiser
❑ Expenditure
❑ Thirty-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑ Pre-primary
❑ Pre-election
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7.Type of Fund" (f.applicable, check oiteJ ;
❑ "Booster Fund"
❑ Building Fund
❑ Pre -runoff
Semi-annual
❑ Third
❑ Fourth
❑ Annual
❑ Special
❑ Mid Year
Semi-annual
x:10..Special Report Name
❑ Other.
❑ Year End
❑ Mid Year
❑ Final
❑ Special
® Year End
❑ Final
❑ Special
8. Number of Fundraisers this Repo
d
1'I. Account Information
11. Account'Information
a. Financial Institution Full Name
a. Financial Institution Full Name
Wells Fargo
b. Purpose -
c. Account Code
b. Purpose
c. Account Code
Election
104
Committee
d. Period Begin Balance
d. Period Begin Balance
Donations
S 36.81
S
CERTIFICATION
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 GeneralStatutes 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 1 have been trained by the NC State Board of Elec ions.
i
Latoya L. Bention l/ - A 08/06/2024
Printed Name of Signer Stature of Appointed Treasurer Date
FOR OFFICE USE ONLY
Delivery Method
Date Received: Employee: ❑ Normal Mail
Date Postmarked: Employee: ❑ Registered Mail
Hand Delivered
Date Scanned: Employee: E], Electronically Filed
El Signer has not received
mandatory training
Date Data Entered: Employee:
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.
CRO -1000 NC State Board of Elections August 2008
Amendment
Detailed. Summary Yes ® No
I Ico r64c form to cnmmariva all Aicrincnry rennrtina forms and to total mnnetary information.
1. Committee Full Name (and Fund if applicable)
t2. T
e of Report
3."1D1Vumber
Committee to Elect Rev. Bention, Sr.
2023 Year -End
Semi Annual
Start of Election Cycle: Janua 1, 2022
Y
Total this
Reporting Period
his
Total Cy
Election Cycle
4)
Cash on Hand at Start
$ 36.81
$
0
5) Aggregated Contributions from Individuals
6) Contributions from Individuals
...... --------
----- 7) Contributions from Political Party Committees
7)
8) Contributions from Other Political Committees
- ----
-- 9) Loan Proceeds
9)
10) Refunds/Reimbursements To the Committee
_...-- ..... .........
11) Other Receipt Sources
Ila) Interest on Bank Accounts
(CRO -1205)
(CRO -1210)
(CRO -1220)
(CR04230)
(CRO -1410)
(CRO -1240)
(CRO -1250)
$
$ 380
$ 270
$
4370
$
$
$
$
1,750
$
$
$ 36.21
$
$ 36.21
$
1Ib) Contributions from Not -for -Profit Organizations
Ile) Outside Sources of Income
Ild) Legal Expense Fund -Other Sources
11 e) Exempt Purchase Price Sales
(CRO -1250)
(CRO -1150)
(CRO -1270)
(CRO -1265)
$
$
$
$
$
$
$
$
12)
TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10, Ila, Ilb, Ile, 11dand Ile)
$ 306.21
$
6,536.21
..,,:. .,» .., o
EXPEND1TiI12ES.; 4
6 - ....
13) Disbursementsif.
13a) Operating Expenditures
13b) Contributions to Candidates/Political Committees
13c) Coordinated Party Expenditures
14) Aggregated Non -Media Expenditures
_� - ---
15) Loan Repayments
16) Refunds/Reimbursements From the Committee
— ........... ....... . —
17) in -Kind Contributions
(CRo4310)
(CRO -1310)
(CRO -1310)
(CRO -1315)
-
(CRO -1420)
(CRO -1320)
(CRO -1510)
�i
$ 312
s'
$
f .0 w_..., r� .:r ..
1 F= 3 "
6,178.60
$
$
300
$
$
26.59
$
$
$
$
$
$
$
$
18)
TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)
$ 312
$
6,505.19
19)
Cash on Hand at End (Add lines 4 and 12 together, Wen subtract line 18)
$ 31.02
$
31.02
-ADDTtfIONr1i WORMA` WN: -
-20)
21)
Non -Monetary Gifts Given to Other Committees
Outstanding Loans (incl. ones from other campaigns)
(CRO -1330)
(CRO -1430)
$
$
& ,
22)
23)
---------------
24)
25)
26)
27)
28)
Debts and Obligations owed By the Committee
Debts and Obligations owed To the Committee
......... ---
Account Transfers Within the Committee
Administrative Support
Forgiven Loans
48 -Hour Notice Reports Sum
Contributions to be Refunded
(CRO -1610)
(CRO -1620)
-
(CRo.1720)
(CRO -1710)
(CRO -1440)
(CRO -2220)
(CRO -121S)
$
$
$
'
$
$
'$
$
$
$
$
$
CRO -1100 NC State Board of Elections August 2008
Amendment
Contributions from Individuals Pg i of I ❑ Yes E. No
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
1. Committee Full Name (and Fund if applicable) _:p
2. ID Number
Committee to Elect Rev. Bention, Sr.
3. Contributor Information "_" ; ❑ "Add, El,, Remove,'
"
a. Full Name, Mailing Address & Phone
(include city, state,& zip)
b. Job Title/Profession
d. Comments
Logistics Coordinator
Latoya L. Bention
302 Tucker Street
Monroe, NC 28110
c. Employer's Name/Specific: Field
TOV Furniture
e. Election Sum to Date
$ 110.00
E Prior
g. Account Code
It. Form bfPayment
i. In -Kind Description
j. Date.(mm/dd4,yyy)
k. Amount
❑
104
Bank Draft
N/A
07/12/2023
$ 50.00
❑
$
❑
$
3.ContrlbuWtnformatim . '.'-_' ❑, " Add ❑ Remove
a. Full Name; Mailing Address & Phone.
(include city, state, & zip)
b. Job Title/Profession
d. Comments
Pastor
Jimmy H. Bention, Sr
302 Tucker Street
Monroe, NC 28110
c. Employer's Name/Specific Field
Temple COGIC
Metrolina COGIC
e. Election Sum to Date
$ 120
E Prior
g. Account Code
It. Form of Payment
i. In -Kind Description
j. Date (mm/dd/yyyy)_
k. Amount
❑
104
Cash
N/A
08/24/2023
$ 120.00
❑
104
Cash
N/A
10/31/2023
$ IWOO
❑
$
3. Contributor Information '`; ,: ❑ °. Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip) "
b. Job Title/Profession _
d. Comments
c. Employer's Name/SpecificField
e. Election Sum to Date
f. Prior
g. Account Code
h..Form -of Payment
i.ln-Kind Description
j. Date (mm/dd/yyyy)
It. Amount
❑
$
❑
$
❑
$
4. Total only this Page
$ 270.00
5. Total of ALL CR04210 Pages
(This lire must be on Hite 6 of Doa0 4tl: untmary.Page CRO -1100).',.. -
$ 270.00
CRO -1210 NC State Board of Elections April 2007
Amendment
Refunds/Reimbursements To the Committee pg 1 or t ❑_ __ ves_ ® No
Use this form to report refunds received by the committee or reimbursements for a previous expenditure.
1. Committee Full Name (and Fund if applicable)
2.1D Number"
Committee to Elect Rev. Bention, Sr.
I
3. Contributor Information E] • ,Add ❑ , .Remove
a. Full Name, Mailing Address & Phone
(include city, state, &:zip)
d. Type of Committee _
g. Comments
® Candidate ❑ PAC
❑ Referendum ❑ Parry
Refund for
Overdraft fees
Wells Fargo
e. Level Registered (Specify)
h. Original Expenditure Date
❑ Federal ® County:
❑ State ❑ Municipality:
09/12/2023
i. Original Expenditure Amt
$ 35.00
b. Job Title/Profession
c. Employer's Name/Specific Field d
E Purpose
j. Election Sum to Date
0
$ 0
k. Account Code
1. Form of Payment
m. In -Kind Description
n. Date (mm/dd/yyyy)
o. Amount
104
Bank Draft
N/A
10/24/23
$ 35.00
3. Contributor Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state; & zip)
d. Type of Committee
g. Comments
® Candidate ❑ PAC
❑ Referendum ❑ Party
Compensation
Time w/o funds
Wells Fargo
e. Level Registered (Specify)
h. Original Expenditure Date
❑ Federal ® County:
❑ State ❑ Municipality:
i. Original Expenditure Amt
b. Job Title/Profession
c. Employer's Name/Specific Field
f. Purpose
j. Election Sum to Date
$
k. Account Code
I. Farm of Payment'
m. In -Kind Description
a. Date (mm/dd/yyyy)
o. Amount
104
BankDraft
N/A
10/26/23
$ 1.21
3. Contributor Information
Add El, 'Remove
a. Full Name, Mailing Address & Phone
(include city, state, &zip)
d. Type. of Committee
g. Comments
❑ Candidate ❑ PAC
❑ Referendum ❑ Party
¢. Level Registered (Specify)
It. Original Expenditure Date
❑ Federal ❑ County:
❑ State ❑ Municipality:
i. Original Expenditure Amt
$
b. Job Title/Profession
c. Employer's Name/Specific Field
f. Purpose
j. Election Sum to Date
$
k. Account Code 1. Form of Payment.
m. In -Kind Description
. n. Date (mm/dd/yyyy)
o. Amount
$
4. Total <onl this Pae $ 36.21
5. Total of ALL CRO -1240 Pages: $ 36.21
bis.Rneuarsfbeon fine, 10o Defaffe'dSumma Page CRO-1700
CRO-1240 NC State Board of Elections December 2007
Amendment
Disbursements Pg I of 3 ❑ Yes ® No
Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political
m iMnac hurl rnnrdinatPd narty PvnPndilln'Pc
1. Committee Full Name and Fund if applicable) 7... 2. ID Number "
Committee to Elect Rev. Bention, Sr.
3. T e of Disbursement' Please use separate CRO- 1316 ffirms for each tyjue,o Disbursellwen-6,F, ;
® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures
d. Payee lnforruation ❑ Add,-,,, " ❑ 0',, Remove
a. Full Name, Mailing Address & Phone
include city, state & zip)
b. Coordinated Committee Name
d. Comments
Campaignpartners.com
PO Box 118
Still River, MA 01467
617-500-7251
c. Level Registered (Specify)
❑ Federal ® County:
❑ State ❑ Municipality:
e. Election Sum to Date
$ 762.30
f. Account Code
g. Form of Payment
h. Purpose Code
i. Date (mm/dd/yyyy)
i. Amount
k. Required Remarks
104
Credit Card
O
07/08/2023
$49.00
Monthly Website
Fee
104
Credit Card
O
08/08/2023
$49.00
Monthly Website
Fee
4. Pa ee Information__ i • ❑ Add _ ❑ . Remove
a. Full Name,.Mailing Address & Phone
include ci , state, '& zip)
b. Coordinated Committee Name
d. Comments
Campaignpartners.com
PO Box 118
Still River, MA 01467
617-500-7251
c. Level Registered (Specify)
❑ Federal ® County:
❑ State ❑ Municipality:
e. Election Sum to Date
$ 860.30
f. Account Code
g. Form of Payment
h. Purpose Code
i. Date (mm/dd/yyyy)
j. Amount
k. Required Remarks
104
Credit Card
O
09/08/2023
$49.00
Monthly Website
Fee
4. Payee Information❑ Add- Remove
a. Full Name, Mailing Address & Phone
include city, state & zip)
b. Coordinated Committee Name
d. Comments
Wells Fargo
c. Level Registered (Specify)
❑ Federal M County:
❑ State ❑ Municipality:
a Election Sum to Date
$ 60.00
E Account Code
g. Form of Payment
It. Purpose Code
i. Date (mm/dd/yyyy)
j. Amount
k. Required Remarks
104
Bank Draft
O
07/10/23
$35.00
Overdraft Fee
104
Bank Draft
O
08/10/23
$35.00
Overdraft Fee
5. Total on1 thi's Pae
$ 217.00
6 Total ofALL CRO -I310 Pages
(This line goes in line 13a of Derailed Sumnary Page CRO -1100 if Operating Expenses)
(This linegoes in line 13b of Detailed Summary Page CRO -1100 if Contrib to Candidates/Political Cmnm)
(This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures)
$ 312.00
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 Q* - Donation to Legal Expense Fund
O* - Other __,.,.., ._._._..T..�._.. r.�»-_..�..,.._ ._._...... y„r.;...._�..-...�.._....._.W_w.�..
" Codes re vire detailed ex lanati in im required remarks field (k)
CRO -1310 NC State Board of Elections December 2OU9
Amendment
Disbursements pg 2 of 3 1®_ Yes_ ❑ No
Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political
rnmmitteec and cnnrdinated natty exnenditures.
1. Committee Full Name and Fund4f applicable) 2.1D Number•
Committee to Elect Rev. Bention, Sr.
3. T I ype of Disbursement Rlease use separate CRO -1310 forins At, eac/ hite o Disbursement. `.
® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures
4. Payee Infortnation ❑ 'Add Remove •"
a. Full Name, Mailing Address &.Phone
include citV, state & zip)
V Coordinated Committee Name.
d. Comments
Wells Fargo
c. Level Registered (Specify)
❑ Federal ® County:
❑ State ❑ Municipality:
e. Election Sum to Date
$ 130.00
L Account Code
g. Form of Payment
h. Purpose Code
i. Date (mm/dd/yyyy) '
j. Amount
k. Required Remarks
104
Bank Draft
O
09/11/2023
$35.00
Overdraft Fee
4. Payee Information ❑ 'Add ❑ ' Remove
a. Full Name, Mailing Address & Phone
include city, state, & zip)
b. Coordinated Committee Name
d. Comments
Wells Fargo
- c. Level Registered (Specify)
❑ Federal ® County:
❑ State ❑ Municipality:
c. Election Sum to Date
$ 165.00
L Account Code
g. Form of Payment
h. Purpose Code
i.. Date (mm/dd/yyyy),
j. Amount
k.Required Remarks
104
Bank Draft
O
07/26/23
$10.00
Monthly Service
Fee
104
Bank Draft
O
08/23/23
$10.00
Monthly Service
Fee
4. Payee Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
include city, state & zip)
b. Coordinated Committee Name
d. Comments.
Wells Fargo
c. Level Registered (Specify)
❑ Federal ® County:
❑ State ❑ Municipality:
e. Election Sum to Date
$ 185.00
L Account Code
g. Form of Payment
h. Purpose Code
i. Date (mm/dd/yyyy)
j. Amount
k. Required Remarks
104
Bank Draft
O
09/26/23
$10.00
Monthly Service
Fee
104
Bank Draft
O
10/25/23
$10.00
Monthly Service
Fee
5. Total onl: °this Pae
$ 75.00
6. Total of ALL CRO -1310 Pago�1- _ _
(This line goes in line 13a of Detailed Summary Page CRO -1100 if 0peratiug Expenses)
(This line goes in line 13b of Derailed Summary Page CRO -1100 if Contrib to Candidares/Political Conmr)
(This lingoes in line 13e of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures)
i $ 3) 2.00
7. Purpose Codes(List detailed expenditure code is h.' above
A* - Media B* - Printing C* - Fundraising D -To Another Candidate
E - Salaries F* - Equipment O - Political Party H* - Holding Public Office Expenses
I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund
O* - Other
* Codes `Rire detailed ex lavation in re aired remarks field (k)
CRO -/310 NC State Board of Elections December 2009
i Amendment
Disbursements Pg 3 of 3 ❑ ® No
Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political
committees and coordinated party expenditures. i
1. Committee Full Name and Fund if applicable),- • £`.' .'' - . ` 2. ID Number
Committee to Elect Rev. Bention, Sr.
3. T e of Disbursement Please use se arate CRO -1310 oiau or eacii ', `e o Disbursement ..
® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures
4. Payee fnformati on ❑ ^`.Add a- Remove,
a. Full Name, Mailing Address & Phone -
include city, state, & zip)
b. Coordinated Commitlee Name.
d. Comments
,
Wells Fargo
c. Level Registered (Specify)
❑ Federal ® County:
❑ State ❑ Municipality:
e. Election Sum to Date
$ 205.00
f. Account Code..
g. Form of Payment
It. Purpose Code
i. Date (mmldd/yyyy)
j. Amount
k. Required Remarks
104
Bank Draft
O
11/24/23
$10.00
Monthly Service
Fee
104
Bank Draft
O
12/26/23
$10.00
Monthly Service
Fee
4. Payee In ormation, • ": €„ ❑ Add ° Remove
a. Full Name,Mailing Address & Phone
include city, state, & zip)
b. Coordinated Committee Name
d. Comments
c. Level Registered (Specify).
❑ Federal ❑ County:
❑ State ❑ Municipality:
e. Election Sum to Date
$
E Account Cade '
g. Form of Payment
'k. Purpose Code
i. Date (mm/dd/yyyy)I
'j. Amount
k. Required Remarks
$
$
4.Payee linfow•ination '; LL ; And '�,-Remove
a. Full Name, Mailing Address &Phone
include city, state & zip)
b. Coordinated Committee Name
d. Comments
c. Level Registered (Specify).,
❑ Federal ❑ County:
❑ State ❑ Municipality:
e. Election Sum to Date
f. Account Codc :.
g. Farm of Payment
i h. Purpose Code
i. Date (mm/dd/YY39'),
j• Amount
k. Required Remarks
5. Total only this
Pae
':'i.$
20.00
b. Total of Ai L CR0-i310 Pages' ,.
(This line goes in line 13a oJDetailed Summary Page CRO 1100 if Operating Expenses)
(This line goes in line 131, oJDetniled Summary Page CRO -1100 IjCuntrib to Cmrdidales/Polilica! Comm)
(This line goes in line 13c oJDetailed Summary Page CRO -1100 if Coordinated Party Expenditures)
$ 312.00
7. Pur ose Codes ist detailed eX enditure 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 Q* - Donation to Legal Expense Fund
O* - Other
� Codes re' wire detailed ex lattati4n'in -required remark"s field'(k `.' i°.
CRO -1310 NC State Board of Elections December 2009