Bention,Jimmy_2024-Mid-yearAmendment
Disclosure Report Cover I ❑ les ® No
Use this form for general report and committee information, must be signed and submitted along with other detailed forms.
Do not use this form to update information
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
07/25/2024
Monroe, NC 28110
e. Phone Number
704-572-0879
2. Report Year
3. Period Start Dale (mm/dd/yy)
4. Period End Date
5. TreasurerFull Name
mmfdd/
Latoya L. Bention
1024
01/01/2024
06/30/2024
6. Type of Committee Check One
9. Type
of Report (check only one e o re art
om one tate o
® Candidate Campaign ❑ Pam
Municipal
Stare/County
Referendum
❑
Organizational
❑ Organizational
❑ Organizational
❑ PAC ❑ Referendum
Independent ❑ Joint Fundraiser
❑
Thirty-five day
Quarterly
❑ Pre -referendum
❑ Expenditure
❑ Legal Expense Fund
❑
❑
Pre-primary
Pre-election
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7. Type of Fund ffapplicable, check one/
❑ "Burster Fund"
❑ Building Fund
❑
Prc-rano ❑
Third
❑ Annual
Semi-annual
❑ Fourth
❑ Special
❑
Mid Year
Semi-annual
❑ Other:
❑
Year End
® Mid Year
10. Special Report Name
❑ Final
❑ Special
❑ Year End
❑ final
❑ Special
8. Number of Fundraisers this Report
0
11. Account Information
11. Account Iation
a. Financial Institution Full Name
a. FinaggpoltdWinforme
Wells Faro
CAMPA -
b. Purpose
c. Account Code
It. Purpose 6 2Q4
c. Account Code
Election
104
jut
Committee
d. Period Begin Balance
d. Period Begin Balance
Donations
RECEIVED
RE
S 31.02
$
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 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 1 have been trained
by the NC State Board of Elections.
Latoya L. Bention
�_ _ 6� - � 07/25/2023
Printed Name of Signer
S nature oLAppointed'freasurer
Dale
4 UR OFFICE USE ONLY
Date Received:
Deliv Metht
Employee: e od
Aiemtal Mail �q
❑ Registered Mail
Date Postmarked:
Employee:
❑ Hand Delivered
El Electronically Filed
Date Scanned:
Employee:
❑ 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 ❑ Yf3
1 Ica thlc fnrm to aimmari>e all disclnsure renortinp fnrms and to total monetary information.
1. Committee Full Name and Fund if a livable
2. Type of Report
3. ID Number
Committee to Elect Rev. Bention, Sr.
2024 Mid -Year
Semi Annual
Start of Election Cycle: January 1, 2022
Total this
Reporting Period
Total this
Election Cycle
4)
Cash on Hand at Start
S
31.02
S
0
RECEIPTS
5) Aggregated Contributions from Individuals
6) Contributions from Individuals
7) Contributions from Political Party Committees
8) Contributions from Other Political Committees
9) Loan Proceeds
10) Refunds/Reimbursements To the Committee
11) Other Receipt Sources
Ila) Interest on Bank Accounts
lib) Contributions from Not -for -Profit Organizations
lie) Outside Sources of Income
lid) Legal Expense Fund —Other Sources
it e) Exempt Purchase Price Sales
(cRO-120 1
(CRO -1210)
(CRO -1220)
(CRO -1130)
(CRO -1410)
(CRO -1240)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1170)
(CRO -1265)
-
S
S
380
$ 20.00
$
4,390
$
$
$
$
1,750
$
$
$
$
$
$
36.21
$
$
$
$
$
$
$
$
12)
TOTAL RECEIPTS (Add Imes 5,0?c.9./n,1lu,W,R,lldonJlle)
$
20.00
S
6,556.21
EXPENDITURES
13) Disbursements
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
(CRO -1310)
(CRO -1310)
(CRO -1310)
(CRO -1315)
(CRO -1420)
(CRO -1320)
(CRO -1510)
$ 50.00
$
6,228.60
$
$
300
$
$
26.59
$
$
$
$
$
$
$
$
18)
TOTAL EXPENDITURES (Add lines 130. 13b, 13c, 14. 15. 16 and 17)
$
50.00
$
6555.19
19)
Cash on Hand at End
S
1.02
S
1,02
ADDITIONAL INFORMATION
20) Non-Monetar% Gifts Given to Other Committees
21) Outstanding Loans (incl. ones from other campaigns)
22) Debts and Obligations owed By the Committee
23) Debts and Obligations owed To the t olii4�i11t1)t4 i (
—AMPAIGtd FINAidCE
24) Account Transfers Within the Committee
25) Administrative Support JUL 2 6 2024
26) Forgiven Loans RECEIVED
27) 48 -Hour Notice Reports Sum
28) Contributions to be Refunded
(CRO✓3301
(CRO -1430)
(CRO -1610)
(CRO -1620)
(CRO -1720)
(flrodna)
(CRO -1440)
(CRO -2120)
(CRO -1215)
S
$
$
$
n
$
$
$
$
$
$
$
$
$
CRO -1100 NC Stale [bard of E.Icelions August 2008
Amendment
Contributions from Individuals Pg i of i ❑ Yes ® 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)
_2.1D Number
Committee to Elect Rev. Bention. Sr.
3. Contributor Information ❑ Add ❑ Remove
a. Full Name. !flailing Address &Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
Pastor
Jimmy H. Bention, Sr
c. Employer's Name/Specific Field
Temple COG IC
Metrolina COGIC
e. Election Sum to Date
$ 120.00
f. Prior
g. Account Code
It. Form of Payment
i. In -Kind Description
j. Date (mm/dd/yyyy)
k Amount
❑
104
Cash
N/A
06/24/24
$ 20.00
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
it. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job'I ide/Profession
d. Comments
UNION COUNTY
CAMPAIGN FINANCE
JUL 2 6 2024
c. Employer's NamwSpecific Field
e. Election Sum to Date
$
f. Prior
g. Account Code rm
i. In -Kind Description
j. Date (mm/dd/yyyy)
k. Amount
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
I. Employer's Name/Specific Field
e. Election Sum to Date
f. Prior
g. Account Code
It. Form of Payment
i. In -Kind Description
j. Date (mm/dd/yyyy)
Is. Amount
❑
$
❑
$
❑
$
4. Total only this Page $ 20.00
5. Total of ALL CRO -1210 Pages s 20.00
(ibis line mast be on line 6 of Detailed Sununaq Page CRO -1100)
CRO -1210 NC Stale hoard of Iaeetions April 2007
Amendment
Disbursements Pg j. or i ❑ vex ® Nu
Use this form to report expenditures from the committee for: operating expenses. contributions to candidate/political
...i or.nnated -- n—iiturrc
conn.n 1— an ..,...�...�........ ..... _.. _.....—._...
1. Committee Full Name and Fund if applicable) 2. ID Number
Committee to Elect Rev. Bention• Sr.
3. Type of Disbursement Please use separate CRO -13/0 forins for each 11,pe of Disbursement.
® Operating Expenses ❑ Conuihutions to Candidates/Volilical Committee, ❑ Coordinated Para I xpendimres
4. Payee Information Add Lj 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
E Account Code
g. Form of Payment
h. Purpose Code
L Date (mm/dd/yyyy)
j. Amount
k. Required Remarks
104
Bank Draft
O
01/25/24
$10.00
Monthly Service
Fee
104
Bank Draft
O
02/26/24
$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 UNION COUNTY
CAMPAIGN FINANCE
JUL 2 6 2024
a Level Registered (Specify)
❑ Federal ® County:
❑ State ❑ Municipality:
e. Election Sum to Date
E Account Code
g. Form of Pa
r -
L Date (mm/ddlyyyy)
J. Amount
L Required Remarks
104
Bank Draft
O
03/25/24
$10.00
Monthly Service
Fee
104
Bank Draft
O
0423/24
$10.00
Monthly Service
Fee
4. Payee Information Add Remove
a. Full Name, Mailing Address & Phone
include city, state, & zip)
h. Coordinated Committee Name
d. Comments
_
e. Election Sum to Date
Wells Fargo
c. Level Registered (Specify)
❑ Federal ® County:
❑ State ❑ Municipality:
L Account Code
g. Form of Payment
b. Purpose Code
L Date (mm/dd/yyyy)
J. Amount
k. Required Remarks
104
Bank Draft
O
06/26/24
$10.00
Monthly Service
Fee
5. Total only this Pae $ 50.00
6. Total of ALL CRO -1310 Pages
(This fine goes in line l3a of Detailed Sunman Page CRO -1100 if Operating Expenses) $ 50.00
(This line goes in line 136 of Derailed Summmn, Page CRO -1100 if Corntrib to Candulates/Political Comer)
(This line goes in line l3e of Detailed Summary Page CRO -1100 if Coordinated Parry Expenditures)
7. Purpose Codes List detailed expenditure code in h.) above)
A* - Media B* - Printing C* - Fundraising D - T o Another Candidate
E - Salaries F* - Equipment C - Political Party H* - Holding Public Office Expenses
I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund
O* - Other
* Codes require detailed explanation in required remarks field k
CRO -1310 NCSlate Board of Elections December 2009