Heintel,Kathleen_2022-4th-qtr-summaryAmendment
Disclosure Report Cover o Yes ® 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
KATHY HEINTEL FOR BOE
b. Mailing Address (include City, State and Zip Code)
d. Date Filed
904 PATRICIANS LANE
01/07/2023
MONROE, NC 28110
e. Phone Number
(216) 536-4009
2.ReportYear
3. Period Start Date (mm/dd/yy)
4. Period End Date (mm/dd/yy)
5. Treasurer Full Name
2022
10/23/2022
12/31/2022
KATHLEEN MESEL HEINTEL
6. TM of Committee (Check One)
9. Type
of Report (check only one type ofreport from one category)
® Candidate Campaign ❑ Party
Municipal
State/County
Referendum
❑ Joint Fundraiser ❑ PAC
❑
Organizational
❑ Organizational
❑ Organizational
❑ Referendum ❑ Legal Expense Fund
❑
❑
❑
Thirty-five day
Pre-primary
Pre-election
Quarterly
❑ First
❑ Second
❑ Pre -referendum
❑ Final
❑ Supplemental Final
7. Type of Fund (/f applicable, check one)
❑ "Booster Fund"
❑ Building Fund
❑
Pre -runoff
❑ Third
❑ Annual
❑ Presidential Election Year Candidates Fund
Semi-annual
❑ Fourth
❑ Special
❑ NC Public Campaign Financing Fund
❑
Mid Year
Semi-annual
❑
Year End
❑ Mid Year
10. Special Report Name
❑ Other:
❑
❑
Final
Special
❑ Year End
❑ Final
❑ Special
8. Number of Fundraisers this Report
0
3. Account Information
3. Account Information
a. Financial Institution Full Name
a. Financial Institution Full Name
BANK OF AMERICA
CITI
b. Purpose
c. Account Code
b. Purpose
c. Account Code
FEES AND EXPENSES
I
FEES AND EXPENSES
2
d. Period Begin Balance
d. Period Begin Balance
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,
tWandorrect and that I have been trained by the NC State Board
91,/0023
Printed Name of Signer
ignature of Appointed Treasurer kj fD7/2f
FOR OFFICE USE ONLY
Date Received: 2�3lylpl-0
Delivery Methot 1V a 9
Employee:
Normal Mail
Date Postmarked:
[3RegWfi*(C�!1��1�7Cd
Employee: ❑Hand Delivered Of Ele
® Electronically Filed
Date Scanned:
Employee:
Date Data Entered:
❑ Signer has not received
Employee:
mandatory training
Please Note: This formcannot 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 change
CRO -1000 NC State Board of Elections December 2007
ions
Disclosure Report Cover Addendum Amendment
❑Yes tNo
Use this form to report additional bank account information that r1;a __ E:. , .>
11C "I�,
1. Committee ball Name and Fund if applicable)
2UID'Number Cover.
KATHY HEINTEL FOR BOE
3. Account Information
3. Account Information
a. Financial Institution Full Name
a. Financial Institution Full Name
CAPITAL ONE
b. Purpose
c. Account Code
b. Purpose
c. Account Code
EXPENSES
3
d. Period Begin Balarn ce
d. Period Begin Balance
$
$
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 true and correct and that I have been
acolete,
L�%i ►' 1 4u0 k 01/07/2023
Printed Name of Signer Signature of Appointed Treasurer Date
Please Note: This cover sheet cannot ed to amend committee information such as the committee
name
or account information.
You must amend the Statement of Or anizationCRO-2100A-E to make committee Chan es.
4_
rrrn_Ia MMr, Q-1- r2no A , n,
December 2007
9 E EI ED
JAN 0 9 203
Union Co. Board of Elections
Amendment
Detailed Summary ❑ Yes ® No
Use this form to summarize all di.ac-.ln-nrP. ri nnrtinv fnn,nc ani t� t. f,I --f-
1.
F �:
1. Committee Full Name (and Fund if a icable)2.
T of Report
3. ID Number
KATHY HEINTEL FOR BOE
2022 Fourth Quarter
Start of Election Cycle: January 1, 2021
Total this
Reporting Period
Total this
Election Cycle
4) Cash on Hand at Start
$
0.00
$
0.00
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
0) Refunds/Reimbursements to the Committee
1) Other Receipt Sources
11 a) Interest on Bank Accounts
11 b) Contributions from Not -For -Profit Organizations
11c) Outside Sources of Income
11 d) Legal Expense Fund - Other Sources
Ile) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1210)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CRO -1240)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1270)
(CRO -1265)
$ 0.00
$ 0.00
$ 211.36
$ 13,436.94
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
a���x'
l
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
2) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10,11 a, l I b, l l c, l l d and 11 e)
$
211.36
$
13,43 6.94
EXPENDITURES
3) DisbursementsINES,
13a) Operating Expenditures
13b) Contributions to Candidates/Political Committees
13c) Coordinated Party Expenditures
4) Aggregated Non -Media INpenditures
5) Loan Repayments
6) Refunds/Reimbursements from the Committee
7) In -Kind Contributions
(CRO -1310)
(CRO -1310)
(CRO -1310)
(CRO -1315)
(CRO -1420)
(CRO -1320)
(CRO -1510)
$ 0.00 $ 0.00
$ 0.00 $ 0.00
$ 0.00 $ 0.00
$ 0.00 $ 0.00
$ 0.00 $ 0.00
$ 0.00 $ 0.00
$ 211.36 $ 13,436.94
8) TOTAL EXPENDITURES (Add lines 13a 13b, 13c, 14, 15,
16 and 17)
$
211.36
$
13,436.94
9) Cash on Hand at Fad (Add lines 4 and 12 together, then subtract line 18)
$
0.00
$
0.00
ADDITIONAL INFORMATION
0) Non -Monetary Gifts Given to Other Committees
1) Outstanding Loans (incl. ones from other campaigns)
2) Debts and Obligations owed by the Committee
3 Debts and Obligations owed to the Committee
) g
4) Account Transfers Within the Committee
5) Administrative Support
6) Forgiven Loans
7) 48 -Hour Notice Reports Sum
(CRO -1330)
(CRO -1430)
(CRO -1610)
(CRO -1620 )
(CRO -1720)
(CRO -1710)
(CRO -1440)
(CRO -2220)
$ 0.00
r
$ 0.00 Y
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$
0.00
v , 1 _.
$ q'Pq9
.-so '�5,, 0.00
8) Contributions to be Refunded
(CRO -1215)
$
0 00
4$�
P 0.00
...Lf-lr vv 3cace tsoara or mecnons Union Co. Board of Election"st 2008