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Kamolnik,Colleen_2022-3rd-qtrDisclosure Report Cover E3 Yes 1 I 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 uridate information. 1. Committee Information . Full Name c. ID Number Colleen Kamolnik for BOE District 1 . Melling Address (include City, State and Zip Code) _ _ _ d. Date Filed 721 Archie Ln 10/31/2022 Monroe, NC 28112 e. Phone Number 704.296.4564 2. Report Year 3. Period Start Date (®dr[dyy) 4. Period End Date (mm/adyy)_ 5. Treasurer Full Name 2022 07/01/22 110/22/22 Colleen McBride Kamolnik 6. Type of Committee (Check One) 9. Type of Report (check only one type of one category) ® Candidate Campaign ❑ Party Municipal State/Couaty —from Referendum ❑ PAC ❑ Referendum ❑ Organizations] ❑ Organiutional ❑ Orga utional ❑ Independent Expenditure ❑ Joint Fundraiser ❑ Thirty-five day Quarterly ❑ Pre ­referendum ❑ legal Expense Fund ❑ Pre-primary ❑ First ❑ Final ❑ Pre-election ❑ Pre-mnoff ❑ Second ® Third ❑ Supplemental Final ❑ Annual 7. Type of Fund (if applicable, check one) ❑ Booster Fund Semi-annual ❑ Fourth ❑ Special ❑ Building Fund ❑ Mid Year Semi-annual ❑ Year Find ❑ Mid Year 10. Special Report Name ❑ other. ❑ Final ❑ Special ❑ Year Fad ❑ Final - 8. Number of Fundraisers this Report 0 ❑ Special 11. Account Information 11. Account Information a. Financial Institution Full Name a. Am clad Institution Full Name American Bank b. Purpose a A Code b c. Account Code 1 OCT 31 2022 it. Period Begin Balance_ d. Period Begin Balance campaign funding $436.48 Union Co. Board o; EleCliunS $ CERTIFICATION I certify that the Committee or Fund is in compliance with al provisions of Article 22A, 22B & 22D -22M of Chapter 163 of the NC General Statutes and that no funds are co p hi 'ted or otheractn-disclosed funds. I farther Certify that this report is complete, nue and correct and that I have bee ' ed y late Board of Elections. 10/31/2022 Colleen McBride Kamolnik Printed Name of Signer Signature of Appoinod Treasurer Date OR OFFICE USE ONLY Date Received: / Employee: C r Delivery Method ❑ Normal Mail L3 Registered Mail Date Postmarked: Employee: Hand Delivered Date Scanned: Employee: ❑ Electronically Filed Data Entered: Employee: [eived C] gnerDate manndator ory not ining 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 Mections August 2008 Detailed Summar '11eO` Y 0 Q Yes d No Use this form to summarize all disclosure renortine forms and to total mnnetary information 1. Committee Full Name (and Fund if applicable) Colleen Kamolnik for BOE District 1 2. Type of Report 2022 Third Quarter Number Start of Election Cycle: January 1, 2019 Total this Period Total thisReporting Election Cycle 4) Cash on Hand at Start is 436.48 is 0.00 RECEIPTS 5) Aggregated Contributions from Individuals 6 i Contributions from Individuals 7) Contrilm dons from Political Party Committees 8) Contributions from Other Political Committees (CRO -1205) (CRo-121o) (CRo-122o) (CRO -1230) $ $ $ 300.00 $ 2229.00 $ 250.00 $ 617.58 $ $ 9) Loan Proceeds 10) Refunds/Reimbursements to the Committee 11) Other Receipt Sources lla) Interest on Bank Accounts 11b) Contributions from Not -For -Profit Organizations 11c) Outside Sources of Income tld) Legal Expense Fund - Other Sources lle) Exempt Purchase Price Sales (CRO -1410) (CRO -1240) (CRO -1250) (CRO -1250) (CRO -1250) (CRO -1270) (CRO -1265) $ $ $ $ $ $ $ $ $ $ $ $ $ $ 12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8,9,10,1 laj lb,1 Ic,l Id and l le $ 550.00 $ 2846.58 EXPENDITURES 13) Disbursements 13a) Operating Expenditures (CRO -1310) 13b) Contributions to Candidates/Political Committees (CRa1310) 13c) Coordinated Party Expenditures (CRO -1310) 14) Aggregated Non -Media Expenditures (CRO -1315) 15) Loan Repayments (CRO -1420) 16) Refunds/Rehnbursements from the Committee (CRO -1320) 17) In -Kind Contributions ww-i51o) $ 367.75 $ 1795.12 $ $ $ $ $ 252.10 $ 655.83 $ $ $ $ $ 250.00 $ 279.00 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)1 $ 869.85 $ 2729.95 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18 $ 116.63 $ 116.63 ADDITIONAL INFORMATION 0) Non -Monetary Gifts Given to Other Committees (CRoa330) 1) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) 22) Debts and Obligations owed by the Committee (CRO -1610) 23) Debts and Obligations owed to the C6mrrF Wf E 1620) 24) Account Transfers Within the Committees nye (CRO.1720) 25) Administrative Support '' �4(CRO-1710) 26) Forgiven Loans ,,!on Co. Board of ElectiorkTRO.1440) 7) 48 -Hoar Notice Reports Sum — (CRO -2220) 8) Contributions to be Refunded (CRO -1215) $ $ $ $ $ $ $ $ $ $ $ 5 CRO -1100 NC State Board of Elections August 2008 Contributions from Individuals pg 1 or 1 Amendment ❑ Yes ® No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Commiltce_Fplt Name (and Fund if applicable) Colleen Kamolnik for BOE District 1 2. ID Num_be_ r 3. Contributor Information ® Add ❑ Remove . Full Name, Mailing Address & Phone (include city, state, & zip) Barbara Harrison 2001 Belleforest Ct Waxhaw, NC 28173 b. Job Tide/Profession Retired d. Comments a Employer's NamdSpedtic Field e. Election Sam to Date $ 200.00 f.Prior ❑ g. Account Code 1 b. Form of Payment online I. In -Kind Description J. Date (mmtdd/yyyy) 07/11/22 k Amount $ 200.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add Remove a. Full Name, Mailing Address & Phone (include city, state, &zip) _ Colleen McBride Kamolnik 721 Archie Ln Monroe, NC 28112 b. Job Tide/Profession d. Comments Accountant c Employer's Name/Specific Fleld Self e. Election Sum to Date $ f.Prior ❑ g. Account Code 1 h. Form of Payment online i. In -Kind Description J. Date (;Wddlyyyy) 10/15/22 It. Amount $100.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone (include city, stale, & zip) RECEIVED b. Job Tide/Profession d. Comments c. Employer's Name/Specific Field e. Election Sam to Date f.Prior ❑ g. Account Code WT6rmofPa3mcnt i. In -Kind 5;i- bn J. Date (menddlyyyy) k Amount $ _ ❑ $ ❑ $ 4. Total only this Page $ 300.00 5. Total of ALL CRO -1210 Pages $ 300.00 (This line must be on fine 6 ofDelailed Sammary Page CRO -1100) CRO -1210 NC State Board of Elections April 2007 Contributions from Political Party Committees pg 1 Use this form to report contributions from a political party 1. Committee Full Name (and Fund It applicable) Colleen Kamolnik for BOE District 1 2. Ill Number 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone (include city, state, & zip) Melissa Merrell for County Commissioner 2603 Albatross Ln Stallings, NC 28104 b. Continents c. Election Sum to Date $ 250.00 d. Account Code e. Form of Payment I. In -Kind Description S. Date (mmldd/yyyy) h Amount 1 In -Kind Union GOP Mailer 09/17/22 $ 250.00 $ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Comments c Election Som to Dau d. Accoml Code a Form of Payment L In -Kind Description g. Date (mmtdd/yyyy) h. Auomt 3. Contributor Information ❑ Add ❑ Remove Phone a. Full Name, Mailing Address t&t� (include city, scans ylc ittR E D ((''fit i v 3++1 2w ,•n Go BOd`d of Elections d b. comments c Election Sum to Date $ . A=unt Code e. Form of Payment f. In Kind Description g. Dad (mmlddlyyyy) h. Amount 4. Total only this Page 250.00 5. Total of ALL CRO -1220 Pages s 250.00 (This line musf be online 7 of Detailed Summary Page CRO -1100) CRO -1220 NC State Board of Elections April 2007 Disbursements Pg 1 or 1 p t ® No Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated party expenditures 1. Committee Full Name (and Fund If applicable)2. ID Number Colleen Kamolnik for BOE District 1 3. Type of Disbursement (Please use separate CRO -1310 forms for each tune of Disbursement.) ElOperating Expenes ❑ Conmhutions to Candidatec/Political Committees ❑ Coordinated Pam Expendaures 4. Payee Information ® Add ❑ Remove a. Full Name, Mailing Address & Phone b. Coordinated Committee Name d. Continents (include city, state, As zip) VistaPrint c. Level Registered (specify) UFedml ❑ crummy: ❑ State ❑ Municipality: 275 Wyman St Waltham, MA 02451 e. Election Sam to Date website <www.vistaprint.com> $ 76.85 . Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) P. Amount It. Required Remarks 1 debit card B 08/25/2022 $ 76.85 ICUStorn handouts/cards I Is d. Payee Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone b. Coordinated Committee Name d. Comments (include city, state, & zip) Office Max c. Level Registered (Specify) 1030 W Roosevelt Blvd Monroe, NC 28110 ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Electlon Sam to Date website <www.officedepot.com> $ 511.43 . Account Code g. Form of Payment h. Purpose Cade L Date (mmlddlyyyy) J. Annual k. Regalred Remarks 1 debit card B 08/10/2022 $237.52 custom handouts 1 debit card B 1 08/25/2022 $ 53.38 1 custom handouts 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone Is. Coordinated Committee Name it. Comments (include city, state, & zip) 1\ I E c. Level Registered (Specify) om Fe_deral ❑ Cty. (( C L r� E 1 V ❑ State ❑ Municipality: - e. Election Sam to Date OCT 31 2022 $ . Account Code g. Form of Payment h Code 1. Date (mm/dd/yyyy) J. Amount JIL Required Remarks $ IP GO. Odt $ 5. Total only this Page $ 367.75 6. Total of ALL CRO -1310 Pages (This fine goes in line Ida of Detailed Summary Page CRO -1100 if Operating Expenses) (This line goes in line lab of Detailed Summary Page CRO -1100 if Contrib to Candidates/Political Comm) $ 367.75 (This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures) 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 * Codes re uire detailed eirolanation in re aired remarks field k CRO -1310 NC State Board of Elections December 2009 Aggregated Non -Media Expenditures Page1 of 1 AD } dmen❑t No Optional form used to report NC Non -Media Expenditures of $50 or less. 1. Cominittee FuH Name (and Fundapplicable) 2. ID number Colleen Kamolnik for BOE District 1 3. Payee Information . Amend b. Account Code c. Form of Payment d. Purpose Code e. Date (mm/dd/yyyy) f. Amount g. Required Remarks ❑ Add ❑ Remove 1 draft O 08/31/22 $ 15.00 bank fees Add ❑ Remove 1 draft O 09/30/22 $ 15.00 bank fees Add ❑ Remove 1 debit card O 07/02/22 $ 29.00 website expense Add ❑ Remove 1 debit card O 08/03/22 $ 29.00 website expense Add ❑ Remove 1 debit card O 09/06/22 $ 29.00 website expense Add ❑ Remove 1 debit card O 10/03/22 $ 29.00 website expense Ll Ada [I Remove 1 debit card K 07/19/22 $ 25.00 software expense Lj Add ❑ Remove -Add 1 debit card K 08/19/22 $ 25.00 software expense ❑ Remove 1 debit card K 09/19/22 $ 25.00 software expense Add ❑ Remove 1 debit card K 10/19/22 $ 25.00 software expense Add 1 draft C 07/11/22 $ 6.10 merchant fees ❑ Remove Add $ ❑ Remove Add $ ❑ Remove Add $ ❑ Remove Add D $ ❑ Remove — Add $ Ll Remove T Add $ ❑ Remove Addn 75-Fe,0 $ ❑ Remove Add $ ❑ Remove Add $ ❑ Remove 4. Total only this Page $ 252.10 5. Total of ALL CRO -1315 Pages $ 252.10 (This line must be on Gee 14 o Deariled Summary Page CRO -/700 6. Purpose Codes (List detailed expenditure above) 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* - Donations to Legal Expense Fund O* - Other *Codes re uire detailed ex lanation in re aired remarks field CRO43I5 NC State Board of Flections December 2VO9 Amendment In -Kind Contributions Pg 1 of 1 ❑ Yes ® No Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund. Use CRO -1215 if In -Kind Contributions were or will be refunded within 7 days. 1. Corrattee Fall Name (s Chuld if applicable)2. ID Number Colleen Kamolnik for BOE District 1 3. Contributor Information ❑ Add ❑ Remove a. Full Name. Mailing Address & Phone b. Type of Contributor c. Comments (include city, state, & zip) ❑ Individual Melissa Merrell for County Commissioner ® Candidate ❑ Party 2603 Albatross Ln ❑ PAC Stallings, NC 28104 ❑ Referendum d. Election Sum to Date ❑ Other Receipt Source $ 250.00 e. Description f.Date (umV"yyyy) g. Fair bfarlim Amount 09/17/2022 $ 250.00 Union GOP Mailer $ $ 3. Contributor Information ❑ Add E3Remove . Full Name, Mailing Address & Phone Is. Type of Contributor c. Comments (include city, state, & zip) ❑ Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum d. Election Sum to Date ❑ Other Receipt Source $ . Description L Date (oan ddlyyyy) g. Fair Market Amount 3. Contributor Information ❑ Add ❑ Remove a. Full Name, 1118 1 r �y/�t—t' b. Type of Contributor c. Comments (include cit, J TM t— D ❑ Individual OCT 31 2022 ❑ Candidate ❑ Party ❑ PAC Union Co Maid ofElectiom ❑ Referendum ❑ Other Receipt Source d. Election Sum to Date $ r. De.cription LDab (mm/dd/).>v) g. Fair luarket Amount $ $ 4. Total only this Page $ 250.00 5. Total of ALL CRO -1510 Pages $ 250.00 (This fou must be on Ras 77of DRaUed Summary Page CRO -1100) CRO -1510 NC State Board of Elections December 2007