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McConkey,Jodi_2022-4th-qtr-DisclosureAmendment Disclosure Report Cover ❑ Yes ® No Use this form for general report and committee information, must be signed and submitted along with other detailed forms. Do not ttse this fnnn to nnrlatf- infnrmntinn 1. Committee Information a. Full Name c. ID Number ELECT JODI MCCONKEY FOR UCPS DISTRICT 4 XXX-4JMRHN-X-XXX b. Mailing Address (include City, State and Zip Code) d. Date Filed 4107 LOGAN CIRCLE INDIAN TRAIL, NC 28079 01/09/2023 e. Phone Number (704) 272-3245 2.ReportYear 3. Period Start Date (mm/dd/yy) 14. Period End Date (mm/dd/yy) 5. Treasurer Full Name 2022 10/23/2022 12/31/2022 CRISTAL ROBINSON 6. TM of Committee Check One) 9.Type of Report (check only one type ore ort from one cute or 2 ® 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-referendtrn ❑ Final ❑ Supplemental Final 7. IM of Fund ffapplicable, 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 Re rt Name ❑ Other: ❑ ❑ Final Special ❑ Year End ❑ Final ❑ Special 8. Number of Fundraisers this Re rt 0 3. Account Information 3. Account Information a. Financial Institution Full Name a. Financial Institution Full Name FIRST CITIZENS b. Purpose c. Account Code b. Purpose c. Account Code CAMPAIGN 1120 JAN 1 7 2( d. Period Begin Balance eriod Begin Balance it CERTIFICATION mion eu. MUM d of decilons I certify that the Conitnittee 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 fiends are cominingled with prohibited or othernon-disclosed funds. I further certify that this report is complete, true and correct and that I have been trained by the NC State Board � Qd I M C Co * u 01/09/2023 Printed Name of Sigder ignature of Appointed Treasurer Date FOR OFFICEUSE ONLY ��11 III Date Received: V S Employee: Delivery Method Normal Mail 2 Date Postmarked: �J Employee: Registered Mail ❑ Hand Delivered Date Scanned: Employee: ❑ Electronically Filed Date Data Entered: ❑ Signer has not received Employee: mandatory training Please Note: This foumcannot be used to amend committee information such as the committee address, treasurer, assistant treasurer, custodian ofbooks information, or account inforllation. You must amend the Statement of Organization CRO -2100A -E to make committee changes. �.nv-1 vvu !N� main noaru or niecnons December 2007