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Morrison-Hansley,Kim_2022-4th-qtrAmendment Disclosure Report Cover E3 Yes ® No Use this form for general report and committee information, must be signed and submitted along with other detailed fonts. Do not use this form to update information. 1. Committee Information a. Full Name c. ID Number ELECT KIMBERLY MORRISON-HANSLEY b. Mailing Address (include City, State and Zip Code) it. Date tiled 4307 CROW ROAD 12/15/2022 MONROE, NC 28112 e. Phone Number (980) 239-1681 2. Report Year 13. Period Start Date (mm/dd/)y) 4. Period End Date (in /577y) F5. Treasurer Full Name 2022 10 ' 1 2122 I, "1 2021 MELISSA RODGERS 6. Type of Cotnntittee Check One) 9. Type of Report (check only one type-ofre ort from one category) ® Candidate Campaign ❑ Pam 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-referendmn ❑ Final ❑ Supplemental Final 7. Type of Fund (ilapplimbte, check one) ❑ "Booster Fund" ❑ Building Fond ❑ Pre -runoff ❑ Third ❑ Annual ❑ Presidential Election Year Candidates Food 4emi-annual ❑ Fourth ❑ Special ❑ NC Public Campaign Financing Fond ❑ Mid Year Semi-annual ❑ Year End ❑ Mid Year 10. Special Report Name ❑ othrr ❑ ❑ Final 'Vecial ❑ Yew End ❑ Final ❑ Special 8. Number of Fundraisers this Re rt 3. Account Information 3. Account Information a. Financial Institution Full Name a. Financial Institution Full Name FIRST CITIZENS BANK L Purpose c. Account Code b. Purpose c. Account Code CAMPAIGN CHECKING 1785 ACCOUNT DEC 15 2022 d. Period Begin Balance d. Period Begin Balance $ 3,892.16 RECEIVED CERTIFICATION I certify that the Cottmtittee or Fund is in compliance with all applicable provisions of Article 22A, 22B & 22D -22M of Chapter 163 ofthe 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 andel correct and that I have been trained by the NC State Board �tuc�dt4rfS �t�l 12/15/2022 t�`� Printed Name (Signer Signature of -Appointed er Date FOR OFFICE ISE ONLY Delivery Method Date Received: a" Employee: ❑ Normal Mail Registered Mail Date Postmarked: Employee:11 R Hand Delivered ❑ Electronically Filed Date Scanned: Employee: [3 Signer has not received Date Data Entered: Enployee: mandatory trainin Please Note: This form cannot be used to amend committee information such as the committee address, treasurer, assistant treasurer, custodian ofbooks information, oraccount information. You nest amend the Statement of aniation CRO -2100A -E to make committee changes. CRO -/000 NC Sate Board of Elections December 2007 Amendment Detailed Summary ❑ les ® No Use this forrn to sununarize all disclosure report ing foms and tototalmnelary information 1. Committee Fall Name and Fund if applicable) 2. of Report 3. ID Number ELECT KIMBERLY MORRISON-HANSLEY 2022 Fourth Quarter Start of Election Cycle: January 1, 2021 Total this Re rtia Period Total this Hectioo Cycle 4) Cash on Hand at Start $ 3,903.32 $ 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 Ila) Intereston Bank Accounts 1 I b) Contributions from Not -For -Profit Organizations I le) Outside Sources of Income I Id) Legal Expense Fund -Other Sources I I e) Exempt Purchase Price Sales (CRO -1205) (CRO -1210) (CRO -1220) (CRO -1230) (CRO -1410) (CRO -1240) (CRO -1150) (CRO -1250) (CRO -1250) (CRO -1270) (CRO -1265) $ 5.00 $ 3,685.38 $ 204.60 $ 13,593.27 $ 200.00 $ 650.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ $ 0.00 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 0.00 ES $ 0.00 2) TOTAL RECEIPTS (Add lines 5,6,7,8.9,10,11a,IIb.11c,IIdand Iie) $ 409.60 $ 17,928.65 EXPENDITURES 3) Disbursements 13a) Operating Expenditures 13b) Contributions to Candidates/Political Committees 13c) Coordinated Party Expenditures 4) Aggregated Non -Media Expenditures 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) $ 3,664.55 $ 8,151.83 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 240.33 $ 839.04 $ 0.00 $ 0.00 $ 258.66 $ 3,724.83 $ 149.38 $ 5,212.95 8) TOTAL FXPFNDrrURES (Add lines 13a, 13b, 13c, 14.15, 16 and 17) $ 4,312.92 $ 17 928.65 9) Cash on Hand at Fnd (.Add lines 4 and 12 together, then subtract line 18) $ 0.00 $ 0.00 ADDITIONAL INFORMATION (1) tion -Monetary Gifts Given to Other Committees (CRO -1330) I) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) 2) Debts and Obligations owed by the Committee (CRO -1610) 3)Debts and Obligations owed to the Committee (CRO -1620) f,,� )UN \' , (CRO -1720) 4) Account Transfers Within the e Co��: tNA�u;� 5) Administrative Support J:1pmoN F (CRO -1710) 6) Forgiven Loans ��E�, 5 ZOZZ (CRO -1440) 7) 48 -Hour Notice Reports Sum _ (CRO -1220) $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 8) Contributions to be Refunded (CRO -1215) $ 99.19 $ 99.19 CRO -1100 NC State Board of eiectmns AUgUS[ GUU3 Amendment Aggregated Contributions from Individuals Page ! of ! ❑ Yes ® No Optional form used to report NC Contributions From Individuals of $50 or less 1. Committee Fall Name ami hindif applicable) 2. ID Number ELECT KIMBERLY MORRISON-HANSLIN 3. Contributor Inforniation a. Amend lb. Account Code c. Form of Payment Id. In -Kind Description e. Date Imm/dd/yyyy) f. Amount Add 13 Remove I -s5 Credit Card I0/25/2022 $ $,00 4. Total only this Page $ $5.00 5. Total. of ALL 0120-1205 Pages (This line must be on line S ojDetailed Summary Page CRO -1100) $ $5.00 CRO -1205 NC State Board of Elections Old\O1C N F Np,NC,E GAMPP dE� 15 221 REGE�vE� April 2007 Am endo c n Contributions from Individuals Pg I of 2 ❑ .e, IN No Use this formto report individual contributions over $50 or contributions under$50 if fonuCRO 1205 is not used 1. Committee Fall Name(and Fbndifapplicable) 2. ID Number ELECT KIMBERLY MORRISON-HANSLEY 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Ttle/Profession it. Comments Not Employed Rodney Blacknall 1004 Vaugelas Court Monroe, NC 28110 c. Employer's Name/Specific Field Not Employed e. Election Sum to Date $ 249.38 f. Prior g. Account Code It. Form of Payment i. In-IGnd Description j. Date (mmlddlyyyy) k. Amount ❑ 1785 In -Kind POLES FOR SIGNS 11/01/2022 $ 149.38 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession it. Comments Not Employed Debbie Gaither 5421 Waxhaw Hwy Monroe, NC 28112 c. Employer's Name/Specific Field Not Employed e. Election Sum to Date $ 121.32 L Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) It. Amount ❑ 1785 Credit Card 10/30/2022 $ 20.22 ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full .Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Not Employed Daniel Hannum Oufd F1N 4116 Hoffneister Dr Waxhaw, NC 28173 ��C 5 GEw �D c. Employer's Name/Specific Field Not Employed e. Election Sum to Date $ 90.00 f. Prior g. Account Code It. Form of aymeot I. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ 1785 Credit Card 11/06/2022 $ 10.00 ❑ $ ❑ $ 4. Total only this Page $ 179.60 5. Total of ALL CRO -1210 Pages (This line must he on fine 6 ojDetailed Summary Page CRO -1100) $ 204.60 CRO -1210 NC State Board of flections April 2007 Amendment Contributions from Individuals Pg 2 of 2 ❑ yes ® No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Cotfumttee FW1 Name and Fland if applicable) 2. ID Number ELECT KIMBERLY MORRISON-HANSLEY 3. Contributor Information ❑ Add ❑ Remove a. Full Name. Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Finance Wesley Nichols 5924 Deal Road Weddington, NC 28104 c. Employer's Name/Specific Feld JLL e. Election Sum to Date $ ;95.00 L Prior g. Account Code h. Form of Payment 1. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ 1785 Credit Card 11/02/2022 $ 25.00 ❑ $ ❑ $ 4. Total onh' this Page $ 25.00 5. Total of ALL CRO -1210 Pages (This line muv he on line 6 of Detailed Summary Page CR&1100) $ 204.60 CRO -1210 �N40N CJ FINANCE �AMpF.1G DEQ � � 222 REGEjvE0 VC Slate Board of Elections April 2007 %mendment Contributions from Political Party Committees Pg ! of ❑ Nes [3 1 Use this form to report contributions from a political part% 1. Committee Full Name and Fundifa icable 2. to Number ELECT KIMBERLY MORRISON-HANSLEY 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Comments UNION COUNTY DEMOCRATIC WOMEN 7905 TOTTENHAM CT WAXHAW,NC 28173 c. Flection Sum to Date $ 200.011 it. Account Code e. Form of Payment f. In -Kind Description g. Date (mm/dd/yyyy) It. Amount 1785 Check 10/23/2022 $ 200.00 4. Total only this Page $ 200.00 5. Total of ALL CRO -1220 Pages (This Bite must be on Gine 7 ojDeiailed Sunrmaty Page CRO -1100) $ 200.00 (RO-1220 M kalenoardorIlections NPNCE April 2U- Amendment Disbursements Pg 1 of 4 ❑ Yes ® No Use this formto report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated party expenditures 1. Committee Full Nance and Fund if applicable) 2. m Number ELECT KIMBERLY MORRISON-HANSLEY 3. Type of Disbursement (Please use.senarate CR0I310 form" for each tune ofDisbursement.l IM Operating Fnpenses 13Cnntribwions to Candidates Political Cunnniuee, Coordinated Parts l \penditures 4. Payee Information ❑ Add ❑ Remove a. Full Name. Mailing .Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments CIRCLE K 1805 MORGAN MILL RD MONROE, NC 28110 a Level Registered (Specify) 0Federal U County: ❑ State ❑ Municipality: e. Election Sum to Dale $ 118.65 f. Account Code Ig. Form of Payment 1b. Purpose Code ji. Date (mm/dd/yyyy) j. Amount 1k. Required Remarks 1785 Debit Card O 11 03 2022 is 74.00 1 GAS 4. Payee Information ❑ Add ❑ Remove a. Full Name. Mailine .Address & Phone include city, state, & zi ) b. Coordinated Committee Name d. Comments FACEBOOK 1 HCKER WAY MENLO PARK, CA 94025 c. Level Registered (Specify) Fedoral County: ❑ State ❑ Municipality: e. Election Sum to Date S 57.38 L Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks 1785 Electric Funds Tran A 11/02/2022 $ 12.38 1 FACEBOOK ADS $ 4. Payee Information ❑ Add ❑ Remove a. Full Nacre, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments Archie Hansley 4307 Crow Rd - Monroe, NC 28112C 1 c. Level Registered (Specify) Federal 13 Cowtt% ❑ State ❑ Municipality: e. Election Sum to Date 200.00 f. Account Code g. Form of taynredt h. Purpose Code i. Date (mm/dd/yyyy) j. Amount 1k. Required Remarks 1785 Check f 11/04/2022 IS 200.00 Is 5. Tota) only this Page $ 286.38 6. Tota) of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summary• Page CRO -1100 if Operating Frperi (This line goes in line 131, of Detailed Summary Page CRO -1100 lfContrib to Candidates/Political Comm) (This line goes in line 13c of Detailed Summon, Page CRO -1100 if Coordinated Party Expenditures) $ 3,664.55 7. Purpose Cotes (List detailed expenditure code in (h.) above) A* - Media B* - Printing C* - Fundraising D- To Another Candidate E - Salaries F* -Equipment G- Political P:un H* -Holding Pudic Ogee Expenses I - Postage J - Penalties K* -Office FApenses Q* - Donation to Legal Expense Fund O* Other * Codes require detailed explanation in required remarks field (k) CRO -1310 Al Narc R,ardnl Ilea inn. Ucecnttxr'1109 IAmeadment Disbursements Pg 2 of 4 ❑ Yes ® No Use this form to report expenditures from the committee for operating eNpenses, contributions to candidate 'polit icaI committees and coordinated party expenditures 1. Committee Full Name and Fund if applicable) 2. ID Number ELECT KIMBERLY MORRISON-HANSIT) 3. Type of Disbursement !Please use separate CRO -13 1 a forme for each erne of Disburveneent.) Operating Expenses Contr butionsto Candtdatre l' ..d t oimomec, 0 (bordinaled l':u1. l �pci.dn urea 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments KEVIN FOR UNION 1004 SKYWATCH LN MONROE, NC 28112 c. Level Registered (Specify) Federal L3 County: ❑ State ❑ Municipality: e. Election Sum to Date Union $ 493.62 f. Account Code g. Form of Payment 1h. Purpose Code ji. Date (mm/dd/yyyy) j. Amount Ik. Required Remarks 1785 Check A 11 11 3022 IS 493.62 TEXTING CAMPAIGN $ 4. Pavex Information ❑ Add ❑ Remove it. Full \ame, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee'same d. (um me it KT PRINT & DESIGN 1323 W ROOSEVELT BLVD MONROE,NC 28110 c. Level Regi see red (Specify) Fedcial 0 comity: ❑ State ❑ Mimicipalitc: e. Election Sum to Date $ 1.989.20 C Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks 1785 Debit Card B 10/25/2022 $ 352.72 PRINTED MATERIALS I-si Debit Card 13 11'02'2022 S 165.46 PRINTING 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Same d. Comments KELSEY LIVINGSTON 823 MAURICE ST-- MONROE,NC 28112 L)EL I J LUL'Z RECEIVED c. Level Registered (Specify) Federal U County: ❑ State ❑ Municipality: e. Election Sam to Date $ 200.00 f. .Account Code Ig. Form of Payment h. Purpose Code i. Date (mmldd/yyyy) j. Amount lit. Required Remarks 1785 Check O 11/04/2022 IS 200.00 1 CAMPAIGN WATCH 5. Total only this Page $ 1,211.80 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) (This line goes in fine 13b of Detaifed Summary Page CRO -I100 ifContrib to CandidatesiPoutical Comm) (This line goes in line 13e of Delailed Summary Page CRO -I 100 if Coo Mina ted Parti Eupend4urec) $ 3,664.55 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 Pudic Office Expenses I - Postage .I - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* Other * Codes require detailed explanation in required remarks field(k) CRO -1310 %( Vale 15ooN of 1 lection: veecm wi ewe Amendment Disbursements Pg 3 of 4 ❑ Yes ® No Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated party expenditures I. Committee Full Name and Fund if applicable) 2. ID Number FLI`ICI KIMI3FIR LY MORRIS()A-11:1VSl [LY 3. Type of Disbursement (Please use separate CRO-13f0fornnfor eachtweofDisbursenwill.) Operating I \pL'1.. LJ ( mtnhutions to( andi(Ltes 1' o liucal Co nmt it l ec. UCoo rdn r.n.J I'.: r,, 1 spaiditures 4. Payee Information ❑ Add ❑ Remove a. Full Nacre, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments LONGHORN STEAKHOUSE 2117 W ROSSEVELT BLVD MONROE, NC 28110 c. Level Registered (Specify) LlFederal Ll County: ❑ State ❑ Municipality: e. Election Sum to Date $ 72.37 L Account Code g. Form of Payment h. Purpose Code I. Date (mm/ddlyyyy) j. Amount k. Required Remarks 1785 Debit Card O 11/03/2022 IS 72.37 FOOD $ 4. Payee information ❑ Add ❑ Remove - - a. Full Name, Mailing Address & Phone (include city, state, & zip) It. Coordinated Committee Name d. Comments TAYLAN ROBINSON 1705 LAUREL HILL DR WAXHAW, NC 28173 c. Level Registered (Specify) Federal LJ County: ❑ State ❑ Municipality: e. Election Sum to Date $ 100.00 E Account Code g. Form of Payment It. Purpose Code I. Date (mm/dd/yyyy) j. Amount 1k. Required Remarks 1785 Check E 11/04/2022 s 100.00 $ QQ 4. Payee Iafircmtdion ❑ Add ❑ Remove a. Full Nacre, Mailing Address & Phone (include city, state, & zip) It. Coordinated Committee Name d. ( -oIn men is SHELL OIL 5905 WAXHAW HWY l,Ivl C(.'' MINERAL SPRINGS, NC 28( gj,1PA1G``l FINi11 c. Level Registered (Specify) I e&ral County: ❑ Vale ❑ Municipality: e. Election Sum to Date $ 117.01 E Account Code g. Form of Payment h. Purpose It I. Date (mm/dd/yyyy) j. Amount 1k. Required Remarks 1785 Debit Card U 10'25/2022 $ 74.01 FUEL 5. Total only this Page 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summon' Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Detailed Summary Page CRO- 11001iContrlb to Candidates/Political Comm) (This line goes in line 13c of Detailed Sunman• Page CRO -1100 if Coordinated Parry Expenditures) $ 3,664. 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 * Coles require detailed explanation in required remarks field CRO -1310 AC Vate M,ardoI I-IectI(,ns ._..111 1< _ Amendment Disbursements Pg 4 of 4 ❑ Yes ® 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 ELECT KIMBERLY MORRISON-IIANSLEY 3. Type of Disbursement (Please useseoarafe CRO -1310 forma Mr each hone ol"DAhurventent.) IM Operating Expenses Contributions to Candidmes'Political Committees .vdinated Parti, Expenditure, 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments THE KAIZEN FOUNDATION OF CHARLOTTE PO BOX 79386 CHARLOTTE,NC 28271 c. Level Registered (Specify) Federal U County: ❑ State ❑ Municipality: e. Election Sum to Date S 500.00 L .Account Code g. Form of Payment 1h. Purpose Code ji. Date (mm/dd/yyyy) j. Amount 1k. Required Remarks 1785 Check O 12 1 '022 S 500.00 1 DONATION S 4. Payee Information ❑ \dd ❑ Remove it. Full Nacre, Mailing Address & Phone (include city, state, & zip) b. t ,ordinated Committee Name d. Comments THE SMOKE PIT 1507 W Roosevelt Blvd MONROE, NC 28110 c. Level Registered (Specify) Federal 13 County: ❑ State ❑ Municipality: e. Election Sum to Date $ 1,327.12 f. Account Code g. Form of Payment It. Purpose Code i. Dau (mm/ddlyyyy) j. Amount k. Required Remarks 1785 Debit Card O 11/08/2022 $ 1,327.12 CAMPAIGN WATCH 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) h. Coordinated Committee -same d. Comment, ZOOM EXPRESS 1 114 SKYWAY DR MONROE, NC 28110 DEC 15 2022 7 \! T7 �} c. Level Registered (Specify) UFederal 0 County: ❑ tiate ❑ Municipality: e. Election Sum to Date $ 263.96 f. Account Code g. Form of Payment 1h. Purpose Code ji. Date (mmldd/yyyy) j. Amount k. Required Remarks 1785 Debit Card O 11/16/2022 $ 92.87 GAS 5. Total only this Page $ 1.919.99 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Erpenses) (This line goes in line 136 of Detailed Summary Page CR0.1100 ifContrib to Cand)dates/PoIldcal Comm) (This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Erpenditures) $ 3,664. 7. Purpose Cozies (List detailed expenditure code in (h.) above) A* - Media R* - Printing C* - Fundraising D- To Another Candidate E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses I - Postage J - Penaltie, K* -Office Expenses Q* -Donation to Legal Expense Fund O* Other * Codes re ire detailed explanation in required remarks field CRO -1310 VC State Ftoard of I lections Ueumtm _u Amendment Aggregated Non -Media Expenditures Page 1 of 1 ❑ Yes ® No Optional form used to report NC Non -Media Expenditures of $50 or less. CRO -1315 NC State Board of Elections December 2009 UNION CO�h NCE CA P iGi.} Fl da OEC 15 2022 REGE NES I I CT KIMBERLY MORRISON-HANSLEY 3. Payee Information a. Amend b. Account Code c. Form of Payment d. Purpose Code e. Date (mm/dd/yyyT) f. Amount g. Required Remarks Add 1785 Electric Funds bran C 10/30/2022 $ 1.65 MERCHANT FEES ❑ Remove Add 1785 Electric Funds Tran C 11/30/2022 $ 0.53 MERCHANT FEES ❑ Remove Add 1785 Debit Card O 11/07/2022 $ 44.65 GAS ❑ Remove Add 1785 Debit Card O 11/09/2022 $50.00 CAMPAIGN W'A"1 CI 1 iPARTV ❑ Remove Add 1785 Debit Card O 11/01/2022 $ 10.45 FOOD ❑ Remove Add 1785 Debit Card O 10/26/2022 $ 8.71 SNACKS FOR ❑ RemoveCANVASSERS Add 1785 Cash K 12/15/2022 $ 29.20 MISC RECONCILING ❑ Remove =Add ❑ 1785 Check E 11/04/2022$ 50.00 S Q (1'40 Remove rT—Add 1785 Debit Card O 11/01/2022 $ 43.00 FUEL ❑ Remove Add 1785 Electric Funds Tran C 10/30/2022 $ 1.02 MERCHANT FEES ❑ Remove Add 1785 Electric Funds TranC 11 /30/2022 $ 1.12 MERCHANT FEES ❑ Remove 4. Total only this Page 5 240.33 5. Total of ALL CRO -1315 Pages ti 240.33 (This fine must be on fine 14 ojDetailed Summaq• Page CRO -1100) 6. Purpose Codes List detailed expenditure code in d above) B` - PrinIim, - D - To Another Candidate I - Salarie. F* - Equipment G -Political Part .Offices, ostage J - I'enalfle, Q* -Donations to Legal Expense Fund O* - Other * Codes require detailed explanation in required remarks field CRO -1315 NC State Board of Elections December 2009 UNION CO�h NCE CA P iGi.} Fl da OEC 15 2022 REGE NES :%me ndment Refunds/Reimbursements From the Committee Pg I of 2 ❑ Yes ® No Use this toms to report fetundsrelnl0ursements, InCludmg Contributions returned 10 me Contrloutor 1. Committee Full Name and Fund if icable) 12. ID Number FI.ECT KIMBERLY MORRISON-HANSLEY $ 70.00 3. Payee Information: '. ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) d. Type of Committee g. Comments Candidate U PAC ❑ Referendum ❑ Party $ 0.00 Archie Hansley 4307 Crow Rd Monroe, NC 28112 e. Level Registered (Specify) h. Original Receipt Date County: Federalt y ❑ ',talc ❑ Municipality: 08/06/2022 It. Job Title/Profession Ic. Employer's Nam Self Employed Financial Sen'iceS k. Account Code it. Form of Payment on. 1795 Money Order 3. Payee Information a. Full Name, Mailing Address & Phone (include city, state, & zip) KIMBERLY MORRISON- HANSLEY 4307 CROW ROAD MOROE, NC 28112 12/12/2022 Add ❑ Renxive d. Type of Committee Candidate PAC ❑ Reerendmn ❑ Party e. Level Registered (Specify) Federal 13 County: ❑ State ❑ Municipality: It. Job Mille/Profession Ic. Employer's Name/Specific Field f. Pu OWNER/CONSULTANT TUTOR FINANCIAL. COUNSELING & LO LITERACY k. Account Code 1. Form of Payment Im. Required Remark 1785 Money Order REIMBURSEMENT a. Full Name, Mailing Address & Phone (include city, state, & zip) KIMBERLY MORRISON- HANSLEY 4307 CROW ROAD Y MOROE, NC 28112 CANIVW&I r" C ode s In. Date (mm/dd/y 12 12,2022 Add ❑ Remove d. Type of Committee Candidate 0 PAC ❑ Referendum ❑ Party e. Level Registered (Specify) Federal 0 County: ❑ State ❑ Municipality: .Original Receipt Amount $ 62.00 Flection Sum to Date $ 253.34 Amount $ 8.66 (omment? It. Original Receipt Date 12/17/2021 L. Original Receipt Amount $ 100.00 j. Election Sum to Date $ 0.00 yy) o. Amount $ 100.00 g. Comments UF3L171P31Yka OEC 5 222 i. Original Receipt Amount $ 70.00 It. Job Title/Profession In. Employer's Name/Spettific Field f Purpose Code j. Election Sum to Date OWNER/CONSULTANT TUTOR FINANCIAL COUNSELING & LITERACY L $ 0.00 k. Account Code1. Form of Payment m. Required Remarks in. Dale (mm/dd/yyyy) In. Amount 178> Money Order 12/12/2022 $ 70.00 4. Total only this Page $ 178.66 5. Total of ALL CRO -1320 Pages (This line must be on line 19 of Detailed Summary Page CRO -1100) $ 258.66 6. Purpose Codes (List detailed disbursement code in (t) above) L- Returned to Contributor M - Overpayment for Service N - Exceeded Contibution Limit P* -Reimbursement of In -Kim O* Other * Codes re ire detailed exulanation in re fired remarks field(m) CRO -1320 NC Slate Boarduf Election. Iuh 2007 Am endmc nt Refunds/Reimbursements From the Committee rg 2 of 2 ❑ Yes ® No Use this formto report refundsreimbursements, including Contributions retumed to the contributor 1. Committee Full Name and Mind itapplicable) 2. In Number ELECT KIMBERLY MORRISON-HANSLEY 3. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) d. Type of Committee g. Comments 0 Candidate 0 PAC ❑ Referendum ❑ Party KIMBERLY MORRISON- HANSLEY 4307 CROW ROAD MOROE, NC 28112 c. Level Registered (Specify) Is. Original Receipt Date Fcdcral Ll County: ❑ State ❑ Municipality: 11/08/2022 L Original Receipt Amount $ 80.00 b. Job Thtle/Prefession c. Employees Name/Speciflc Field E Purpose Code 1j. Flection Sum to Date OWNER/CONSULTANT TUTOR FINANCIAL COUNSELING & LITERACYI P $ 0.00 I k. Accouut Code II.Formof Payment m, Required Remarks n. Date (mm/dd/yyyy) e. Amount 1785 Money Order EVENT FOOD. FTC 12/12/2022 $ 80.00 4. Total only this Page $ 80.00 S. Total of .ALL CRO -1320 Pages (This line must be on tine 15 ojDewUed Summary Page CRO -1100) $ 258.66 6. Purpose Codes (List detafled disbursement code in (f) above) L- Returned to Contributor \1 - 0%erpuyn>Lnt for Service N - Exceeded Contibution Limit P* -Reimbursement of In -16m O* Other *Codes require detailed explanation in required remarks field m CRO -1320 4Jof Il va inn. Juh ?007 11 _ --- Amendment In-Kind Contributions Pg of I ❑Yes ® Nn 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.ComotitteeFall `Name and Mind ifapplicable) 2.IDNumber ELECT KIMBERLY MORRISON-HANSLEY 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. FN pe of Contributor C. Comments Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source Rodney Blacknall 1004 Vaugelas Court Monroe, NC 28110 d. Flection Sum to Date $ 24938 e. Description f. Date (mm/dd/yyyy) g. Fair Market .Amount POLES FOR SIGNS 11/01/2022 $ 14938 4. Total only this Page 149.38 5. Total of ALL CRO -1510 Pages (This tine must bean line 17 ofDemiled Summary Page CRO -1100) g 149.38 CRO -1510 NC State Board of Elections December 2007 \JN\O G� F\P1PNC,E JPM E� 15 1021 0 Amendment Contributions to be Reimbursed Pg i of 1 Yes No Use this form to report Contributions under $1,000 which will be refunded within 7 days. Refunds must be disclosed on the Refunds/Reimbursements Form (CRO -1320). 1. Committee Fut) Name 77772. ID Number ELECT KIMBERLY MORRISON-HANSLEY 3. Contributor Information ❑ Add ❑ Remove Full Name & Mailing Address of the Payee the original vendor Full Name & Mailing Address of the Reimbursee the person to whom the campaign check is written RAYGAN HANSLEY 10831 Beech Valley Ct 205 Raleigh, NC 27617 RAYGAN HANSLEY 10831 Beech Valley Ct 205 Raleigh, NC 27617 a. Contribution Description b. Date (mm/dd/yyyy) le. Credit Card Y/N d. Amount GLOVES 11'082022 S 1`) to 3. Contributor Information ❑ Add ❑ Remove Full Name & Mailing Address of the Payee the original vendor Full Name & Mailing Address of the Reimlarrsee the person to whom the campaign check is written KIMBERLY MORRISON- HANSLEY 4307 CROW ROAD MOROE, NC 28112 KIMBERLY MORRISON- HANSLEY 4307 CROW ROAD MOROE, NC 28112 a. Contribution Description b. Date(mm/dd/yyyy) le. Credit Card Y/N d. Amount FOOD FOR CAMPAIGN WATCH PARTY 11'08'2022 N $ 80.00 4. Total only this Page $ 99.19 5. Total of ALL CRO -1215a Pages $ 9919 (This line goes in line 18 of Detailed Summary Page CRO -1100) CRO -1215 NC State Board of Elections December 2007 U^)t V UN)O`�� FINPNGE cPti��C 15 2012 R�G�1v��