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Palandri,Gina_2022-3rd-qtrAmendment Disclosure Report Cover I ❑ 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 Gina for Union County Commissioner 2JM46P It. Mailing Address (include City, State and Zip Code) d. Date Filed 1023 Feather Oak Lane 10/30/2022 Stallings, NC 28104 e. Phone Number 6122965356 2. Report Year 3. Period Start Date (mm/dd/yy) 4. Period End Date 5. Treasurer Full Name (mm/dd/yy) Gina Palandri 2022 06/30/2022 10/22/2022 6. Type of Committee (Check One) 9. Type of Report check only one type of report om one category) N Candidate Campaign ❑ Pany Municipal State/County Referendum ❑ PAC ❑ Referendum ❑ Organizational ❑ Organizational ❑ Organizational Independent Joint Fundraiser ❑ Expenditure E] Joint Thirty-five da nY- Y Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ ® Pre-primary Pre-election ❑ First ❑ Second ❑ Final ❑ Supplemental Final 7. Tvilie of Fund (fapplicable, check one) ❑ "Booster Fund" ❑ Building Fund ❑ Pre -runoff ® 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 Information a. Financial Institution Full Name a. Financial Institution Full Name Wells Fargo b. Purpose c. Account Code b. Purpose c. Account Code Campaign GPWF RECEIVED Acct d. Period Begin Balance OCT d. Period Begin Balance 31 2M $ 1413.92 I inion G9, 808rd $ CERTIFICATION ut Ejul7lions 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. 1 further certify that this report is complete, truea d co tad that I have been trained by the NC State Board of Elections. 12 —Date Printed Name of Signer Signature of Appd t4 Treasurer FOR OFFICE USE ONLY Date Received: q4Employee: Delivery Method lez E] Normal Mail Date Postmarked: Employee: Registered Mail Hand Delivered Date Scanned: Employee: Electronically Filed ❑ Signer has not received Date Data Entered: Employee: mandatory training 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 ❑ Yes ® No Use this form to summarize all disclosure reporting forms and to total monetary information. 1. Committee Full Name and Fund if applicable) 2. Type of Report 3. ID Number Gina for Union County Commissioner Third Quarter 2JM46P Start of Election Cycle: January 1, 2019 Total this Reporting Period Total this Flection Cycle 4) Cash on Hand at Start 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 ]lb) Contributions from Not -for -Profit Organizations 1lc) Outside Sources of Income 1Id) Legal Expense Fund —Other Sources 11 e) Exempt Purchase Price Sales (CRO -1205) (CRO -1210) (CRO -1220) (CRO.1230) (CRO -7410) (CRO -1240) (CRO -1250) (CRO -1250) (CRO -1250) (CRO -1270) (CRO -1265) $ 1413.92 S 6215.00 $ 825.00 S 1565.00 S 1725.00 $ 4350.00 S S 200.00 S S $ $ 100.00 $ $ S $ S $ S $ S $ S S 12) TOTAL RECEIPTS (Add lines S. 6. 7.8, 9. 10, Ila, 11b, Ilc. lid and Ile) EXPENDITURES 13) Disbursements 13a) Operating Expenditures (CRO -1310) 13b) Contributions to Candidates/Political Committees (CRO -1310) 13c) Coordinated Party Expenditures (CRO -1310) 14) Aggregated Non -Media Expenditures (CRO -1315) 15) Loan Repayments (CRO -1420) 16) Refunds/Reimbursements From the Committee (CRO -1320) 17) In -Kind Contributions (CRO -1510) S 3963.92 $ 6215.00 S 3032.80 $ 5197.46 S S $ $ S $ S S S $ $ $ 87.00 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c. 14. l5, 16and 17) S 3032.80 $ 5284.46 19) Cash on Hand at End {Add lines 4and 11 together, thensubtract line 18) ADD IN 20) Non -Monetary Gifts Given to Other Committees (CRO -1330) 21) 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 Committee (CRO -1620) 24) Account Transfers Within the C(CRO-1710) 25) Administrative Support 'RffCEIVED (CRO -1710) 26) Forgiven Loans OCT 3 1 2022 (CRO -1440) 27) 48 -Hour Notice Reports Sum Union Co. Board of Elections (CRO -2220) 28) Contributions to be Refunded (CRO -1215) S 931.12 $ 931.12 $ S S S $ S $ $ $ S $ $ $ CRO -1100 NC State Board of Elections August 2008 Amendment Aggregated Contributions from Individuals Page nr? 2 ❑ vea ® No Optional form used to report NC Contributions From Individuals of $50 or less 1. Committee Full Name and Fund if applicable) 2. ID Number Gina for Union Countv Commissioner 2JM46P 3. Contributor Information a. Amend b. Account Code C. Form of Payment d. In -Kind Description e. Date mm/dd/y f. Amount ❑ Add GPAB card 07/07/2022 $ 20.00 ❑ Remove ❑ Add GPAB card 07/05/2022 $ 40.00 ❑ Remove ❑ Add GPAB card 07/01/2022 $ 5.00 F1 Remove ❑ Add GPAB card 07/30/2022 $ 10.00 ❑ Remove ❑ Add GPAB card 07/07/2022 $ 25.00 ❑ Remove ❑ Add GPAB card 07/06/2022 $ 10.00 F] Remove ❑ Add GPAB Card 08/24/2022 $ 50.00 F1 Remove ❑ Add GPAB Card 08/10/2022 $ 25.00 ❑ Remove ❑ Add GPAB Card 08/01/2022 $ 5.00 ❑ Remove ❑ Add GPAB Card 08/30/2022 $ 10.00 ❑ Remove ❑ Add GPAB Card 08/07/2022 $ 25.00 ❑ Remove ❑ Add GPAB Card 08/06/2022 $ 10.00 ❑ I Remove ❑ Add GPAB Card 09/28/2022 $ 50.00 ❑ Remove ❑ Add GPAB Card 09/22/2022 $ 10.00 ❑ Remove ❑ Add GPAB Card 09/21/2022 $ 25.00 ❑ Remove ❑ Add GPAB Card 09/13/2022 $ 25.00 ❑ I Remove ❑ Add GPAB Card 09/08/2022 $ 20.00 ❑ Remove ❑ Add GPAB Card 09/01/2022 $ 5.00 ❑ Remove ❑ Add GPAB Card RECEIVED 09/30/2022 $ 10.00 ❑ Remove ❑❑ Add GPAB Card OCT 31 09/07/2022 $ 25.00 Remove ❑ Add GPAB Card Union Co. Board of lections 09/06/2022 $ 10.00 ❑ Remove ❑ Add GPCK Check 08/31/2022 $ 50.00 E] Remove 4. Total only this Page $ 465.00 5. Total of ALL CRO -1205 Pages (rhis fine must he online 5 of Detailed Summary Page CRO -1100) $ 825.00 CRO -1105 NC State Board of Elections April 2007 Amendment Aggregated Contributions from Individuals Page or 1-7— ❑ ves ® No Optional form used to report NC Contributions From Individuals of $50 or less 1. Committee Full Name and Fund ifapplicable) 2. In Number Gina for Union County Commissioner 2JM46P 3. Contributor Information a. Amend b. Account Code c. Form of Payment d. In -Kind Description e. Date mm/dd/ E Amount ❑ Add GPAB Card 10/01/2022 $ 5.00 ❑ Remove ❑ Add GPAB Card 10/07/2022 $ 25.00 ❑ Remove ❑ Add GPAB Card 10/04/2022 $ 25.00 ❑ Remove ❑ Add GPAB Card 10/04/2022 $ 25.00 ❑ Remove ❑ Add GPAB Card 10/05/2022 $ 30.00 ❑ Remove ❑ Add GPAB Card 10/07/2022 $ 50.00 ❑ Remove ❑ Add GPAB Card 10/10/2022 $ 25.00 ❑ Remove ❑ Add GPAB Card 10/13/2022 $ 25.00 ❑ Remove ❑ Add GPAB Card 10/14/2022 $ 50.00 ❑ Remove ❑ Add GPAB Card 10/15/2022 $ 30.00 ❑ Remove ❑ Add GPAB Card 10/15/2022 $ 10.00 ❑ Remove ❑ Add GPAB Card 10/16/2022 $ 25.00 ❑ Remove ❑ Add GPAB Card 10/20/2022 $ 25.00 ❑ Remove ❑ Add GPAB Card 10/06/2022 $ 10.00 ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add RECEIVED $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add 1 Elec tions $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove 4. Total only this Page $ 360.00 5. Total of ALL CRO -1205 Pages (This line must beon fine S ojDetailed Summary Page CRO -1100) $ 825.00 CRO -1205 NC State Board of Elections April 2007 Amendment Contributions from Individuals Pg of -1 '�— ❑ Yes ® No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee Fail Name and Fuad ifapplicable) 2. ID Number Gina for Union County Commissioner 2JM46P 3. Contributor Information ❑ Add ❑ Remove a. Full Name. Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession it. Comments Not Employed Dr. Peter Burk 1133 Warburton Ave , Apt 110S Yonkers, NY 10701 c. Employer's Name/Specific Field Not Employed e. Election Sum to Date $ 500.00 E Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) L Amount ® GPAB Card 07/31/2022 $ 250.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, sate, & zip) b. Job Title/Profession it. Comments Not Employed Claudia Sandoval 2508 East 7th Street Charlotte, NC c. Employer's Name/Specific Field Not Employed e. Election Sum to Date $ 100.00 E Prior g. Account Code h. Form of Payment i. In -Kind Description J. Date (mm/dd/yyyy) h. Amount ❑ GPAB card 07/06/2022 $ 100.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, sate, & zip) b. Job Title/Profession it. Comments Not Employed Barbara McLaud 222 Wood Lake Dr. Monroe, Nc 28110 RE C E I ' c. Employer's Name/Specific Field �p(n�mployed L V e. Election Sum to Date $ 75.00 E Prior g. Account Code Is. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) L Amount ❑ GPAB card UNon Go, E oard of Elections 08/29/2022 $ 75.00 ❑ $ 4. Total only this Page $ 425.00 5. Total of ALL CRO -1210 Pages (This line must be on fine 6 of Detailed Summary Page CRO -1100) $ 1725.00 CRO -1210 NC State Board of Elections April 2007 Amendment Contributions from Individuals Pg 4 of V1— ❑ 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. ID Number Gina for Union County Commissioner 2JM46P 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state. & rip) b. Job Title/Pmlession d. Comments Not Employed Patricia Kun 1332 Millbank Dr Stallins, NC 28104 c. Employer's Name/Specific Field Not Employed e. Election Sum to Date $ 100.00 I. Prior g. Account Code It. Form of Payment 1. In -Kind Description j. Date (mm/ddlyyyy) k. Amount ❑ GPAB Card 08/11/2022 $ 100.00 ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & rip) It. Job Title/Profession d. Comments Physician Sandeep Patel 1205 Thistledown Ct Matthews, NC 28104 c. Employer's Name/Specific Field Eventus Whole Health e. Election Sum to Date $ 450.00 E Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) IL Amount ❑ GPAB card 08/03/2022 $ 200.00 ❑ GPAB card 10/19/2022 $ 100.00 ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing .Address & Phone (include city, state, & rip) b. Job Title/Profession d. Comments Meeting planner Cheryl Flaagan 4579 Tuscaloosa Path RECEIVED The Villages, FL OCT 3 1 2022 32163 Union Go. Board of Elections c. Employer's Name/Specific Field Destination Charli e. Election Sum to Date $ 100.00 f. Prior g. Account Code It. Form of Payment 1. in -Kind Description j. Date (mm/dd/yyyy) It. Amount ❑ GPAB Card 08/23/2022 $ 100.00 ❑ $ 4. Total only this Page $ 400.00 5. Total of ALL CRO -1210 Pages (This line must be online 6 of DemfledSumnmry Page CRO -1100) $ 1725.00 CRO -1210 NC State Board of Elections April 2007 Amendment Contributions from Individuals Pg _� of 1 ❑ ves ® 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. ID Number Gina for Union County Commissioner 2JM46P 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, sate, & zip) b. Job Title/Profession d. Comments Not Employed Nancy Jacobsen 3905 Waters Reach Ln Indian Trail, NC 28079 c. Employer's Name/Specific Field Not Employed e. Election Sum to Date $ 100.00 f. Prior g. Account Code Is. Form of Payment i. la -Kind Description j. Date (mm/ddlyyyy) b. Amount ❑ GPAB Card 08/21/2022 $ 100.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) It. Job Title/Profession d. Comments Non Profit Executive Barbara Collura 12790 Owlsley Way Herndon, VA 20171 e. Employers Name/Specific Field MCI USA e. Election Sum to Date $ 100.00 E Prior g. Account Code It. Form of Payment I. In -Kind Description I. Date (mm/dd/yyyy) L Amount ❑ GPAB Card 09/03/2022 $ 100.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. (mm mm, Not Employed Carol Sebastion-Neely 2405 Felton St. San Diego, Ca RECEIVED OCT 31 2W Union Co. Board of Elections c. Employer's Name/Specific Field Not Employed e. Election Som to Date $ 250.00 f. Prior It. Account Code It. Form of Payment i. In -Kind Description I. Date (mm/dd/yyyy) It. Amount ❑ GPAB Card 10/15/2022 $ 250.00 ❑ $ 4. Total only this Page $ 450.00 5. Total of ALL CRO -1210 Pages $ 1725.00 Amendment Contributions from Individuals pg of z ❑ ves ® 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 ifapplicable) 2. ID Number Gina for Union County Commissioner 2JM46P 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Realtor Molly Zostant 2818 Edgebrook Circle Matthews, NC 28105 c. Employer's Name/Specific Field Self e. Election Sum to Date $ 100.00 E Prior g. Account Code h. Form of Payment i. In-Kiad Description j. Date (mm/dd/yyyy) k Amount ❑ GPAB Card 10/10/2022 $ 100.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Tide/Profession d. Comments Retired Gloria Harrington Overcash 1642 Upper White Store Rd/ Peachland, NC 28133 c. Employer's Name/Speci6c Field Not Employed e. Election Sum to Date $ 500.00 f. Prior g. Account Code It. Form of Payment 1. In -Kind Description j. Date (mm/dd/yyyy) h. Amount ❑ GPCK Check 09/22/2022 $ 250.00 ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state. & zip) b. Job Title/Profession d. Comments RECEIVEDc. OCT 31 2022 Board of Elections Employer's Name/Specific Field e. Election Sum to Date $ f. Prior g. Account Code h. Form of Payment 1. In -Kind Description j. Date (mm/dd/yyyy) h. Amount ❑ $ ❑ $ 4. Total only this Page $ 350.00 5. Total of ALL CRO -1210 Pages (This line must be on line 6 of DegalfedSummay Page CRD•1100) $ 1725.00 CRO -1210 NC State Board of Elections April 2007 Amendment Disbursements Pg of Z2!-- ❑ 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 Gina for Union County Commissioner I 2JM46P 3. Type of Disbursement Please use separate CRO -1310 forms for each type of Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information Lj Add Lj Remove a. Full Name, Mailing Address & Phone include cit). state. & zip) It. Coordinated Committee Name d. Comments Stamps for Campaign Cards USPS Matthews Location 28104 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 111.94 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/ddlyyyy) J. Amount k. Required Remarks GPCD Card 1 07/072022 $29.40 Postage for Campaign Cards 4. Payee Information Lj Add ❑ Remove a. Full Name, Mailing Address & Phone include city. state, & a b. Coordinated Committee Name it. Comments Office Supplies For Campaign Amazon.com c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 123.31 C Account Code g. Form of Payment It. Purpose Code i. Date (mm/dd/yyyy) J. Amount L Required Remarks GPCD Card K 07/112022 $10.23 Office Supp for Campaign $ 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments T shirts For Campaign Everything Tall T Shirts LLC 15105 D- John J. Delaney Drive Charlotte, NC❑ 28277 RECEIVE OCT 31 2022 c. Level Registered (Specify) Federal [—]County: ❑ State ® Municipality: e. Election Sum to Date $ 360.00 L Account Code g. Form of Payment h. Purpose Code 1. Date (mm/ddlyyyy) j. Amount L Required Remarks GPCD Card Union 00 oar 07/122022 $155.00 T Shirts For campaign GPCD Card O 07/182022 $25.00 T Shirts For Campaign 5. Total only this Pae $ 219.63 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Derailed Summary Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Derailed Summary Page CRO -11001f Conrrib to Candidates/Political Comm) (This lingoes in line 13c of Derailed Summary Page CRO -1100 if Coordinated Parry Expenditures) $ 3032.80 7. Purpose Codes(List detailed ex nditlue code in (h.) above) A* - Media B* - Printing C* - Fundraising D - T'o Another Candidate E - Salaries F* - Equipment G - Political Part} 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 NC State Board of Elections December 2009 Amendment Disbursements Pg P of 2A- ❑ 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 Gina for Union County Commissioner 2JM46P 3. Type of Disbursement Please use separate CRO -1310 forim for each Awe of Disbursement ® Operating Fxpcnses ❑ Contributions to Candidaies/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information Lj Add 0 Remove a. Full Name, Mailing Address & Phone include city. state, & zip) b. Coordinated Committee Name d. Comments T shirts Screenprinted for campaign Everything Tall T -Shirts LLC 15105-D John J. Delaney Drive Charlotte, NC 28277 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Elation Sum to Date $ 430.00 L Account Code g. Form of Payment h. Purpose Code L Date (mm/dd/yyyy) J. Amount L Required Remarks GPCD Card O 08/012022 $70.00 Screenprinted TshirtsCam ai n 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, stale, & a b. Coordinated Committee Name it. Comments Tear Pads for Campaign Personalized Paper Manufacturing Group 9004 Washington Street NE Albuquerque, NM 87113 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ state ❑ Municipality: e. Election Sum to Date $ 299.77 f. Account Code g. Form of Payment h. Purpose Code L Date (mm/dd/yyyy) j. Amount It. Required Remarks GPCD Card B 08/042022 $299,77 Tear Pads For Campaign 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing .Address & Phone include city, state, & v b. Coordinated Committee Name it. Comments Office Supplies for Campaign Online Labels 2021 E. Lake Mary Blvd Sanford, FL 32773 RECEIVED OCT 31 2022 e. Level Registered (Specify) Ll Federal❑ County: [—]State ® Municipality: e. Election Sum to Date $ 121.07 E Account Code g. Form of Payment h. Purpose Code L Date (mm/ddlyyyy) j. Amount L Required Remarks GPCD Card mon K 08/052022 $46.64 up am ain For Ca For Campaign gn 5. Total only this Pae $ 416.41 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Sunman, Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Detailed Smur ary Page CRO -1100 if Contrib to Candidates/Polidcal Comm) (This line goes in line 13r of Detailed Summary Page CRO -1100 if Coordinated Parry Expenditures) $ 3032.80 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 Part) 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 NC State Board of Elections December 2009 Amendment Disbursements Pg LL of fZ ❑ 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 ifapplicable) 2. ID Namber Gina for Union County Commissioner I 2JM46P 3. Type of Disbursement Please use separate CRO -1310 fonm for each type of Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Pan) Expenditures 4. Payee Information Lj Add M Remove a. Full Name, Mailing Address & Phone include city, state, & a b. Coordinated Committee Name d. Comments Pens For Campaign Quality Logo Products 724 N. Highland Ave Aurora, IL 60506 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 167.74 f. Account Code g. Form or Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount L Required Remarks GPCD Card O 08/11/2022 $167.74 Pens for Campaign $ 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & rJ b. Coordinated Committee Name d. Comments Palm Cards for Campaign printing Alphagraphics 9129 Monroe Rd Charlotte, NC 28270 c. Level Registered (specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 59.52 E Account Code g. Form of Payment h. Purpose Code L Date (mm/dd/yyyy) j. Amount k Required Remarks GPCD Card B 08/08/2022 $59.52 Printing Campaign Cards 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments Office Supplies For Campaign Amazon.com online RECEIVED OCT 312022 c. Level Registered (Specify) ❑ Federal ❑ County: El state ® Municipality: e. Election Sum to Date $ 185.11 f. Account Code g. C11ode 1. Date (mm/dd/yyyy) j. Amount it. Required Remarks GPCD Card K 08/08/2022 $61.80 Office supplies for campaign $ 5. Total only this Pae $ 289.06 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 /36 of Derailed Summary Page CRO -1100 ifComrib to Candidates/PoOdcal Comm) (This line goes in line Be of Detailed Sunuuary Page CRO-1100lfCoordinated Party E:Wendltures) $ 3032.80 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 require detailed explanation in required remarks field (k CRO -1310 NC State Board of Elections December 2009 Amendment Disbursements Pg ZZ, of ❑ 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 ifs livable 7.717D77Number Gina for Union County Commissioner I 2JM46P 3. Type of Disbursement Please use separate CRO -1310 fonm for each tvve of Disbursement ❑ Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information U Add U Remove a. Full Name. Mailing Address & Phone (include city, state,&zi b. Coordinated Committee Name d. Comments Office Supplies For campaign Office Depot 9610 Pineville -Matthews Rd Pineville, NC 28134 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ Slate ® Municipality: e. Election Sum to Date $ 8.35 L Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount L Required Remarks GPCD Card K 08/082022 $8.35 Office Supplies For Campaign $ 4. Payee Information U Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name it. Comments Postage For Campaign Mailings USPS Matthews Office 28104 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 165.99 L Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks GPCD Card 1 08/092022 $54.05 Postage For Campaign 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments Door Hanger Bags For Campaign Lit Amazon.com RECEIVED❑ OCT 31 Na c. Level Registered (Specify) Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 220.86 L Account Code g. For 6 e80 raOrf offi9de i. Date (mm/ddtyyyy) j. Amount k. Required Remarks GPCD Card K 08/112022 $35.75 Office Supplies Campaign 5. Total only this Pae $ 98.15 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Sumnraty Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Derailed Summon Page CRO -1100 if Contrib to CandidatesiPoliacal Comm) (This line goes in line 13c of Derailed Sum sap• Page CRO -1100 if Coordinated Parry Expenditures) $ 3032.80 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 require detailed explanation in required remarks field (k CRO -1310 NC State Board of Elections December 2009 Amendment Disbursements Pg Ls— of ❑ res ® 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 ifapplicable) Dumber Gina for Union County Commissioner 2JM46P 3. Type of Disbursement Please use separate CRO -1310 fornts for each type of Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Comminees ❑ Coordinated Patty Expenditures 4. Payee Information El Add Lj Remove a. Full Name, Mailing Address & Phone include city, state. & ri b. Coordinated Committee Name d. Comments T shirts for Screening For Campaign Old Navy.com 2 Folsom St. San Francisco, CA 94105 C. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 120.63 L Account Code g. Form of Payment It. Purpose Code i. Date (mm/dd/yyyy) J. Amount k. Required Remarks GPCD Card O 08/16/2022 $50.17 T shirts for campaign 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments Pens for Campaign Custom Proforma Think Ink 417 Apollo Beach Blvd Apollo Beach, FL 33572 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 450.45 L Account Code g. Form of Payment h. Purpose Code 1. Date (mm/dd/yyyy) J. Amount k. Required Remarks GPCD Card B 08/22/2022 $450.45 Pens Screened for Campaign $ 4. Payee Information Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments Screensprint T Shirts For campaign Everything Tall T shirts LLC 15105-D John J. Delaney DrIM C E I V E Charlotte, NC 28277 fl OCT 31 M2 e Level Registered (Specify) ❑ Federal ❑ County ❑ State ❑ Municipality: e. Election Sum to Date $ 570.00 L Account Code g. Form of P Il$ I. Date (mm/ddlyyyy) I. Amount k. Required Remarks GPCD Card B 08/22/2022 $140.00 Screenprint Campaign Shirts 5. Total only this Pae $ 640.62 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Derailed Summary Page CRO -1100 if Operating Expenses) (This line goes in line lab of Detailed Summar• Page CRO -1100 if Comrib to CandidatesTaliacal Comm) (This line goes in line lac of Detailed Summary Page CRO -1100 if Coordinated Parry Expenditures) $ 3032.80 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 Parte 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 NC State Board of Elections December 2009 Amendment Disbursements Pg Me of A ❑ ves ® 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 ifapplicable) 2. ID Number Gina for Union County Commissioner 2JM46P 3. Type of Disbursement Please use separate CRO -1310 fomn for each type of Disbursemenl ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information El Add Lj Remove a. Full Name, Mailing Address & Phone include city, state, & a b. Coordinated Committee Name d. Comments Food Campaign Meeting Hacienda EI Ray 1361 Chestnut Ln Matthews, NC 28104 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 44.63 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount IL Required Remarks GPCD Card O 08/31/2022 $44.63 Food For Camp Meeting 4. Pay" Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state. & zip) b. Coordinated Committee Name d. Comments Artwork for Campaign RLM Arts Artwork 3260 Minnehaha Ave Minneapolis, MN 55406 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 50.00 E Account Cade g. Form of Payment h. Purpose Code t. Date (mm/dd/yyyy) j. Amount L Required Remarks GPCD Card 0 09/06/2022 $50.00 Artwork for Campaign 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments Door Hanger For Campaign Amazon.com RECEIVEDBags OCT 31 2022 Union Co. Board of Elections C. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 265.25 L Account Code g. Form of Payment h. Purpose Code 1. Date (mm/ddlyyyy) J. Amount L Required Remarks GPCD Card K 09/072022 $44.39 Door Hanger bag Campaignsupply 5. Total only Ibis Pae $ 139.02 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summar}• Page CRO -11001f Operating Expenses) (This line goes in line 13b of Detailed Sunmary Page CRO -1100 if Comrib to Candidates/Polideal Commit) (This line goes in line He of Detailed Summary Page CRO- 1100 if Coordinated Parry Expenditures) $ 3032.80 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 require detailed explanation in required remarks field k CRO -1310 NC State Board of Elections December 2009 Amendment Disbursements Pit /,7 of ZZ— ❑ 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 Gina for Union County Commissioner 2JM46P 3. Type of Disbursement Please use separate CRO -1310 forms for each Awe of Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ oordinated Part% Expenditures 4. Payee Information Lj Add Lj Remove a. Full Name, Mailing Address & Phone include city, state, & a It. Coordinated Committee Name d. Comments Postage For Campaign USPS.com Matthews Office 28104 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 209.24 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/ddlyyyy) j. Amount it. Required Remarks GPCD Card 1 09/092022 $97.30 Postage for Campaign 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & xi b. Coordinated Committee Name d. Comments Printing Palm Cards for Campaign Alphagraphics 9129 Old Monroe Rd Charlotte, NC 28270 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ Stare ❑ Municipality: e. Election Sum to Date $ 137.42 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/ddlyyyy) j. Amount L Required Remarks GPCD Card B 09/292022 $77.90 Printing For Campaign 4. Payee Information ❑ Add ❑ Remove a. Full Name, ?tailing Address & Phone include city, state, & zip) It. Coordinated Committee Name d. Comments Tear Sheets Pads For Campaign Personalized Paper Pads 9004 Washington Street NE Albuquerque, NM 87113 RECEIVE OCT 3 12022 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 661.48 L Account Code g. Form of Payment I h. Purpose Code i. Date (mm/ddlyyyy) J. Amount L Required Remarks GPCD Card Union ojioard ot Elections 09282022 $361.71 Printing Pads Campaign 5. Total only this Pae $ 536.91 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Sumtnatt' Page CRO -1100 if Operating Expenses) (This line goes in line 136 of Detailed Summary Page CRO -1100 ifComrib to CandidalesiPolitical Comm) (This line goes in line 13c of Delailed Summary Page CRO -1100 if Coordinated Pargv Expenditures) $ 3032.80 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 Pang H* - Holding Public Office Expenses 1 - 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 NC State Board of Elections December 2009 Amendment Disbursements Pg J4 or g�Z— ❑ 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 Gina for Union County Commissioner 2JM46P 3. Type of Disbursement Please use separate CRO -1310 forna for each type of Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information Ll Add Lj Remove a. Full Name, Mailing Address & Phone include city, sate, & zip) b. Coordinated Committee Name it. Comments Food Campaign Meeting EI Cafetal 4409 Old Monroe Rd Indian Trail, NC 28079 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 27.51 L Account Code g. Form of Payment h. Purpose Code 1. Date (mm/dd/yyyy) j. Amount L Required Remarks GPCD Card O 10/052022 $27,51 Food Campaign Meeting $ 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name it. Comments Door Hanger Bags For Campaign Amazon.com Online c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Date $ 310.09 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount L Required Remarks GPCD Card K 10/062022 $44.84 Campaign Supply 4. Payee Information Lj Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name it. Comments Office Supplies For Campaign MichaelsRECEIVED 8120 Providence Rd Charlotte, NC 28270 OCT 31 2022 Union Co. Board of Elections c. Level Registered (Specify) ❑ Federal ❑ County ❑ State ® Municipality: e. Election Sum to Date I I $ 18.00 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) I. Amount L Required Remarks GPCD Card K 10/132022 $18,00 Office Supp For Campaign 5. Total only this Pae $ 90.35 6. Total of ALL CRO -1310 Pages (This fine goes in line 13a of Detailed Summnp, Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Detailed Summon' Page CRO -1100 if Cavell, to Candidates/Political Comm) (This line goes in line lac of DetailedSunurauy Page CRO -1100 if Coordinated Parry Expend/tures) $ 3032.80 7. Purpose Codes(List detailed expenditure code in 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 3 - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* - Other * Codes require detailed explanation in required remarks field k CRO -1310 NC State Board of Elections December 2009 :amendment Disbursements Pg 17 of ;2. ❑ ves ® .n 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. 7157 Number Gina for Union County Commissioner 2JM46P 3. Type of Disbursement Please use separate CRO -1310 fonitts for each type of Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Part} Expenditures 4. Payee Information Lj Add Lj Remove a. Full Name. Mailing Address & Phone include city, state, & a b. Coordinated Committee Name d. Comments Office Campaign Supplies CVS 4908 Houston Field Court Charlotte, NC 28277 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 47.49 f. Account Code g. Form of Payment h. Purpose Code 1. Date (mm/dd/yyyy) I. Amount L Required Remarks GPCD Card K 10/18/2022 $47.49 Office CampaignSupply 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments Equipment Table Stool Campaign Supply Target 12830 Walker Branch Dr Charlotte, NC 28273 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 64.40 L Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks GPCD Card F 10/19/2022 $64.40 Equipment for Campaign 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & ri b. Coordinated Committee Name d. Comments Yardsigns for campaign Victory Store 5200 SW 30'"StreetRECElVED Davenport, Iowa 52802 OCT 31 2022 e. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Date $ 665.88 E Account Code g. For ayttient h. Purpose Code t. Date (mm/ddlyyyy) I. Amount L Required Remarks GPCD Card B 10/17/2022 $266.88 yardsigns for cam ai n 5. Total only this Pae $ 378.77 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) (This lingoes in line 13b of Detailed Summar• Page CRO -1100 if Contrib to Candidates/Poliacal Comm) (This line goes in line Be of Detailed Summar' Page CRO -1100 if Coordinated Party Expenditures) $ 3032.80 7. Purpose Codes (List detailed expenclittze 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 require detailed explanation in required remarks field k CRO -1310 NC State Board of Elections December 2009 Amendment Disbursements Pg Lt- of 'jet— ❑ 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 a Gcable 2. ID Number Gina for Union County Commissioner 2JM46P 3. Type of Disbursement Please use se orate CRO -1310 fomist for each type o Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information Lj Add LLJ Remove a. Full Name, Mailing .Address & Phone include city. state, & zip) b. Coordinated Committee Name d. Comments Software for Campaign Work Pic Monkey 1505 51h Avenue Seattle, WA 98103 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 77.94 E Account Code g. Form of Payment h. Purpose Code 1. Date (mm/dd/yyyy) j. Amount k. Required Remarks GPCD Card K 07/01/2022 $12,99 per month fee cam ign work GPCD Card K 08/01/2022 $12,99 per monthfee campaign work 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments per month fee Software for Campaign Work Pic Monkey 1505 5" Avenue Seattle, WA 98103 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Elation Sum to Date $ 103.92 f. Account Code g. Form of Payment b. Purpose Code ). Date (mm/dd/yyyy) j. Amount it. Required Remarks GPCD Card K 09/01/2022 $12,99 per month fee cam ai n work GPCD Card K 10/01/2022 $12.99 per month Campaign work 4. Payee Information ❑ Add ❑ Remove a. Full Name, 'flailing Address & Phone include city, state, & a b. Coordinated Committee Name d. Comments Office Supplies CamTonera g Amazon.com RECEIVED OCT1 3 1 �22 c. Regi (Spec) ❑vel FederalCounty: El State ® Municipality: e. Elation Sum to Date $ 373.56 E Account Code g. Form of Psymed 1. Date (mm/dd/yyyy) j. Amount It. Required Remarks GPCD Card K 10/192022 $63.47 Office Supplies for Campaign $ 5. Total only this Pae $ 115.43 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 line lab of Detailed Summary Page CRO -1100 if Contrib to CandidateslPolideal Comm) (This line goes in line 13c of Derailed Summary Page CRO -1100 if Coordinated Party Expenditures) $ 3032.80 7. Purpose Codes(List detailed ex nditure code in 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 require detailed explanation in required remarks field k CRO -1310 NC State Board of Elections December 2009 w' Amendment Disbursements Pg /f of f.� ❑ Yes ® No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political committees and coordinated Dartv expenditures. 1. Committee Full Name and Fund if applicable) 2. ID Number Gina for Union County Commissioner 21M46P 3. Type of Disbursement Please use separate CRO -1310 fogm for each type of Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information Lj Add Lj Remove a. Full Name, Mailing Address & Phone include city, state, & a b. Coordinated Committee Name d. Comments 3 ply online merchant Campaign Donations Stripe Online Merchant 185 Berry Street San Francisco, CA 94107 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 126.17 E Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount L Required Remarks GPCD Card O 10/1/2022 $60.31 processing fees online donation $ 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & a b. Coordinated Committee Name d. Comments c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Date f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount L Required Remarks $ $ 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & a b. Coordinated Committee Name d. Comments R E C E I V E D OCTl 31 2022 e. Level Registered (Specify) ❑ Federal ❑ County: El State E] Municipality: e. Election Sum to Date $ t Account Code g. Fo l geode i. Date (mm/dd/yyyy) j. Amount L Required Remarks 5. Total only this Pae $ 60.31 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Derailed Summary Page CRO -1100 if Operating Expenses) (This lingoes in line 13b of Derailed Summary Page CRO -1100 if ConMb to Candidates/Pofidcal Comm) (This line goes in line 13c of Detailed Summary Page CRO -11001f Coordinated Party Expenditures) $ 3032.80 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 1 - 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 NC State Board of Elections December 2009 Amendment Disbursements Pg 2# of IZ�Z ❑ Yes ® No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political committees and coordinated carte expenditures. 1. Committee Fu6 Name and Fund if applicable) 2. ID Number Gina for Union County Commissioner 2JM46P 3. Type of Disbursement Please use separate CRO -1310 forms for each twe of Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information Lj Add L1 Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments Campaign Ad Social Media Facebook Facebook 1 Hacker Way Menlo Park, CA 94025 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date S 6.03 t Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks GPCD Card O 10/13/2022 $3.03 Facebook Campaign Ad GPCD Card O 10/05/2022 $3.00 Facebook Campaign Ad 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & ti b. Coordinated Committee Name d. Comments Campaign Ad Social Media Facebook Facebook 1 Hacker Way Menlo Park, CA 94025 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 16.03 C Account Code g. Form of Payment h. Purpose Code i, Date (mm/dd/yyyy) j. Amount L Required Remarks GPCD Card O 09/172022 $10.00 Facebook Ad Campaign 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing .Address & Phone include city, state, & re b. Coordinated Committee Name d. Comments online platform for campaign Donation fees Act Blue 366 Summer Street Somerville, MA 021 RECEIVED OCT 31 2012 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 67.53 C Account Code g. F of ■y ent ur a Code i. Date (mm/ddlyyyy) j. Amount k. Required Remarks GPCD Card O 10/012022 $32.11 Online Donation Campaign Fees Pse S. Total only this $ 48.14 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Derailed Summary Page CRO -1100 if operating Expenses) (This lingoes in line lab of Derailed Sununmy Page CRO -1100 ifContrib m CandidatesiPolitiical Camra) (This fine goes in line Be of Derailed Sunumuy Page CRO -1100 if Coordinated Party Expenditures) $ 3032.80 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 require detailed explanation in required remarks field (k CRO -1.310 NC State Board of Elections December 2009 Loan Proceeds Pg � of Use this form to report proceeds from a loan and loan endorser's information A loan proceeds statement must accomoanv each loan that is from an individual Amendment ❑ Yes ® No 1. Committee Full Name and Fund if applicable) 2. ID Number Gina for Union County Commissioner 2JM46P 3. Lender Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Merchandiser Loan to campaign Gina Palandri 1023 Feather Oak Lane Stallings NC 28104 e. start Date (mm/dd/yyyy) c. Employer's Name/Speeifc Field 03/01/2022 RMS Merchandising E End Date (mm/dd/yyyy) n/a g. Rate h. Security Pledged i. Account Code j. Form of Payment L Amount 0 % 0 Cash $ 100.00 00 I. Full Name of Lending Institution m. Loan Number 4. Endorsers/Makers (The people who guarantee the loan.) a. Full Name, Mailing Address & Phone (include city, sate, & zip) b. Job Title/Profession c. Employer's Name/Specifc Field d. Percentage e. Amount $ a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession c. Employer's Name/Specific Field d. Percentage e. Amount % $ a. Full Name, Mailing Address & Phone (include city, state, & zip) It. Job Title/Profession c. Employer's Name/Specific Field RECEIVtu 3 OCT" 1 W Union Co. Board of Elections d. Percentage e. Amount % $ a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession c. Employer's Name/Specific Field d. Percentage e. Amount % $ 5. Total of ALL CRO -1410 Pages (This line must be on line 9 of Detailed Summary Page CRO -1100) $ 100.00 CRO -1410 NC State Board of Elections April 2007 vo' NORTH CAROLINA �� STATE BQEIj�I,QDELECTIONS tt ii OCT 31 VV2022 Union Co. Board of Elections Loan Proceeds Statement This Statement is used to report detailed information about a new loan and is required to accompany the Loan Proceeds Form in the report for which the loan is initially disclosed. If the loan is from an individual, the lender's signature is required on this form. This Statement is to be filed with the Election Board where the committee's reports are filed. • Name of committee to receive loan: Gina for Union County Commissioner • Person or committee to make loan: Gina Palandri • Date of loan to committee: 03/01/2022 • Name of lending institution (source): Cash • Amount of loan: 100.00 • Description (if in-kind loan): For campaign related expenses • Names of all parties responsible for payment of loan (guarantors): NA • Period of loan: NA • Rate of interest of loan: 0% • Security pledged for loan: 0% Gina Palandri , acknowledge that all of the information (Person lending money to committee) provided is complete, true, and accurate. I further understand I may not forgive a loan that has an outstanding balance to any source. Q 07/11/2022 Signature of Lender Date Signed y 07/11/2022 re of Treasurer of Committee CRO -6/00 Loma Proree(h Statement Date Signed