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Palandri,Gina_2022-4th-qtrAmendment 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 use this form to update information 1. Committee Information a. Full Name c. ID Number Gina for Union County Commissioner 2JM46P b. Mailing Address (include City, State and Zip Code) d. Date Filed 1023 Feather Oak Lane Stallings, NC 1/9/2023 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) 2022 06/30/2022 12/31/2022 Gina Palandri 6. Type of Committee (Check One) 9. Type of Report (check only one type ofreport om one category) ® Candidate Campaign ❑ Party Municipal State/County Referendum ❑ PAC ❑ Referendum ❑ Organizational ❑ Organizational ❑ Organizational Independent ❑ Joint Fundraiser ❑ Expenditure ❑ Thirty-five day Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ Pre-primary ❑ Pre-election ❑ First ❑ Second ❑ Final ❑ Supplemental Final 7. Type of Fund (:f applicable, 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 Q 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 Acct GPWF d. Period Begin Balance d. Period Begin Balance $ 931.12 $ CERTIFICATION I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 2213, & 22D -22M of Chapter 163 of the NC General Statutes and that no funds are commingled with prohibited or other non -disclosed funds. I further certify that this report is complete true and correct and that I hive been trained by the N oard of Elections. W A I p1l 1_1 ^ oeC,; Printed Name of Signer ignature of Appointed Treasurer Date FOR OFFICE USE ONLY i 1 12-02-3Employee: C Delivery Method Date Received: ❑ 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. jAi u J ZijZj You must amend the Statement of Organization (CRO -21 00A -E) to make committee changes. CRO -1000 NC State Board of Elections ul'lull LO, board Of A(V�W8 Detailed Summary Amendment ❑ Yes ® No Use this form to summarize all disclosure reporting forms and to total monetnry infnrmntinn 1. Committee Full Name (and Fund if applicable) 2. Type of Report 3. ID Number Gina for Union County Commissioner Fourth Quarter 2JM46P Start of Election Cycle: January 1, 2019 Total this Reportin2 Period Total this Election C cle 4) Cash on Hand at Start $ 931.12 $ 6766.00 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 10) Refunds/Reimbursements To the Committee 11) Other Receipt Sources Ila) Interest on Bank Accounts llb) Contributions from Not -for -Profit Organizations Ile) Outside Sources of Income l ld) Legal Expense Fund — Other Sources 11 e) Exempt Purchase Price Sales (CRO -1205) (CRO -1210) (CRO -1220) (CRO -1230) (CRO -1410) (CRO -1240) (CRO -1250) (CRO -1250) (CRO -1250) (CRO -1270) (CRO -1265) $� 95.00 $ 1660.00 $ 250.00 $ 4600.00 $ 200.00 $ 400.00 $ $ $ $ 100.00 $ $ $ $ $ $ $ $ $ $ $ $ 12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10, Ila, 11b, IIc, Ild and Ile) $ 545.00 $ 6766.00 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) 18) TOTAL EXPENDITURES (Add lines 13a, Iib, 13c, 14, 15, 16 and 17) $ 6573.33 $ 1375.87 $ $ $ $ $ $ $ 100.00 $ $ $ $ $ 1475.87 $ $ 87.00 6660.33 19) Cash on Hand at End (,4dd lines 4 and 12 together, then subtract line 18) $ .25 $ .25 ADDITIONAL INFORMATION 20) Non -Monetary Gifts Given to Other Committees 21) Outstanding Loans (incl. ones from other campaigns) 22) Debts and Obligations owed By the Committee 23) Debts and Obligations owed To the Committee 24) Account Transfers Within the Committee 25) Administrative Support 26) Forgiven Loans 27) 48 -Hour Notice Reports Sum 28) Contributions to be Refunded (CRO -1330) (CRO -1430) (CRO -1610) (CRO -1620) (CRO -1720) (CRO -1710) (CRO -1440) (CRO -2220) (CRO -1215) 1$ ; $ $ $ $ $ $ $JAN � 0 2us- $ $ f110 0. oarfl Of MC777 a_.nv-1 I vv NU State Board of Elections August 2008 Amendment Aggregated Contributions from Individuals Page of ' ❑ Yes ® 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 County Commissioner 2J M46P 3. Contributor Information a. Amend b. Account Code c. Form of Payment d. In -Kind Description e. Date (mm/dd/ ) f. Amount ❑ Add GPAB Card 11/08/2022 $ 25.00 ❑ Remove ❑ Add GPAB Card 11/07/2022 $ 25.00 ❑ Remove ❑ Add GPAB Card 11/07/2022 $ 25.00 ❑ Remove ❑ Ada GPAB Card 11/07/2022 $ 10.00 ❑ Remove ❑ Add GPAB Card 11/06/2022 $ 10.00 ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add z �..$' I V H_ P " ❑ Remove ❑ Add J *� p N 0 9 20223 El Remove ❑ Add Union C . Isoard of Elections El Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove 4. Total only this Page $ 95.00 5. Total of ALL CRO -1205 Pages (This line must be online 5 of Detailed Summary Page CRO -1100) $ 95.00 C-RO-1605 NC State Board of Elections April 2007 Amendment Contributions from Individuals Pg 4 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 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, & zip) b. Job Title/Profession d. Comments Retired Sheri Avis Horner 1104 Tulip Tree Lane West Des Moines, Iowa 50266 c. Employer's Name/Specific Field Retired e. Election Sum to Date $ 650.00 f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ® GPCK Check 10/25/2022 $ 250.00 ❑ $ ❑ T $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments c. Employer's Name/Specific Field e. Election Sum to Date $ f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ $ ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments c. Employer's Name/Specific Field e. Election Sum to Date $ f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) ❑ $ ❑ 2023 ❑ Union ro.sBoard of Elections 4. Total only this Page $ 250.00 5. Total of ALL CRO -1210 Pages (This line must be on line 6 of Detailed Summary Page CRO -1100) $ 250.00 CRO -1210 NC State Board of Elections April 2007 Contributions from Political Party Committees Pg Use this form to report contributions from a political party Amendment of ❑ Yes ® No 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, & zip) b. Comments Donation to Campaign Democratic Women of Union County C/O Juliette Weiland Treasurer 7905 Tottenham Court Waxhaw, NC 28173 c. Election Sum to Date $ 200.00 d. Account Code e. Form of Payment f. In -Kind Description g. Date (mm/dd/ ) h. Amount GPCK Check 10/25/2022 $ 200.00 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Comments c. Election Sum to Date d. Account Code e. Form of Payment f. In -Kind Description g. Date (mm/dd/ h. Amount $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Comments c. Election Sum to Date d. Account Code e. Form of Payment f. In -Kind Description g. Date (mm/dd/ ) h. Amount �p ,. U Z 20,23 d ion GO$Board of Elections 4. Total only this Page $ 200.00 5. Total of ALL CRO -1220 Pages (This line must be on line 7 of Detailed Summary Page CRO -1100) $ 200.00 UAU_[aw NC State Board of Elections April 2007 Disbursements pg of Amendment o7 El 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 lease use separate CRO -1310 form for each type of Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments Online platform for Campaign Donation fees Act Blue 366 Summer Street Somerville, MA 02144 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 81.16 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks GPCD Card O 11/01/2022 $12.19 Online donation fees GPCD Card O 12/01/2022 $1.44 Online Donation fees 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments 3` party online merchant service fees for donations Stripe Online Merchant 185 Berry Street San Fran, Ca 94107 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 130.85 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks GPCD Card O 11/05/2022 $4.68 processing fees online donation 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments bank fees campaign acct Wells Fargo 2821 Pineville Matthews Rd Charlotte, NC 28270 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 20.00 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks GPCD Card O 11/30/2022 $10.00 bank fee for camp acct GPCD Card O 12/30/2022 $10.00 Pae bank fee for camp acct 5. Total only this $ 38.31 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 13b of Detailed Summary Page CRO -1100 if Contrib to Candidates/Political Comm) (This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Parry Expenditures) $ 1375.87 7. Pur ose Codes (List detailed expenditure code in (h.) above). _ A* - Media B* - Printing C* - Fundraising C i'j L: V 5 a Another Candidate E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses I - Postage J - Penalties K* - Office Expenses JAN 0 J 2023Q*- Donation to Legal Expense Fund O* - Other * Codes require detailed ex lanation in required remarks figjdk)�_ CRO -1310 NC State Board o ections December 2009 Amendment Disbursements Pg 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 if applicable) 2. ID Number Gina for Union County Commissioner 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 ❑ 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 5th Avenue Seattle, WA 98103 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 103.92 E Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks GPCD Card K 11/01/2022 $12.99 per month fee campaign work GPCD Card K 12/01/2022 $12.99 per month fee campaign work 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 Target 12830 Walker Branch Dr. Charlotte, NC 28273 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 95.87 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks GPCD Card K 11/03/2022 $31.47 office supplies for campaign 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 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 385.25 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks GPCD Card K 11/02/2022 $11.69 office supplies for campaign Pae 5. Total onIV this $ 69.14 6. Total of ALL CRO -1310 Pages N 0 9 2023 (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating' xpenses) (This line goes in line 13b of Detailed Summary Page CRO -1100 if Cont ib to n a l't' a tm) ( g f y g f ��1104 �,"i jfftj f_f6���Yf� This line goes in line 13c o Detailed Summar Page CRO -1100 i Coor rna a arty xpenditures) $ 1375.87 7. Pur ose 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) c.lcv-1.5 f u NC State Board of Elections December 2009 Disbursements pg of 7 Amendment ❑ Yes ® No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political committees and coordinated party exnenditures. 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 fornu for each type of Disbursement) ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments Campaign Staff Assistant Payment Racquel McNeil Washington 4413 Northaven Drive Charlotte, NC 28206 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 1200.00 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks GPCD Card E 11/09/2022 $1200.00 Campaign Staff Salary 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments Postage for campaign mailings USPS.com c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ .203.54 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks GPCD Card I 12/14/2022 $37.55 Postage for Campaign 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments Water for Pollgreeters Harris Teeter 10616 Providence Rd Charlotte, NC 28104 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 30.87 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks GPCD Card O 11/05/2022 $30.87 Water for Pollgreeters Pae ® 5. Total onlythis $ 1268.42 6. Total of ALL CRO -1310 Pages a�� Q ��2� (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Detailed Summary Page CRO -1100 if Contri���� toII Cadid����es/PQ 1n11 �'�q1 Cggm (This line goes in line 13e of Detailed Summary Page CRO -1100 if Coordinated Pa�ty�xpendit r� s) 11 O $ 1375.87 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) UIKU-131 V NC State Board of Elections December 2009 Loan Repayments Use this form to report payments on an existing loan. Amendment Pg ) of —L— ❑ 1'es ® 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. Comments Loan Payback Gina Palandri 1023 Feather Oak Lane Stallings, NC 28104 c. Original Loan Date 03/02/2022 d. Original Loan Amount $ 100.00 e. Remaining Loan Balance f. Account Code g. Form of Payment h. Date (mm/dd/yyyy) i. Repayment Amount $ 100.00 GPCD Card 12/20/2022 $ 100.00 3. Lender Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Comments c. Original Loan Date d. Original Loan Amount $ e. Remaining Loan Balance f. Account Code g. Form of Payment h. Date (mm/dd/yyyy) i. Repayment Amount 3. Lender Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Comments c. Original Loan Date d. Original Loan Amount $ e. Remaining Loan Balance f. Account Code g. Form of Payment h. Date (mm/dd/yyyy) i. Repayment Amount $ $ 4. Total only this Page JAN 0 9 2023 $ i 00.00 5. Total. of ALL CRO -1420 Pages Union Co. Board of Elections (This line must be on line IS ojDetailed Summary Page CRO -1100) I—Pri 1.411n $ 100.00 iNU 3iaie noara of r.iecnons December 2007