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Palandri,Gina_2023-Final-reportAmendment Disclosure Report Cover ❑ ves ® 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 3/6/2023 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) Gina Palandri 03/06/2023 3 OL 6. Type of Committee (Check Chile) 9. Type of Re rt check only one type of report om one category) ® Candidate Campaign ❑ Party Municipal State/County Referendum ❑ PAC ❑ Referendum ❑ Organizational ❑ Organizational ❑ Organizational Independent El Expenditure Joint Fundraiser ❑ Thirty-five da ❑ ny- y Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ Pre-primary ❑ Preclection ❑ First ❑ Second ❑ Final ❑ Supplemental Final 7. Type of Fund frfapplicable, check ow) ❑ "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 Acct PWF G d. Period Begin Balance d. Period Begin Balance $ .25 $ CERTIFICATION 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. I further certify that this report is complete, true and correct and that I have been trained by the Nate Boaz of ,lections. Gina Palandri y 3/6/2023 Printed Name of Signer Signature of Appointed Treasurer Date FOR OFFICE USE ONLY,, ,, Date Received: C7 tea/ Employee: rve Method NO mal Mail / Date Postmarked: Employee: Registered Mail ❑ Hand Delivered Date Scanned: Employee: ❑ Electronically Filed ❑ Signer has not received mandatory training Date Data Entered: Employee: 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 Final 2JM46P Start of Election Cycle: January 1, 2019 Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start 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 l la) Interest on Bank Accounts l lb) Contributions from Not -for -Profit Organizations l lc) Outside Sources of Income l Id) Legal Expense Fund — Other Sources 11 e) Exempt Purchase Price Sales (CRO -1205) (CRO -1110) (CRO -1220) (CRO -1230) (CRO -1410) (CRO -1240) (CRO -1250) (CRO -1250) (CRO -1150) (CRO -1270) (CRO -1265) $ $ .25 $ $ 6766.00 1660.00 $ $ 4600.00 $ $ 400.00 $ $ $ $ 100.00 $ $ $ $ $ $ $ $ $ $ $ $ 12) IMMMErJRES 13) 14) 15) 16) 17) TOTAL RECEIPTS (Add lines 5.6.7.8.9.10.Ila. III Ile. rldandIle) Disbursements 13a) Operating Expenditures (CRO -1310) 13b) Contributions to Candidates/Political Committees (CRO -1310) 13c) Coordinated Party Expenditures (CRO -1310) Aggregated Non -Media Expenditures (CRO -1315) Loan Repayments (CR&1420) Refunds/Reimbursements From the Committee (CRO -1320) In -Kind Contributions (CRO -1510) $ $ .25 $ $ 6766.00 6573.33 $ $ $ $ $ .11 $ $ $ $ 14 $ .14 $ $ 86.86 18) TOTAL EXPENDITURES (Add Ones 13a. 136, )3c. 14, 15. 16 and 17) $ .11 $ 6660.19 19) Cash on Hand at End (4dd hays 1 and 12logether. Then sabtracl line 18) $ 0 S 0 20) 21) 22) 23) 24) 25) 26) 27) 28) Non -Monetary Gifts Given to Other Committees Outstanding Loans (incl. ones from other campaigns) Debts and Obligations owed By the Committee Debts and Obligations owed To the Committee Account Transfers Within the Committee Administrative Support Forgiven Loans 48 -Hour Notice Reports Sum Contributions to be Refunded (CRO -1330) (CRO -1430) (CRO -1610) (CRO -1620) (CRO -1720) (CRO -1710) (CRO -1440) (CRO -2210) (CRO -1215) $ $ $ $ $ $ $ $ $ $ $ $ $ CRO -1100 NC State Board of Elections August 2008 Amendment Refunds/Reimbursements From the Committee Pg _ of _ ❑ lies ® No Use this form to report refunds/reimbursements, including contributions returned to the contributor. 1. Committee Full Name and Fund if applicable) 2. ID Number Gina for Union County Commissioner 21M46P 3. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, &zip) d. Type of Committee It. Original Receipt Date E Candidate ❑ PAC ElReferendum 0 Party 3/12022 Gina Palandri 1023 Feather Oak Lane Stallings, NC 28104 e. Level Registered (Specify) I. Original Receipt Amount Lj Federal LQ County: ❑ State ❑ Municipality: $ 87.00 E Purpose Code j. Election Sum to Date P' $ 87.00 b. Job Title/Profession c. Employer's Name/Specific Field g. Comments L Account Code Brand Ambassador Chefs USA Filing fee partial Pay back GPWF L Form of Par taco[ m. Required Remarks a. Date (mm/dd/yyyy) o. Amount Check After bank fee to close Charge for Mailing Mone%Order 01/312023 $ .14 3. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) d. Type of Committee It. Original Receipt Date ❑ Candidate 0 PAC Referendum 0 Party e. Level Registered (Specify) 1. Original Receipt Amount Lj Federal Lj County: ❑ State ❑ Municipality: $ L Purpose Code j. Election Sum to Date $ b. Job Title/Profession a Employer's Name/Specific Field g. Comments it. Account Code I. Form of Payment m. Required Remarks n.Date (mm/ddlyyyy) o. Amount 3. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, &zip) d. Type of Committee It. Original Receipt Date Candidate ❑ PAC Referendum 0 Party e. Level Registered (Specify) I. Original Receipt Amount Lj Federal County: ❑ State ❑ Municipality: $ L Purpose Code j. Election Sum to Date $ b. Job Title/Profession c. Employer's Name/Specific Field g. Comments k. Account Code I. Form of Payment m. Required Remarks n. Date (mm/dd/yyyy) o. Amount $ 4. Total only this Page $ .14 5. Total of ALL CRO -1320 Pages (This One numbe on Aw 16 ojDeaOedSummary Page CRO -1100) $ .14 L - Returned to Contributor M - Overpayment for Service N - Exceeded Contribution Limit P' - Reimbursement of In -Hind O. Other * Codes require detailed explanation in required remarks field m CRO -1310 NC' State Board of Elections December 2007 Aggregated Non -Media Expenditures Page of 1 o Yee a No Optional form used to report NC Non -Media Expenditures of $50 or less. 1. Committee Full Nam (and Fund if applicable) gL IUD Number Gina for Union County Commissioner 2JM46P 3. Payee Information . Amend b. Account Code c. Form of Payment d. Purpose Code O e. Date (mm/ddlyyyy) f. Amount g. Required Remarks fee for mailing money order U Add Remove ❑ Remove GPWF Fee/Charge 01/29/2023 $ .11 Add $ ❑ Remove Add $ ❑ Remove Add $ QRemove Add $ Q Remove Add $ ❑ Remove Add $ Q Remove Add $ ❑ Remove Add $ 0 Remove Add $ ❑ Remove Add $ 0 Remove Add $ ❑ Remove $oveoveoveovedmovedove$oveovetal I only this Page $.11 5. Total of ALL CRO -1315 Pages $ 11 (This line most be online 14 of Detailed Sunonary PageCRO-1100 6. rpose Codes (Li:t detailed expenditure code in (d) above) B* - Printing C* - Fundraising D - To Another Candidate E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses I - Postage J - Penalties K* - Office Expenses Q* - Donations to Legal Expense Fund O* - Other * Codes re uire detailed ex lanation in required remarks field I IS NC State Board of Elections December 2009