Sides,Gary_2023-Org-ReportAmendment
Disclosure Report Cover O Yes M 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 undate information.
1. Committee Information
a. FLIT Name
Number
SIDES FOR COMMISSIONER
Pending
b. Mailing Address (include City, State and Zip Code)
[d.DateFled
2829 PULASKI DRIVE12/12/2023
MONROE,NC 28110hone
Number
(828)776-2774
2. Report Year
3. Period Start Date (mm/dd/yy)
4. PeriodFStd Date (mm/dd/yy)
5. Treasurer Full Name
2023
12/04/2023
12/12/2023
JINGER KELLEY
6. Type of Committee (Check One)
9. Type of Report ,(check
on! onee ofreort
ora onecategol,
® Candidate Campaign Q Party
MunicipalState/County
_
Referendum
0 Joint Fundraiser El PAC
E3
Organizational,
Q Organizational,
0 Organizational
Referendum 0 Legal Expense Fund
Q
[3
Thirty-five day
Pre-primary
Pre-election
Quarterly
E3 First
0 Second
Q Pre -referendum
0 Final
13 Supplemental Final
7. Type of Fund (f applicable, check one)"
Q "Booster Fund'
1] Building Fund
Q
Pre -runoff
0 Third
13 Annual
Q Presidential Election Year Candidates Fund
Semi-annual
Q Fourth
Q Special
NC Public Campaign Financing Fund
E3
Mid Year
Semi-annual
13
Year End
[3 Mid Year
10. Special Report Name
Q Other:
Q
13
Final
Special
0 Year End
0 Final
0 Special
8. Number of Fundraisers this Report
0
3. Account Information
3. Account Information
a. Financial Institution FLIT Name
a. Financial Institution Full Name
FIRST CITIZENS BANK
b. Purpose
c Account Code
b. Purpose
c. Account Code
TRACK CAMPAIGN
01
s
CONTRIBUTIONS &
EXPENSES
d. Period Begin Balance
d. Period Begin Balance
$
0.00
$
CERTIFICATION
I certify that the Committee or Fundis 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 have been trained by the NC State Board
�t /)y pl K Cil lQy
12/12/2023
Pr' ed Name of Signer
igna a of Appointed T asurer Date
FOR OFFICE USE ONLY
Date Received:
Employee: Delivery MethodE3
Normal Mail
Date Postmarked:
Employee:: 0 Registered Mail
E3 Hand Delivered
Date Scanned:
Employee: ❑ Electronically Filed
Date Data Filtered:
Employee:. 0 Signer has not received
mandatory tram mg
Please Note: This forth 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- to make committee changes.
CRU -1000 NC Slate Board of Elections December 2007
Detailed Summary
Use this form to summarize all disclosure reverting forms and to total monetaryinformation
$
Y dmemt
JA
® No
1. Committee Full Name (and Fund if applicable)
2. - of Report
EXPENDITURES,
13. ID Number
SIDES FOR COIvMSSIONER
2023 Organizational
3) Disbursements
25,000.00
Start of Election Cycle: January 1, 2023�
2021
Re
Total this
rtin Period
(CRO -1610)
Total this
Flection cle
4) Cash on Handat Start
0.00
$
0.00
$
0.00
RECEIPTS
$
0.00
13c) Coordinated Party&penditures (CRO -1310)
$
0.00
5) Aggregated Contributions from ludkiduals
(CRO -1205)
$
0.00
$
0.00
6) Contributions from Imdividuals
(CRO -1210)
$
87.00
$
87.00
7) Contributions from Political Party Committees
(CRO -1220)
$
0.00
$
0.00
8) Contributions from Other Political Committees
(CRO -1230)
$
0.00
$
0.00
9) Ivan Proceeds
(CRO -1410)
$
25,000.00
$
25,000.00
0) Refunds/Reimbursements to the Committee
(CRO -1240)
$
0.00
$
0.00
1) Other Receipt Sources
-
I la) Interest on Bank Accounts
(CRO -1250)
$
0.00
$
0.00
11 b) Contributions from Not -For -Profit Organizations
(CRO -1250)
$
0.00
$
0.00
11c) Outside Sources of Income
(CRO -1250)
$
0.00
$
0.00
Ild) Legal Expense Fund -Other Sources
(CRO -1270)
$
0.00
$
0.00
lle) Exempt Purchase Price Sales
(CRO -1265)
$
0.00
$
0.00
2) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,11a,llb,I Ic,lld and I le)
$
25,087.00 1
$
25,087.00
EXPENDITURES,
1) Outstanding Loans (incl. ones from other campaigns)
(CRO -1430)
3) Disbursements
25,000.00
2) Debts and Obligations ovvedbythe Committee
(CRO -1610)
13a) Operating Expenditures (CRO -1310)
$
0.00
$
0.00
13b) Contributions to Candidates/Political Committees (CRO -1310)
$
0.00
$
0.00
13c) Coordinated Party&penditures (CRO -1310)
$
0.00
$
0.00
4) Aggregated Non -Media Rgxr litures (CRO -1315)
$
0.00
$
0.00
5) Loan Repayments (CR0-1420)
$
0.00
$
0.00
6) Refunds/Reimbursements from the Committee (CRO -1320)
$
0:00
'$
0.00
7) In-MmlContributions (CRO•ISIO)
"$
87.00
$
87.00
8) TOTAL EXPENDITURES (Add lines 13a, 13b, 130, 14, 15, 16 and 17)
$
87.00
$
87.00
9) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18)
$
25,000.00
$
25,000.00
ADDMONAL INFORMATION
-
.11
1
0) Non -Monetary Gifts Given to Other Committees
(CRO -1330)
$
0.00
1) Outstanding Loans (incl. ones from other campaigns)
(CRO -1430)
$
25,000.00
2) Debts and Obligations ovvedbythe Committee
(CRO -1610)
$
0.00
3) Debts and Obligations ouedto the Committee
(CRO -1620)
$
0.00
4) Account Transfers Within the Committee
(CRO -1720)
$
0.00
5) Administrative Support
(CRO -1710)
$
0.00
$
0.00.
6) Forgiven Loans
(CRO -1440)
$
0.00
$
0.00
7) 48 -Hour Notice Reports Sum
(CRO -2220)
$
0.00
1 $
0.00
8) Contributions to be Refunded
(CRO -1215)1
$
0.00 1
$
0.00
Amendment
Contributions from Individuals Pg —L of 1 p res ® 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
SIDES FOR COMMISSIONER
3. Contributor Information 13 Add. i0. Remove
a. Full Name, Mailing. Address &Phone
(include city, state, & zip)
b. JobTitle/Profession
d. Comments
BUSINESS CONSULTANT
GARY SIDES
2829 PULASKI DRIVE
MONROE, NC 28110
(704)236-7851
c. ISnployer's Name/Specific Field
GARY SIDES
e. Rection Sum to Date
$' 25,087.00
f. Prior
g. Account Code.
It. Form of Payment
i.In-Wnd Description
j. Date (mm/dd/yyyy)
k. Amount
❑
01
In -Kind
FILING FEE
12/04/2023
$ 87.00
❑
- -
$
❑
$
K. Total only this Page
$ 87.00
5. Total of ALL CRO 1210 Pages
(This line must. be on Rne. 6 ojDemiled SummaryPage CRO -1100)
$ 87.00
CRV-7770 rvc date Boara of Elections April2007
Amendment
Loan Proceeds Pg 1 of 1 O Yes ® No
Usethis formto report proceeds fmma loan and loan endorser's information
A loan proceeds statement must accompany each loan that is froman individual
1. Committee Full Name and FLndif a icable , -
2.ID Number
SIDES FOR COMMISSIONER
3. Lender Information - - 10 Add j0 Remove
a. FLIT Name, Mailing Address & Phone
(include city, state, &'zip)
b. Job. Title/Profession -
d. Comments
BUSINESS CONSULTANT
GARY SIDES
2829 PULASKI DRIVE
MONROE,NC 28110
(704) 236-7851
e. Start Date (mm/dd/yyyy)
c.•FSnployer'sName/SpeeificField
12/12/2023
GARY SIDES
c,Fmd.Date (mm/ddlyyyy)
g. Rate
IA. Security Pledged
It. Account Code
j 'Form of Payment
k. Amount
0.000%10
01
Electric Funds Tran
$ ' 25,000.00
1. FLIT Name of Lending Institution -
in.
Loan Number
4. Endorsers/Makers (The people who guarantee the loan)
a. Fill Name, Mailing Address & Phone -
(include city,. state, &.zip)
b. Job Title/Profession
c. Employer's Name/SpecifirField '
d. Percentage
e.Amount
5. Total of ALL CRO -.1410 Pages
(This Give must be on line 9 ojDemlled Summary Page CRO -1100)
$ 25,000.00
CRO -1410 NC State Board of Elections April 2007
t
In -Kind Contributions Pg 1 of 1 p Yes Ameudmea® No
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. Committee Full Name and Fund if a icable)
12. IDN her
SIDES FOR COMMISSIONER
3. Contributor Information
E Add. 13 Remove
a. ELIC Name, Mailing Address &Phone -
(include city, state, & zip)
b. Type. of Contributor
c. Comments
a Individual
[3 Candidate
13 Party
0 PAC
i] Referendum
E3 Other Receipt Source
GARY SIDES
2829 PULASKI DRIVE
MONROE, NC 28110
(704) 236-7851
d. Flection Sum to Date
$ 25,057.00
e. Description-
-
f.'Date (mm/dd/yyyy)
g. Fair Market Amount
FILING FEE
12/04/2023
$ 87.00
.
$
R. Total only this Page
$ 87.00
5. Total of ALL CRO -1510 Pages
.(This line mast be on line 17 ojDemiled Summary Page CRO -1100)
$ 87.00
CRO -1510 NC State Board of Elections December 2007
Amendment
Outstanding Loans Pg 1 of 1 0 Yes ® No
Use this form to report any outstanding loans received during a previous reporting period and until the loan is paid in full.
1. Com nittee,Full Name (and Fund if applicable)
2, m Number
SIDES FOR COMMISSIONER
3. Leader Information -
�Ej Add 113 Remove
-
a. Full Name, Mailing Address & Phone
(include city, state, &zip)
b. Job Title/Profession
d. Comments
BUSINESS CONSULTANT
GARY SIDES
2829 PULASKI DRIVE
MONROE, NC 28110
(704) 236-7851
e. Start Date (mm/dd/yyyy)
c. Employer's Name/Specific Feld"
12/12/2023
GARY SIDES
L.End Date (mm/dd/yyyy)
g. Rate
h..Security,Pledged
ji. Original Loan Amount
j. Remaining Loan Balance
O,om°o'0,
..,,. ,,, ...
$ 25,000.00
$ 25,000.00
R. Bill Name of Lending Institution
1.'Loan 'Number
4. Total only this Page
$ 25,000.00
5. Total of ALL CRO -1430 Pages
(This One must be on One 21 ojDetailed Summary,Page CRO -1100)
$ 25,000.00
CRO -1430 NC State Board of Elections December 2007
NORTH CAR01MA
STATE 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 Prooeeds-Form' in the report for which the -loan -is -initially disclosed. If the-loanis-from-amindividual,-- -
the lender's signature is required on this form.
This Statement Is to be flied with the Election Board where the committee's reports are flied.
• Name of committee to receive loan: Sides for Commissioner
• Person or committee to make loan: Gary Sides
• Date of loan to committee: 1011919-3
• Name of lending institution and account number (source):
N/A
• Amount of loan: 25,000.00
• Description (if in-kind loan):
• Names of all parties responsible for payment of loan (guarantors):
N/A
• _Period of loan:
• Rate of interest of loan: 0
• Security pledged for loan: 0
1, Gary Sides , acknowledge that all of the information
rson iencmg money to commmee)
is complete, true, and accurate. I further understand I may not forgive a loan
n o tsj#ding balance to any source.
Lender
Treasurer c6 Committee
Loan Proceeds Statement
Date Signed
Date Signed