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Smith,Thomas_2023-Year-endamendment Disclosure Report Cover o ,es M No Use this form for general report and committee information, must be signed and submitted along with other detailed forms. Item not use this limit to undate information. 1. Committee Information a. Full Name _ r3r:PIVF-r�, ��'- c. ID Number SMI "1114WC'D2 COMMITTEE 1lciiii, t k Mailing Address (include City, State and 7.ip Code) AN 2 ll Hill d. Date Filed 1840 TRIANGLE BRIAR CT 'UNION COUNTY 01/19/2024 MATTFIEWS,NC 28104 BOARD OF ELECTIONI e. Phone Number (704)877-8825 2. Report Year 3. Period Start Date (mm/dd/yy) 4. Period End Date (men/dd/yy) S. Treasurer FWINam 2011 10'_.1'0'_: 121311201; LINGER KELLEY 6. Type of Committee (Check Onc) 9. Type of Report" Jteck only one type o�'re_ portfrom one category! M Candidate Campaign ❑ Party Nino cipal state/County Referendum ❑ Joint Fundraiser ❑ PAC ❑ Organizational Organizational Organizational E3 Referendum Legal Expense Fund ❑ ❑ Thirty -sive day Pre-primary Pre-election Quarterly 0 First Q Second 0 Pre -referendum [3 Final [3 Supplemental Final 7, ofFtmd (if applicable, Check one) ❑ "Booster Fund" Building Fund Pre -runoff 0 Third Q Annual 0 Presidential Election Year Candidates Fwd Semi-annual 0 Forth 0 special ❑ NC Public Campaign Financing Fond ❑ Mid Year Semi-annual m Year End 13 Mid Year Uther- ElSpecial Final Q Year End 13 Final S. Number ofFomtraisers this Report I� 0 special . Account Information 3. Account Information a. Financial Instilutiou Full Name a. Financial In,litallon Fall Name TRUIST BANK b. Purpose e. Account Code b. Purpose e. Account Coda MAINTAIN 01 CONTRIBUTIONS & EXPENSES d. Period Begin Balance d. Period Begin Balance S 1,553.34 E CERTIFICATION I certify that the Committee or Fund is in corripliance with all applicable provisions ofArticle 22A, 22B & 22D -22M of Chapter 163 of the NC General Statutes and that no funds are cornrningled with prohibited or othernondisclosed funds. I further certify, that this report is complete, true and correct and that I have been trained by the NC State Board 7.451r Kelley 01/19/2024 Prinfed Name of Signer f IsipatafeiOTAppointed Tr"firer Dale FOR OFFICE ISE ONLY Date Received: Employee: Odivery Method Normal Mail Date Postmarked: Employee: Registered Mail [3Hand Delivered �1 Date Scanned: Employee: ❑ Electronically Filed Date Data Entered: Employee: [3 Signer has not received mandatory training Please Note: This fonncannot 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. cRe-rood rvc Nate Mara of hlectlons December 2007 Detailed Summary Amendment ❑ Yes ® No Use this fonnto suntsoarize all disclnsure renneino fnrm and to tntal . nPtn.., ;nf ,..,m6.., 1. Committee Full Name (and Fund if applicable) 2. Type of'Report 13. ID Number SMITH4WCD2 COMMITTEE 2023 Year End Semi -Annual 11 `'r - �, 2023 Start of Election Cycle: Jan-uary 1�,. Reporting Total this Period Total this HectionCycle ; 4) Cash on Hand at Start, t `' `? $ 1,553.34 1 0.00 RECEIPTS 5) Aggregated ContributiorisSrom Individuals (CRO -1205) $ 127.74 $ 177.74 6) Contributions from Individuals (CRO -1210) $ 2,731.00 $ 16,672.30 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) Loan Proceeds (CRO -1410) $ 0.00 $ 0.00 0) Refuuds/Reimbursements to the Committee (CRO -1240) $ 0.00 $ 0.00 1) Other Receipt Sources I Ia) Interest on Bank Accounts (CRO -1250) $ 0.00 $ 0.00 11 b) Contributions from Not -For -Profit Organizations (CRO -1250) $ 0.00 $ 0.00 11 c) Outs ide Sources of Income (CRO -1250) $ 0.00 $ 0.00 Il d) Legal Expense Fund -Other Sources (CRO -1270) $ 0.00 $ 0.00 Ile) Exempt Purchase Price Sales (CRO -1265) $ 0.00 $ 0.00 2) TOTAL RECE PTS (Add lines 5, 6, 7, 8, 9; 10,1la,llb, I lo,l Id and I le) $ 2,858.74 $ 16,850.04 EXPENDITURES 3) Disbursements -� 13a) Operating Exilenditures (CRO -1310) $ 2,797.70 $ 10,154.11 13b) Contributions to Candidates/Political Committees (CRO -1310) $ 119.38 $ 119.38 13c) Coordinated PartyFtpenditures (CRO -1310) $ 0.00 S 0.00 4) Aggregated Non-MediaRitpenditures (CRO -1315) $ 4.30 $ 94.55 5) Loan Repayments (CRO -1420) $ 0.00 $ 0.00 6) Refunds/Reimbursements from the Committee (CRO -1320) $ 0.00 $ 0.00 7) In-IGnd Contributions (CRO -1510) $ 958.74 $ 5,950.04 8) -TOTAL -EXPENDITURES (Add lines 13a, 13b; -13c, 14, 15, 16 and 17) $ _ 3,880.12 $ 16 318.08 9) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18) $ 531.96 $ 531.96 ADDITIONAL INFORMATION 0) Non -Monetary Gifts Given to Other Committees (CRO -1330) $ 0.00 - 1) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) $ 0.00 2) Debts and Obligafions ovvedby the Committee (CRO -1610) $ 0.00 - 3) Debts and Obligations owed to the Committee (CRO -1620) S 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 $0.00 8) Contributions to be Refunded (CRO -1215) $ 0.00 $ 0.00 CRO -1400 NG state Hoaraol Elections . 11August 2008 Amendment Aggregated Contributions from Individuals - Page 1 of 1 p Yes ® No Optional form used to report NC Contributions From Individuals of $50 or less lo Committee bMName and Fund if a` ieable t „�..r'.:' 211)Number' SMITH4WCD2 COIvIN =E 3. Contributor Information .:.. ;:.... •; .: , - .-.. a. Amend b. Account Code' c. Form of Payment- d.In-Wnd Descripti on `e.Date(mm/dd/yyyy) - ..... _. f. Amount.', <. .. Add ❑ Remove 01 Check 10/25/2023 $ 50.00 Add 13 Remove 01 Check 10/31/2023 $ 50.00 Add 13 Remove 01 In -Kind MINI FLAGS FOR 10/29/2023 $ 27.74 SIGNS 4. Total only this Tage _ $ $127.74 Total of ALL CRO -1205 Pages" r, $ $127.74 (This fine must be on Rne S ojDetai(ed Summary Page CRO -7100) a,rtv-t wa ilu Naw pamu of mections APM /.UU I RECEIVED JAN 2 4.2024, UNION COUNTY, BOARD OF ELECTIONS Amendment Contributions from Individuals Pg 1 of 3 ❑ Yes ® No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used I. Committee: Full Name, (and Fund if applicable)— " 12. ID Number SNBTH4WCD2 COMMITTEE • . 3.. Contributorinformation-a V;Add :.113 Remove -, -n - a.Address-. Full Name, Mailing, Address& Phone (include city, state, & zip) - b. Job Title/Profession d. Comments ;r - SOUTTlEAST INVESTMENTS WILLIAM I BELK .4550 FOXX BROOK LN CHARLOTTE, NG 28211 c. Employer's Name/Specific Field OWNER e. Election Sum to,Date $ 1,431.00 L Prior g:Account Code h. Form of Payment. i.In-Kind Description - j. Date .(in m/dd/yyyy)' k. Amount ❑ 01 In -Kind FOOD & BEVERAGES 10/24/2023 $ 931.00 ❑ 01 Check 10/25/2023 $ 500.00 ❑ $ 3. Contributor Information . ` - - 10 Add 43 Rewe a. FLIT Name, Mailing Address & Phone - • (include city, state, &zip) b. Job litle/Profession d. Comments. REALTOR CATHERINE BURNS 116 STEEPLECHASE CIR WAXHAW,NC 28173 c Employer's Name/Specific Field' CATHY BURNS e. Election Sum to Date $ 100.00 f. Prior' g. Account Code, h. Form of Payment= i. In -Kind Description- ' - j: Date (mm/dd/yyyy) - k. Amount.. ❑ 01 Check 10/25/2023 $ 100.00 ❑ $ ❑ $ 3. Contributor Information 113 Add 10 Remove - a. Full Name, Mailing. Address -& Phone - (include city, state, .& zip) b. Job Title/Profession - d. Comments INVESTOR -. GARY ELLIS 1024 BROMLEY DR _ _ _ _ MATTHEW S, NC 28104 c. Employers Name/Specirie,Field-Y GARY ELLIS e. Election Sum to Date $ 500.00 E Prior g. Account Code h. Form of Payment 1, in -Kind -Description j. Date (mm/dd/yyyy) . k. Amount - 13 01 Check 10/26/2023 $ 500.00 ❑ $ 4.'Tota1,on1y'thb Page;: g 2,03L.00 5a'TOW1 of ALL CRO f210 Pa g ' 6of . iled ,s is tine mus[ he on tine 6ajDetaDed SummaryPage,CRO-!]00J '� �. $ 2,734:00. • - NC State Board of Elections April 2007 7ontributions from Individuals use in is Conn to report individual contributions over $50o I. Committee'F)fdl'Ni nie (audFtitid ifapjilicaMe)' SMITH4WCD2 COMMITTEE '.3.Contributor, Information€- I a. Full Name, Mailing Address & Phone- (include city, state, & zip) '- • DANA GOLDFARB 4600 MAGNOLIA BRIDGE RD CHARLOTTE, NC 28210 Amendment Pg 2 of - 3 13 Yes IS No rcontributions under $50 if form CRO 1205 is not used ....�.,:+as.".r-.sn.•zn�.�.c�^.Y.: ZID''Number' 13;Add ;.jE3Remove, b. Job Title/Profession d. Comments ' INVESTMENT ADVISOR c. Employer's Name/Specific: Field GOLDFARB WEALTH ❑ 01 Check 13 a: Full Name,. Mailing Address & Phone (include city, state, &zip) - LEIGH JENKINS 6919 OLD FORGE DR CHARLOTTE, NC .28226 f. Prior g. Account Code;. h. Form or Payment i.In=lGnd D ❑.. pi ': Credit Card. ADVISORS e. Election Sum to Ds $ 100.00 (mm/dd/yyyy) k.Amount, 10/25/2023 $ 100.00 $ BLOSSOM MARKETING I Ak.Amount, e. Fiptiopj. Date (mmldd/yyyy)10/ 31/2023 $ kddeAYRernoVe' a. Full Name, Mailing Address & Phone b. Job Title/Profession d. Comments (include city, state, & zip) CONSULTANT MARTIN MCCARTHY 4205 QUAIL HUNT LN - c. Employees Name/Specific Field - CHARLOTTE, NC 28226 MARTIN MCCARTHY JAN 2 4 2024 . UNION COUNTY $ 100.00 f. Prior g. Account Code h. Form of Payment - i. In -Wind Description, j. Date (mm/dd/yyyy) " - k. Amount ❑ 01 Check 10/25/2023 $ 100.00- ❑ $ ❑ $ 4. Total qjy flus Page ^-1 . $ 300.00' 5. Total of ALL CR -04210 Pages' (77iir line inns! be'on line 6 ofDe/ailed Summary Page CRO -1100) g 2,731:00 CRO -1210 NC State Board of ElectionsRECEIVE)April 2007 JAN 2 4 2024 . UNION COUNTY Contributions from Individuals Pg 3 of 3 _fm Ye w 13 ent No Use this formic, report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee Full Name.(andFundif iiicable)r;S.. _:.. -. _ -..... , ; L,M Number SMITH4WCD2 COMMITTEE 3. Contributor Information. - - - -1❑ ,Add -!El Remove - - - e. FWII Name, Mailing Address & Phone. .. (include city, state, & zip) b. Job Title/Profession it. Comments • ' NO JOB TITLE - ^ JOYCE E PLYLER 1046 BROMLEY DR MATTHEWS, NC 28104 c, Employer's Name/Specific Reld NOT EMPLOYED e. Election Sum to Date $ 100.00 f. Prior g. Account Code h. Form of Payment i.In-IGud Description j. Date(mm/dd/yyyy) k. Amount ❑ 01 Check 10/25/2023 $ 100.00 ❑ $.._ . ❑ $ 3. Contributor Information." ,.. JE, Add j0'Remove "'.."•' ._- .:. .:.. - a.•FullName, Mailing Address&Phone (include city, state, & zip) b. Job Title/Profession - d. Comments OWNER LINDA LEE ROBINSON PO BOX 470407 CHARLOTTE, NC 28247 c. Employer's Name/Specific Feld ROBINSON TRAVELS e. Election Sum to Date $ 200._00 f. Prior g. Account Code h. Form of Payment :1. In-IGnd Description j. Date(mm/dd/yyyy), k.Amount. , ❑ 0I Check 10/25/2023 $ 200.00 ❑ $ ❑ $ 3. Contributor Information:;: - fl -i0 _Add. 113 Remove - a. Full Name, Mailing Address&Phone (include city, state, &zip) b. Job Title/Profession it. Comments NO JOB TITLE . SINGH MAC SURENDRAPAL PO BOX 1230 ALBEMARLE, NC 28002 c. Employer's Name/Specific. Feld_ NOT EMPLOYED e. Election Sum to Date $ 100.00 f. Prior g. Account Code h. Form of Payment i.In-IGnd Description j. Date(mm/dd/yyyy) k. Amount ❑ 01 Check 10/25/2023 $ 100.00 ❑ $ ❑ $ 4. Total only. tWs,Pagg; 5. Total of ALL CRO v`. (This Griemusf,beon Une`,6`ofDetaJedSummory,Pnge.CR01100)' _,_.3.:. fes.. ": a zK. , ,-i;s v,; 121WPages r c ~ w l �*,.+.a«K•,P--Is�c+-h?s,.arx.:.. ,r w`.: zta-i{.� ,Zki -."r: _'•- : ,"' _,.� `<. $ 400.00 $ 2,731.00 CR&121 o NG date dioard of blecttons April 2007 Amendment Disbursements Pg 1 of 1 0 Yes ® No Use this formto report expenditures fromthe Cmtanittee foroperating expenses, contnbutions to candidate/political, committees and ennrdinnted nar}v emnn dtfnrwc - . ' 1. Committee Full Name(and =dita icable - -" - - •" --_ 2.IDNumber SMITH4WCD2 COMMITTEE - - _ -. _ .• ,., .. r3•. �T-ype of Disbursement (Please use seoarate CRO -1310 ros ror each type afDlsbursemeul l , y Operating Expenses Contributions to.Candidates/Political Committee—s—0 Coordinated Party Expenditures 4. Payee. Information 10 Add •�0-Rennve a. Full Name, Mailing Address&Phone, - (include city, state; &zip) b. Coordinated Committee Name d. Comments JIM BELL FOR MAYOR 1341 LONGLEAF CT WEDDINGTON, NC 28104 c. Level Registered (Specify) Federal County: 0 State ® Municipality: e. Election Sum to Date Weddington $ 119.38 L Account Code Ig."Form of Payment h..Purpose Code i. Date (mm/dd/yyyy) j. Amount 1k. Required Remarks - 01 Check D 11/02/2023 $ 119.38 5. Total only hWPage $ 119.38 6. Total dFATLCRA-1310 Pages ' $ 119.38 (This line goes in line 13a gfDetaffed Summary Page CRO -1100 iiOperabngErpemes) (This fine goes in fine 136 ojDetailed Summary Page CRO -1100 ifContrib to CandidaltwPoGfieal Comm) (This lure goes it; fine 13c oJDetailed Summary Page CRO -1100 Y'Coordhtated Parry Erpenditurer) !.Purpose"Codes• (List detailedependiture code ht(h.)'above) A*.Media.. _ . _' _ _„B* -Printing.,-__.. _. .0* -Fundraising,_ _ __ "D -To AnotherCandidate' ---- n - E �,: Salaries - - ,F*. _Fqutpmeot _ _ ....: ”^G- Political Patty _ jH* Holding Public Office Expenses - I - Postage Y" iJ'-•Penalties'' '` K* Ofiict;�Ecpeuses _R Q* -Donation to Legal Expense Fund O* Other •anationinre *Codes requiredetailede iredremarksfield - - !D/ /]//. •,.•, � • 1• '•> uecemnerzuuy RECEIVED JAN 2 4 2024 UNION COUNTY 130ARD OF ELECTIONS At Disbursements Pg i mendmen of 2 0 Yes ® No Use this formto report expenditures fromthe conxnittee foroperating expenses, contributions to candidate/political committees and coordinated pally "expenditures 1. Committee Full' Name LandFund ifapplicable) -- - - 2.IDNumber _ SMITH4WCD2 COMMITTEE 3.Typeof-Disbursementr`(P/ease ruesenarate.CR0.1370;forms for each type ofD_is_bursemenl.). JS Operating Expenses U Contdbmionsto Can dilates/Political Committees E3CoordinatedParty Expenditures 4. Payee Information. - 13 Add 13 Remove - a.Full Name, Mailing Address &Phone _ (include city, state, -&zip) b. Coordinated Committee Name d. Comments - BLOSSOM MARKETING 6919 OLD FORGE DR CHARLOTTE, NC 28226 c. Level Registered (Specify) E3Federal County: Q State Q Municipality: e. Flection Sum to Date $ 4,418.80 t: Account Code g. Form of Payment h. Purpose Code L Date (mm/dd/yyyy) j. Amount k^ Required Remarks 01 Check B 10/27/2023 $ 110.00 POSTCARDS 01 Check B 10/27/2023 $ 336.20 MAILERS 4. Payee Information -, , ,, r, y ��'Add.,30 a. Full Name, Mailing Address.&Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments BLOSSOM MARKETING 6919 OLD FORGE DR CHARLOTTE, NC 28226 c. Level Registered (Specify) Federal 0 County: 13 State ❑ Municipality: e. Election Sum to Date $ 4,418.80 L Account Code Ig. Form of Payment 1h. Purpose Code i^ Date (mm/dd/yyyy) j. Amount 1k. Required Remarks _ _ 01 Check B 10/31/2023 $ 1,008.60 POSTCARDS 4. Payee Information - x "``f 10••Add :iQ ^' Remove * -*. a. Full Name, Mailing Address & Phone include city, state, & zip b. Coordinated Committee Name d.Comments COMMITTEE TO ELECT DARCEY LADNER 301 OLD MILL RD WAXHAW, NC 28173 c. Level Registered (Specify) L3Federal E3 County: 0 State ® Municipality: e. Election Sum to Date Weddington $ 120.88 E Account Code g. Form of Payment h. Purpose Code i. Date.(mm/dd/yyyy) j.Amount. 1k. Required Remarks 01 Check D 11/06/2023 $ 120.88 $ S.Total, only this Page + aK .� .; N� ep , $ 1,575.68 Y , 6. Total of ALL CRO-1310Yages s "` e �t�'7 1 $ 2,797.70 (This fine goes in line 13a corralled Summary Page CRO -7100 if Operating Erpenses) (This fine goes in line 13b ojDetailed Summary Page CR0.1700 ifCoutrib to Caudidares/Political Comm) (This line goes in line 13c ofDelafied Summary Page CRO -7700 if Coordinated Party Expenditures) 7. PU['f10S¢ COdCS "; (List detailed expenditure code in (h.) above) A*- Media - B* - Printing _ C* _Fundraising D - To Another Candidate E - ;Salaries!:) ) -' )-j 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 re�itfireiktadlede anationinre uiredremarksifield G7i0.13I U, NC State Board of Elections December 2009 Amendment , Disbursements Pg 2 of 2 JE3 Yes ® No Use this form to report expenditures fromthe cormnittee for operating expenses, contributions to candidate/political ., committees and coordinated party expenditures 1. Committee Full Name.. andFLndif applicable) - _ - 2'. IDNumber SMITH4WCD2 COMMITTEE - 3. Type. of Disbursement:' - (Please we separate CRO -1310 forms. for each troenfDisbuaguent) ®-Operating Expenses- - -Ll Contributions to Candidates/Political Committees Ll Coordinated Party Expenditures 4. Payee Information . , 113.Add:.j0,•;.Remove,w:;,::.., ... a.. Ful[Name;, Mailing. Address&Phone. - _. '- (include city, state,&zip) b. Coordinated Committee Name d.Comments SUPERNOVA DIGITAL COMMUNICATIONS PO BOX 10362 TALLAHASSEE, FL 32302 c. Level Registered (Specify) ' Federal E3 County: 0 State 0 Municipality: e. Election Sum to Date $ 3,248.02 g.Form of Payment h.Purpose. Code Ii.Date (mm/dd/yyyy) j.Amount j.k. Required Remarks LCAcc,untCode 01 Check O 10/24/2023 $ 1,222.02 DIGITAL MARKETING 5. Total only this Page . 1 $ 1,222.02 6. Total of ALL CRO -1310 Pages $ 2,797.70 (This Onegoesin One 13a ofDetailed Summary Page CRO-11001f0peradngECpensu) (This One goes in line 13b ofDetailed Summary Page CRO -1100 ifContrib to Candidaies/PoMical Comm) (This One goes in line 13c of Detailed Summary Page CRO -1100 ifCaordinated Parry Expenditures) ZPlltp((13e:Codes,(Listdetailed;erpenditure code,in (h.)above),„_.-�,,.., ,..,�, e.,,.,,, .,, A!-MedaIB*_-Printing _ - ._ .,!:C* Fundraising__ ,D- To Another Candidate E.r._ Salaries- _ _ 1* - Equipment _ -.� _ _• :G -Political Party H* -Holding Public Office Expenses I.- Postage "!J -Penalties- iK*'. O_ lce,40nses Q*-DonatiootoLegal,Expense.Fund O* Other *'Codes require deWled— exptanatim in,reg tired remarks Held CRO -1310 NC State Board of Elections December 2009 RECEIVED JAN 2 4 2024 - UNION COUNTY BOARD OF ELECTIONS Aggregated Non -Media Expenditures page 1 of i Amendment O Yes ® No Optional form used to report NC Non -Media Expenditures of $50 or less. 1. CommtteeiFuIFName(audFittid�i_fu__. ica6le �; ,,.::azR� a r _s_:; a�•s+a:,+a`+zy 2:�ID'Numtier SMIMITH4WC62•COMMIITEE 3. Payee Information a. Amend III. Account Code. aForm of Payment Id. Purpose Code e. Dnte (mmldd/yyyy) f. Amount 'g. Required Remarks, Add r] Remo" 01 Draft 10!31/2023 $ q,3p CC PROCESSING FEES ' 4. Total only this Page $ 4.30 5. Total of ALL CRO -1315 Pages (This line must he on line 14 ojDetailed Summary Page CRO -1100) $ 4.30 6:iPa`"`s`elGodes` I tistidFtaFd a end8tue codilin7(8)iabove 7 .._ .:r . a B* - PrintingC-+Fundrai'in- r y. D - To Another Candidate E - Salaries F * - E ui` went _ G -Political Pa H = Ho18in Putitic€Office'Ex uses• J I -.Postage J -Penalties K* - Ofiice'Ex eases* -Donations O* - Other mawh= "I Donations to Legal Expense and * Codes require detailed explanation in required remarks field l.nV ial J iv...anm avow Vi cmcuuns uecemmrLooY "`Ijni Amendment In -Kind Contributions Pg ? of 1 O Yes a No Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fond. , Use CRO -1215 if In -Kind Contributions were or will herrefundedwithin 7 days. 1.: Committee Rill .Name(and F5mdifapplicable) 2.inNumber SMITT34WCD2, COMMITTEE 3. Contributor Information-" . - -' - - +E . Add •,.i0 Remove a. Full Name, Mailing Address &Phone , _ (include city, state, & zip) -EN b. Type of Contributor. '.' " c.,Comments Individual 0 Candidate O Ply Q PAC Q Referendum 0 Other Receipt Source Aggregated Individual Contribution d. Flection Sum to Date $ 27.74 e. Description L_ Date (mm/dd(yyyy) g. Fair Market Amount MMI FLAGS FOR SIGNS , .�--10/29/2023 $ - _27.74 $ 3. Contributor Information - jp Add j[3Remove a. FLIT Name, Mailing Address & Phone ,(include city, state, & zip) b. Type of Contributor _ c. Comments Individual ❑ Candidate 0 Party 0 PAC 0 Referendum 0 Other Receipt Source WILLIAM I BELK 4550 FOXX BROOK LN CHARLOTTE, NC 28211 d. Flection Sum to Date $ 1,431.00 e. Description _,. ', ', `,. EDate, (mm/dd/yyyy),- g. Fair Market Amount_ FOOD & BEVERAGES 10/24/2023 $ 931.00 4Totalon►ythts'Page ' r. x"`� =,-�` $ 958.74 S:TotafALL+�CRO'1510�Pag s a - r}. v �a vkac+.MC ,,(This One must be un(lae l7iofDerai(ed'Sammaty Page CROIf00Jgt,ga;ygy (1;,�., 958.74 GNU -151U . � NC State Board of Elections --- December 2007 RECEIVED JAN 2 4 2024 UNION COUNTY BOARD OF ELECTIONS From the desk of Jinger Kelley Smith4WCD2 Committee 1840 Triangle Briar Ct Matthews, NC 28104 January 19, 2024 Union County Board of Elections Attn: Campaign Finance PO Box 1106 Monroe, NC 28111-1106 Re: YESA 2023 Dear Juanita, Please find enclosed the attached YESA report for Tom Smith. This reports was electronically filed to the NCSBOE. Please feel free to contact me with any questions. Kind Regards, 'ger Kelley Campaign Treasurer 828-776-2774 Specializing in Quickbooks K Campaign Financing �l RECP\/[:r JAN 2 4 2024 UNION COUNTY BOARD OF ELECTION®