Teague,Charles_2022-3rd-qtr-reportReport Cover an..X ant
Disclosure Re
p � Yes Q No _.
Use this form for general report and committee information, must be signed and submitted along with other detailed forms.
De ..t "Se t6:. f ..n rn nndatn infnrmarinn
I. Committee Information
. Full Name
c 11) Number
Opmm;ffee,dr Clerk
6imq1C
b. Mailing Address (include City; State and Zip ) -
d. Date Filed
R28 earne(dnCdtt.ri
lo -U-22
e. Phone Number
- ne --
/nonroe) �C A8112
176,4
0-0194
10-.22-2Z ulta
Gwen Brinkl
ZI Candidate Campaign Party Municipal state/County,
Referendum
Organizational
❑ PAC ❑ Referendum ❑ Organizational Organizational
❑ independent Expenditure ❑ Joint Fundraiser ❑ Thiny-five day Quanuly
❑ Pr referendum
❑ Legal Expense Fund ❑ Pre-pnmary ❑ First
❑ Final
❑ Pre-election ❑ Second
❑ Supplemental Final
❑ Prrrunoff ® Third
❑ Annual
❑ Booster Fund Semi-annual ❑ Fourth
❑ Special
❑ Building Fund ❑ Mid Year Semi-annual
❑ Year End ❑ Mid Year
❑ Other ❑ Final ❑ YearEnd
S. Number of Fundraisers this Report ❑ Special ® Final
❑ Special
11. Account Information
I1. Account Information'"'
. Financial Institution Full Name
a. Financial Institution Full Name
Fti tl2cfl
. Purpose --
e. Account Code
b. Purpose „, ,
c. Account Code
-hecklni Account
100
d. Period Be& Balance
d. Period Begin Balance
70 r Comm t 1•k
$ 13 X8.25
$
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 NC State Board of Elections.
10 - U-21
Panted Name of Si erV Signature of Appointed TreamAr Date
FOR OFFICE USE ONLY
Date Received: �� Employee: Delivery Method
❑ Normal Mail
Date Postmarked: Employee: Registered Mail
Hand Delivered
Date Scanned: Employee: Electronically Filed-
Date Data Entered: Employee: [3 Signer has not received
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.
CR0-1000 NC State Board of Elections August 2008
Detailed Summary A
O Ya ®No
Use this form to summarize all disclosure reoortine forms and to total montaarv, information
1. Committee Full Name (and Fund if applicable)
miIcc, %_elect aack T qc Tof CLef.K .
2. of
Report
3. ID Number
oumq I E
Start of Election Cycle: January 1, A4 I _
Total this
Re Period
Total this
Election Cycle
4) Cash on Hand at Start
$
3 4
$
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
11b) Contributions from Not -For -Profit Organizations
Ile) Outside Sources of Income
11d) Legal Expense Fund - Other Sources
Ile) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1210)
(CRO -1220)
(CRO -1130)
(CRO -1410)
(CRO -1240)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1270)
(CRO -1265)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,1 la,1lb,l lc,l ld and Ile)
$
$
5 Q I . 0 5
EXPENDITURES
13) Disbursements
13a) Operating Expenditures
13b) Contributions to Candidates/Political Committees
13c) Coordinated Party Expenditures
14) Aggregated Non -Media Expenditures
15) Loan Repayments
16) Refunds/Reimbursements from the Committee
17) In -Kind Contributions
(CRO -1310)
(CRO -1310)
(CRO -1310)
(CRO -1315)
(CRO -1420)
(CRO -1320)
(CRO -1510)
$
$
$
$
$
$
$
$
$
$
$ y 8 , a 5
$
3
$
$
IiC4,5$O
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)
$
13q 8. A5
$
1J 9 1-1,655
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18
$
$
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 OU ( 28 2022
6) Forgiven Loans
7) 48 -Hour Notice Reports Sum RECEIVED
Contributions to be Refunded
(CRO -1330)
(CRO -1430)
(CRO -1610)
(CRO -1620)
(CRO -1710)
(CRO -1710)
(CRO -1440)
(CRO -2220)
(CRO -1215)
$
$
$
$
$
$
$
$
$
$
$
$
$
CRO -1100 NC State Board of Elections August 2008
'
Refunds/Reimbursements From the Committee Pg _ of Amendment
_ ❑ Yes ® No
Use this form to rrpoi t iefunds/reimbursements. inducting contributions returned to the contributor.
1 "'ttee Full Name (0.. aTplicable)
a
c to e I ed PhticRP,w uc 13c Clerk
2. To:,.
0 J m 9 IE
3. Payee Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Thune
(include city, state, & zip)
Charles (C huLk> TQQue
J
9A8 &neron 5tr�
7
m0 n roc l N C a 81I L
d. Type of Committee
in Candidate ❑ PAC
[3Referendun, E]Party(
It. Original Receipt Date
3-0 QZz
ei Level Registered
Federal ❑ County: ❑
Statc ❑Municipality:
1. Original Receipt Amount
$ q —
q' I 3�,Q4
L Purpose Code
J. Election Sum to Date
$
b. Job Title/Profession
i.�ler Jowl
c. Employer's Name/Specific Field
g. Comments
1k. Account Code
o
t o C•
rtial d
. Form of Payment
m. Required Remarks In. Date (nun/dd/yyyy)
& kin ontri*ch'or1TTQ 7 tl 12 1.2ozz
o. Amount
13X18. a5
Check
3. Payee Information ❑ Add ❑ Remove
it. Full Name, Mailing Add, ess & Phone
(include city, state, &zip)
d. Type of Committee
❑ Gmdidak ❑ NAC
❑ Referendum ❑ Purcq'
h. Original Receipt Date
e. Level Registered
Fedcml ❑ County:
❑ State ❑ Municipality:
i. Original Receipt Amount
$
f. Purpose Code -
J. Election Sam to Date
$
b..tob Title/Profession
c. Employer's Name/Specific Field
g. Comments
Account Code
�k.
I. Form of Payment
no. Required Remarks
In. Date (mmlddlyyyy)
o. Amomt
3. Payee Information ❑ ,Acid ❑ Remove
a. full Name, Mailing Address & phone
(include city, state, & zip)
u
OCT 2 8 2022
RECEIVEDL
d. Type of Committee
❑ Candidate E3_PAC
❑ Referendum ❑ Party
It. Or Receipt Date
e. Level Registered
i. Original Receipt Amount
❑ Federal County:
13 state ❑ Municipality:
$
Purpose Code
J. Election Sum to Date
$
1)..1ob'I'ioe/Profession
c. Employer's Name/Specific Field
g. Comments
Account Code
Is.
I. form of Payment
m. Required Remarks
n. Date (mmlddlyyyy)
o. Amount
$
4. Total only this Page
5. Total of ALL CRO -1320 Pages
(This line Hurst be on line 16 of Detailed Summary Page CRO -1100)
31/
K 8 • d+✓
6. Purpose Colles (List detailed disbursement code in (f) above)
L- ROM 11C l to Contributor M - Overpay mens lot Sen ice N - Exceeded Contribution Limit
P" - Reimbursement of Lt -Kind O"' Other
* Codes ret vire detailed explanation in required remarks field m
CRO -1320 NC State Board of Elections December 2007