Williams,David_2023-Mid-yearAmendment
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
I. Committee Information
a. Full Name
r. ID Number
Elect David Williams
NI,IMVR6
b. Mailing Address (include City, State and Zip Code)
d. Date Filed
P.O Box 2272
Indian Trail. NC 28079
7/19/2023
e. Phone Number
980-328-4408
2. Report Year
3. Period Start Date (nuniddyy)
`I• Period End Date
5. Treasurer Full Name
turntddhw
David Williams
_0_2_3
�
01101/2023
06 �0/2023
6. Type of Committee (Check One)
9. Type
of Report (Check oral • one tive o 're port from one aneq>nrv)
® Candidate Campaign ❑ part)
hlunicipal
Sratei Count
Referendum
❑ PAC ❑ Referendum
❑
Organizational
❑ organizational
❑ orgammlinnal
Independent ❑ Joint Fundraiser
❑ Expenditure
❑
Thiry -five day
Quarterly
❑ Pre -referendum
Legal Expense Fund
❑
❑
Pre-primmn
Pre-election
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7. Type of Fund (ifappticablr- cheA—ones
❑ "Booster Fund"
❑ Building Fund
❑
Pre-ntrmff
❑ 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
Nonc
11. Account Information
11. Account Information
a. Financial Institution Full Name
a. Financial Institution Fall Name
Tru ist
b. I•nrpose
c. Account Code
b. Purp
C. termmt Code
Campaign
Z
���b��
donations &
expenditures d. Period Begin Balance
JUL 18 2023
d. Period Begin Bahmcr
S 983.79
Union CO.
$
CERTIFICATION
1 certify that the Committee or Fund is in compliance with
all applicable provisions of Article 22A, 22B, R 22D -22M of Chapter l63 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 Bo of EI- egtiopS. t Ate`
I q Ln
David Williams
f/rv,
l
Printed Name or Signer
Signature FAppotnted Treasurer
Date
FOR OFFICE USE ONLY
Date Received: 7 %q/a3
Employee: Delivet% Metxl
El Normal Mail
0592
Registered Mail
Date Postmarked:
Employee:
O
Hand Delivered
Electronically Filed
Date Scanned:
Employee:
❑
Signer has not received
mandatory traming
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 -2 100A -E) to make committee changes.
ro0_111B0 N(` qfw, Rn:,l of Fh.;lnnc A ....... ;"nn3
Amendment
Detailed Summary ❑ Yc.s ® Ni,
( Ise this form to summarize all disclosure renorthw forms and to total rnonetan information.
1. Committee Fall Name and Fund if applicable)
2. Type of Report
3. ID Number
Elect David Williams
Mid
Year Semi-annual
M.IMVR6
Start of Election Cycle: January 1, 2023
Total
riod
Reporting Period
Total this
Election C'vcle
4)
Cash on Hand at Start
$
983.79
$
983.79
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
II) Other Receipt Sources
Ila) Interest on Bank Accounts
1 lb) Contributions from Not -for -Profit Organizations
l le) Outside Sources of Income
I id) Legal Expense Fund — Other Sources
I1 e) Exempt Purchase Price Sales
(CRO -110.5)
(CRO -1110)
(CRO -1110)
(CRO -1130)
(CRO -1410)
(CRO -1140)
(CRO -1150)
(CRO -1150)
(CRO -1250)
(CRO -1170)
(CRO -116.5)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
12)
TOTAL RECEIPTS c.mci in,er 5 v .e. v. io ll,, iit,. (7c udmo Iles
$
0.00
$
0.00
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 -1410)
(CRO -1310)
(CRO -1510)
-
$ $
$
$�b��
$
1
$
$
It)f1S
$ $
18)
TOTAL EXPENDITURES (Add lines 13a. 13b, 13c, 14. 15. 16and l7)
$
0.00
$
0.00
19)
Cash on Hand at End (Add lines 4 and 11 rngedier. then snblrad line 18)
$
983.79
$
98 3]9
ADDITIONAL INFORMATION
20) Nou-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 -Hoar Notice Reports Smn
28) Contributions to be Refunded
(CRO -1330)
(CRO -1430)
(CRO -1610)
(CRO -1610)
(CRO -1720)
(CRO -1710)
(CRO -1440)
(CRO -121o)
(CRO -121S)
$
$
$
$
$
$
$
$
$
$
$
$
CRO -1100 NC State Board of Elections Aueu,1 2(at3