Williams,David_2023-Year-endAmendment
Disclosure Report Cover I ❑ 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
1. Committee Information
it. Full Name
c. ID Number
Elect David Williams
MJMVR6
b. Mulling Address (include City, State and Zip Code)
it. Date Filed
P.O. sox 2272
Indian Trail, NC 28079
0 // 16V Z(JL3
e. Phone Number
980-328-4408
2. Report Year
3. Period Start Date (mm/dd yy)
4. Period
mm/dd End Date
5. Treasurer Full
Name
2023
07/01/2023
12/31/2023
David Williams
6. Type of Committee Check One)
9. Type
of Report check only one ttype o re ort win one care o
® Candidate Campaign ❑ Party
Municipal
State/County
Referendum
❑ PAC ❑ Referendum
❑
Organizational
❑ Organizational
❑ Organizational
Independent ❑ Joint Fundraiser
❑ Expenditure
❑
Thirty-five day
Quarterly
❑ Pre -referendum
Legal Expense Fund
❑
❑
Pre-primary
Pre-election
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7. Type of Fund (if applicable, check one)
❑ "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
Note
11. Account Information
11. Account Information
a. Financial Institution Full Name
a. Financial Institution Full Name
Truist
b. Purpose
c. Account Code
by
c. Account Code
Campaign
donations&
Z
]AN j 2024
d. Period Begin Balance
it. Period Begin Balance
expenditures
S 983.79
s
RECEIVED
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 Stated of Eject ns. ,
David Williams
J111,v
I�! p/Zoti j
Printed Name of Signer
Signature of App ' ted Treasurer
Date
FOR OFFICE USE ONLY
Date Received: %)� �� ci `/
Employee:
Delivery Method
❑ Normal Mail
Date Postmarked:
Employee:
Registered Mail
Hand Delivered
Date Scanned:
Employee:
Electronically Filed
❑ Signer has not received
Date Data Entered:
Employee:
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.
CRO -1000 NC State Board of Elections August 20ON
Amendment
Detailed Summary ❑ vcs ® No
Use this form to summarize all disclosure renortin2 forms and to total monetary information.
1. Committee Full Name and Fund jf applicable)
2. Type
of Report
3. ID Number
Elect David Williams
Year End Semi-annual
MJMVR6
Start of Election Cycle: January 1, 2023
Total this
Reporting Period
Total this
Election Cycle
4) Cash on Hand at Start
RECEIPT
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
l lb) Contributions from Not -for -Profit Organizations
Ile) Outside Sources of Income
Ild) Legal Expense Fund — Other Sources
11 e) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1210)
(CRO -1210)
(CRO -1230)
(CRO -1410)
(CRO -1240)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CR&1270)
(CRO -1265)
$
$
983.79
$
$
983.79
$ 3500.00 $
3500.00
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10, Ila, Ilb, 11c, Ild and Ile)
EXPEiw T
13) Disbursements
13a) Operating Expenditures (CRO -1310)
13b) Contributions to Candidates/Political Committees (CRO -1310)
13c) Coordinated Party Expenditures (CRO -1310)
14) Aggregated Non -Media Expenditures (CRO -1315)
15) Loan Repayments (CRO -1410)
16) Refunds/Reimbursements From the Committee (CRO -1310)
17) In -Kind Contributions (CRO -1510)
$
3500.00
$
3500.00
$ 10.00 $
10.00
$ $
$ $
$ $
$ $
$ 3500.00 $
3500.00
$ $
18)
TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14,15, 16 and l7)
$
3510.00
$
3510.00
19) Cash on Hand at End (,4dd lines d and 12 together, thensubtractlim 18)
ADDITIONAL INFORMATIO
20) Non -Monetary Gifts Given to Other Committees (CRO -1330)
21) Outstanding Loans (incl. ones from other campaigns) (CRO -1430)
$
$
$
973.79
$
7
973.79
22)
23)
24
25)
26)
27)
28)
Debts and Obligations owed By the Committee (CRO -1610)
Debts and Obligations owed To the Committee (CRO -1620)
Account Transfers Within the Com N�Wy�QN COUNTY (CRO -1720)
(vlis}(IGN FINANCE
Administrative Support (CRO -1710)
Forgiven Loans (CRO -1440)
48 -Hour Notice Reports Sum RECEIVED (CRO -2220)
Contributions to be Refunded (CRO -1115)
$
$
$
$
$
$ $
$ $
I $ $
CRO -1100 NC State Board of Elections August 2008
Amendment
Contributions from Individuals Pg or ❑ Yes ® 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) ,a
1 ID Number
Elect David Williams
MJMVR6
3. Contributor Information ® Add ❑ Remove
a. Full Name, trailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
CEO
g& clearing
1B Preslar
—Gradin
c. Employer's Name/Specific Field
1B Preslar Company
e. Election Sum to Date
$ 3500.00
f. Prior
It. Account Code
h. Form of Payment
1. In -Kind Description
j. Date (mm/dd/yyyy)
k. Amount
❑
Z
check
9/28/23
$ 3500.00
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
a. Full Name, flailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
c. Employer's Name/Speeifte Field
c. Election Sum to Date
E Prior
g. Account Code
h. Form of Payment
1. In -Kind Description
J. Date (mm/dd/yyyy)
k. Amount
❑
$
❑
$
❑
$
3. Contributor Information ❑ Add ❑ ";,Remove
a. Full Name, Mailing Address & Phone
(include city, state, & tip)
It. Job Title/Profession
d. Comments
UNIU L
CAMPAIGN FINANCE
JAN 10 2024
RECEIVED
c. Em player's Name/Specific Field
e. Election Sum to Date
$
f. Prior
g. Account Code
h. Form of Payment
1. In -Kind Description
j. Date (mm/dd/yyyy)
it. Amount
❑
$
❑
$
❑
$
4. Total only this Page $ 3500.00
5. Total of ALL CRO -1210 Pages
$ 3500.00
(This line nm.st be on line 6 of Detailed Sumnary Page CRO -1100)
CRO -1210 NC State [bard of Flections April 2007
Amendment
Disbursements Pg of ❑ Yes ® No
Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political
rnmrniHrec and rnnrdlnnterl nnrtv eXnendlture5.
1. Committee Full Name and Fund if applicable) 2. ID Number
Elect David Williams MJMVR6
3. Type of Disbursement .' Please use separate CRO -1310 forms for each tPpe of Disburseineid.
® Operating Expenses ❑ Contributions to Candidates,Toluical Committees ❑ Coordinated Party Exponditures
4. Payee information Add El Remove
a. Full Name, Mailing Address & Phone
include city, state & zip)
b. Coordinated Committee Name
d. Comments
check fee
Truist
c. Level Registered (Specify)
❑ Federal ❑ County:
❑ state ❑ Municipality.
e. Election Sum to Date
$ 10.00
f. Account Code
g. Form of Payment
h. Purpose Code
I. Date (mm/dd/yyyy)
j. Amount
k. Required Remarks
Z
check
O
12/11/23
$10.00
bank check fee
4. Payee Information Fj Add Remove
a. Full Name, Mailing Address & Phone
include citv. state &zi
b. Coordinated Committee Name
d. Comments
c. Level Registered (Specify)
❑ Federal ❑ County:
State Municipality:
e. Election Sum to Date
I. Account Code
g. Form of Payment
It. Purpose Code
1. Date (mm/dd/yyyy)
J. Amount
k. Required Remarks
$
4. Payee Information Add Remove
a. Full Name, Mailing Address & Phone
include city, state & zip)
b. Coordinated Committee Name
d. Comments
_ AMPAICN FINANCE
-
JAN 10 2024
RECEIVED
a Level Registered (Specify)
❑ Federal ❑ County:
State Municipality:
e. Election Sum to Date
$
f. Account Code
g. Form of Payment
I h. Purpose Code
1. Date (mm/dd/yyyy)
J. Amount
k. Required Remarks
$
5. Total only this Pae
$ 10.00
6. Total of ALL CRO -1310 Pages e'er, ",
(This line goes in line l3a of Detailed Sunormry Page CRO -1100 if Operating Kvpenses)
(This line goes in line 136 of Detailed Summary Page CRO -1100 if Contrib to Candidates/Politicah Com i)
(This line goes in line 13c of Detailed Sunanary Page CRO -11001f Coordinated Party Expenditures)
$ 10.00
7. Pur ose Codes(List detailed expenditure code in h. above
A* - Media B* - Printing C* - Fundraising D -To Another Candidate
E - Salaries F* - Equipment G - Political Party 11* - Holding Public Office Expenses
I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund
O* - Other
* Codes require detailed explanation in required remarks field k
CRO -1310 NC Stale Board of Elections December 2009
Amendment
Refunds/Reimbursements From the Committee Pg _ of _ ❑ Yes ® 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
Elect David Williams MJMVRG
3. Payee Information ® Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, &zip)
d. Type of Committee
It. Original Receipt Dale
® Candidate ❑ PAC
F Referendum F Party
9/28-023
JB Preslar
4540 Sccrest Shortcut Road
Monroe, NC 28110
704.226-
e. Level Registered (Specify)
i. Original Receipt Amount
❑ Federal ❑ County:
State Municipality:
$ 3500.00
E Purpose Code
j. Election Sum to Date
L
$ 3500.00
b. Job Title/Profession
c. Employer's Name/Specific Field
g. Comments
k. Account Code
CEO
JB Preslar Company
Z
I. Form of Payment
m. Required Remarks
n. Date (mm/ddlyyyy)
o. Amount
check
contribution returned
12/11/2023
$ 3500.00
3. Payee Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
d. Type of Committee
h. Original Receipt Dale
❑ Candidate ❑ PAC
Referendum F Party
e. Level Registered (Specify)
I. Original Receipt Amount
❑ Federal ❑ County:
State Municipality:
$
L Purpose Code
J. Election Sum to Date
It. Job Title/Profession
c. Employer's Name/Specific Field
g. Comments
It. Account Code
1. Form of Payment
m. Required Remarks
n. Date (mmldd/yyyy)
o. Amount
$
3. Payee Information ❑ Add ❑ Remove
-
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
d. Type of Committee
h. Original Receipt Date
❑ Candidate ❑ PAC
Referendum Ej Party
UNIUN C(UN-1
CAMPAIGN FINANCE
JAN 10 2024
e. Level Registered (Specify)
i. Original Receipt Amount
❑ Federal ❑ County:
State Municipality:
$
L Purpose Code
j. Election Sum to Date
$
b. Job Title/Profession 7i. Employer's Name/Specific Field
g. Comments
k. Account Cade
I. Form of Payment
m. Required Remarks
n. Date (mm/dd/yyyy)
o. Amount
$
4. Total only this Page $ 3500.00
5. Total'of ALL CRO -1320 Pages (This line nmsr be online 16 of Detailed Summary Page CRO -1100) '. $ 3500.00
L - Returned to Contributor M - Overpayment for Service N - Exceeded Contribution Limit
P" - Reimbursement of In -Kind O* Other
" Codes require detailed explanation in required remarks field m -
CRO -1320 NC Slate Board til Elections December 2007