Wilson,Travis_2022-3rd-qtrAmendment
Disclosure Report Cover 1 ❑ 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
a. Full Name
c. to Number
Wilson for Commissioner
062321 TW
b. Mailing Address (include City, State and Zip Code)
d. Date Filed
7925 ]aars Rd
W axhaw, NC
11/16/2022
e. Phone Number
28173
980-313-0132
2. Report Year
3. Period Start Date (mm/dd/yy)
. Period End Date
5. Treasurer Full
Name
2022
07/01/22
10/22/22
Travis Wilson
6. Type of Committee Check One
9. Type
of Report check only one e of report om one category)
® 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
❑
p
Pre -Primary
Preelection
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7. Type of Fund (if applicable, check ore)
❑ "Booster Fund"
❑ Building Fund
❑
Pre -runoff
® "I'hird
❑ 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
11. Account Information
11. Account Information
a. Financial Institution Full Name
a. Husuchd institution Full Name
b. Purpose
e- Account Code
It. Purpose
c. Account Code
Campaign
Account
01
it. Period Begin Balance
it. Period Begin Balance
$ 2.36
$
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-disclo funds. I fii ther certify that this report
is coli lete, truecorrect and t l ave been trained
P
b the NC State of Ele bn
y
I �Ct�
11/16/2022
Printed Name of Signer
tignature of Appointed Treasurer
Date
FOR OFFICE USE ONLY
Date Received: ,till
Employee:
!t
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 Flections August 2008
Amendment
Detailed Summary O Yes ® No
Use this form to summarize all disclosure reporting forms and to total Monetary information.
1. Committee Fall Name and Fund if applicable)
2. Type
of Report
3. ID Number
Wilson for Commissioner
062321TW
Start of Election Cycle: January 1,Total
2022
this
Reportinx Period
Total this
Election Cycle
4)
Cash on Hand at Start
$
2.36
$ 374.66
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
l lb) Contributions from Not-for-Prolit Organizations
lie) Outside Sources of Income
11d) Legal Expense Fund—Other Sources
11 e) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1210)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CRO1240)
(CRO -1250)
(CRO -1250)
(CRO -1150)
(CRO -1270)
(CR&1265)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
S
$
$
$
$
$
$
$
12)
TOTAL RECEIPTS (Add lines 5.6, 7.8.9. 10, Ila. 11b, 11e, 11dad lie)
$
$
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)
(CR0./310)
(CRO -7315)
(CRO -1420)
(CR0-1320)
(CRO -1510)
$
$
$
$
$
$
S
$
$
$
$
$
$
$
18)
TOTAL EXPENDITURES (Add linea 13a, 13b,13c, 14, 15, 16md 17)
$
$ 372.30
19)
Cash on Hand at End (Add lines 4 and 12 together, then subtract fire 18)
$
2.36
$ 2.36
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
26) Forgiven Loans
27) 48 -Hour Notice Reports Sum
28) Contributions to be Refunded
(CR0.1330)
(CR0.1430)
(CRO -1610)
(CRO -1620)
(CRO -1720)
(CRa1710)
(CRO -1440)
(CRO -2220)
(CRO -1115)
S
$
S
$
$
$
$
$
$
$
$
S
$
CRO -1100 \i tiwtc Board of Elections August 2008