Atkinson,Jeff_2023-MidyearAmendment
Disclosure Report Cover I [-] yes Z 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
The Vote Jeff Atkinson Committee
SU
ATKI18
b. Mailing Address (include City, State and Zip Code)
�,Juolun
d. Date Filed
8509 Whitehawk Hill Rd
Floe g a
Waxhaw, NC 28173
inr07128/2023
o
e. Phone Number
(704) 641-4491
2. Reptilpt,Year
3. Period Start Date (mmfdcuyy)
4. Period End Date
5. Treasurer Full Name
(mm/ddfvv)
2023
01/01/23
6/30/23
Baxter Ware Starnes
6. e of Committee (CWjWe)
9. Type
of Re ort cheek only one ro e,_ re' ori om one care
Candidate Campaign ❑ Part}
Municipal
State/County
_gory)�
Referendum
❑ PAC ❑ Referendum
❑
Organizational
❑ Organizational
❑ Organizational
Independent ❑Joint Fundraiser
El Expenditure
Thi
Quarterly
E] Pre -referendum
Legal Expense Fund
❑
Pre-primary
❑ First
❑ Final
❑ "Booster Food"
E]
Pre-election
❑ Second
E] Supplemental Final
❑ Building Fund
❑
Pre -runoff
❑ Third
❑ Annual
Semi-annual
El Fourth
❑ Special
r_1
Mid Year
Semi-annual
r-1 Other:
El
Year End
Mid Year
10. Special Report Name
❑
Final
Special
❑ Year End
❑ Final
E] Special
&INAb"ll' Fundraisers this Report
0
11A"tint Information
11. Account Information
a. Financial Institution Full Name
a. Financial Institution Full Name
Wells Fargo Bank
b. Purpose
c. Account Code
b. Purpose
c. Account Code
Checking
Account for
Committee
d. Period Been Balance
d. Period Begin Balance
S 52.52
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 thektate Board of Electi
101
Baxter Ware Startles
j
Aja- _ . .�
O 7A 1p/avau
Printed Name of Signer
Aignature of Appointed Treasurer
Date
FOR OFFICE USE ONLY
Date Received:
Employee:
Delivery Method
E] Normal Mail
Date Postmarked:
Employee:
❑ Registered Mail
Hand Delivered
Date Scanned:
Employee: Z
El Electronically Filed
0 Signer has not received
mandatory training
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 -2100A -E) to make committee changes.
CRO -1000 NC State Board of Elections August 2008
\mendment
Detailed Summary ❑ Ies ® No
Use this form to summarize all disclosure reporting forms and to total monetary information.
,06mmittee Full Name sail Fund if applicable) 2. Type
of Report
3.1D Number
The Vote Jeff Atkinson Committee Mid Year
ATKI I8
Start of Election Cycle: January 1, 2023
Total this
Reporting Period
Total
Election Cycle
Cy
4)
5)
6)
7)
8)
9)
10)
11)
Cash on Hand at Start
Aggregated Contributions from Individuals (CRO -120S)
Contributions from Individuals (CRO -1210)
Contributions from Political Party Committees (CRO -1220)
Contributions from Other Political Committees (CRO -1230)
l 5D�`l L5 41410)
Refunds/Reimbursements To the ( 0.1240)
Loan Proceeds fUn!ionL(Co.
Other Receipt Sources 2 8 2023
11a) Interest on Bank Accounts Electiong 0.1250)
1lb) Contributions from Not -for -Profit Organizations (CRO -1250)
Ile) Outside Sources of Income (CRO -1250)
lld) Legal Expense Fund — Other Sources (CRO -1270)
11 e) Exempt Purchase Price Sales (CRO -1265)
$
$
52.52
$
$
52.52
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
12)
13)
14)
15)
16)
17)
TOTAL RECEIPTS (Add lines 5, 6. 7, 8, 9, 10, Ila. Jib, 11c, 11d and Ile)
Disbursements
13a) Operating Expenditures (CRO -1310)
13b) Contributions to Candidates/Political Committees (CRO -1310)
13c) Coordinated Party Expenditures (CR0.1310)
Aggregated Non -Media Expenditures (CRO -1315)
Loan Repayments (CRO -1420)
Refunds/Reimbursements From the Committee (CRO -1320)
In -Kind Contributions (CRO -1510)
$
$
$ $
$ $
$ $
$ $
$ $
$ $
$ $
18)
TOTAL EXPENDITURES (Addlinesl3a. Iib, 13c, 14, 15, 16 and 17)
$
$
19)
20)
21)
22)
23)
24)
25)
26)
27)
28)
Cash on Hand at End (Add lines 4 and 12logether, thensubtracr line 18)
Non -Monetary Gifts Given to Other Committees (CRO -1330)
Outstanding Loans (incl. ones from other campaigns) (CRO -1430)
Debts and Obligations owed By the Committee (CRO -1610)
Debts and Obligations owed To the Committee (CRO -1620)
Account Transfers Within the Committee (CRO -1720)
Administrative Support (CRO4710)
Forgiven Loans (CRO -1440)
48 -Hour Notice Reports Sum (CRO -2220)
Contributions to be Refunded (CRO -1215)
$
$
$
$
$
$
$
52.52
$
$
52.52
3
$ $
$ $
$ $
CRO -1100 NC State Board of Elections August 2008