Gemignani,John_2025-YEAmendment
Disclosure Report Cover [_]
Yea® 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. lD Number
JOHN G FOR WAXHAW
6JM77E
b. Mailing Address (include City, State and Zip Code)
d. Date Filed
1112 RIDGEHAVEN RD
HECEIVED
1/30/2026
WAXHAW, NC 28173
JAN 3 0 2026
e. Phone Number
704-575-0794
UNION COUNTY
2. Report Year 3. Period Start Date (mtn adhy)
fti
4. en nd a e _
S. Treasurer Full Name
mm/d
John Gemignani
1213112025
b. Type of Committee (Check One)
9. Type
of Report check only one e o re art
am one tate o
® Candidate Campaign ❑ Pan,
Municipal
State/County
Referendum
❑ PAC ❑ Referendum
❑
Organizational
❑ Organizational
❑ Organizational
Independent Joint Fundraiser
El Expenditure E] Joint
Thi five da
rtY- Y
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑
❑
Pre-primary
Pre-election
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7, of Fund (Vapplicable, clieck ow)
❑ "Booster Fund"
❑ Building Fond
❑
Pre -runoff
❑ Third
❑ Annual
Semi-annual
❑ Fourth
❑ Special
❑
Mid Year
Semi-annual
❑ Other:
®
Year End
❑ Mid Year
lal Report Name
❑
❑
Final
Special
❑ Year End
❑ Final
❑ Special
8. Umber o(Vundraisers this. Report
11. Account Information
11. Account Information
a. Financial Institution Full Name
a. Financial Institution Full Name
Truist
b. Purpose
c. Account Code
b. Purpose
c Account Code
Candidate
5075
Committee
d. Period Begin Balance
d. Period Begin Balance
$ 85.13
$
CERTIFICATION
I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 2213, & 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 of Elections.
John Gemignani
=e 1130/2026
Printed Name of Signer
Signature ofApVointcd Treasurer
Date
FOR OFFICE USE ONLY
Date Received:
Employee: Delivery Method
❑ Normal Mail
Registered Mail
Date Postmarked:
Employee:
Hand Delivered
Electronically Filed
Date Scanned:
Employee:
❑ 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-210OA-E) to make committee changes.
CRO -1000 NC State Board of Elections August 2008
Amendment
Detailed Summary ❑ Yes _®^ No
Use this form to summarize all disclosure reporting forms and to total monetary information.
=-1:>Committee [�t]I Name and Eund.if a" licate ,
2.
" e`of Re ort <:' nk_
3' ID 7Vumber.:.., x:
John G for Waxhaw
Year -End
6JM77E
Start of Election Cycle: January 1,2025
Total this
Reporting Period
Total this
Election Cycle
4)
Cash on Hand at Start
$
85.13
$ 85.13
RECFiI> IS
^5) Aggregated Contributions from Individuals
(CRO -1205)
$
$
6)
Contributions from Individuals
(CRO -1210)
$
$
7)
Contributions from Political Party Committees
(CRO -1220)
$
$
8)
Contributions from Other Political Commii_CEI VE15"o-1230)
$
150.29
$
9)
Loan Proceeds (CRO -1410)
--JAN-3-Q-202V�--'
$
$
10)
11)
Refunds/Reimbursements To the Committee 7CR0-1240)
Other Receipt Sources_ UNION COUNTY ^_
—'BOARITOF ELECTI
Ila) Interest on Bank Accounts f&5-1250)
$
$
$
$
llb) Contributions from Not -for -Profit Organizations
(CRO -1250)
$
$
Ile) Outside Sources of Income
(CRO-12SO)
$
$
11d) Legal Expense Fund –Other Sources
(CRO -1270)
$
$
Ale) Exempt Purchase Price Sales
(CRO -1265)
$
$
12)
TOTALRECEIPTS{_Addlines 5,6,7,8,9, 10, Ila, Ilb, 11c, Ildandlle)
$
150.29
$
ITIPMEXIM
13) Disbursements
J
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 -1420)
$
$
16)
Refunds/Reimbursements From the Committee
(CRO -1320)
$
$
17)
In -Kind Contributions
(CRO -1510)
$
150.29
$
18)
TOTAL EXPENDITURES (Add lines 13a, 13b, 13e, 14, 1S, 16 and 17)
$
150.29
$
19)
Cash On Hand at End (Add lines 4 and 12 together, then subtract One 18)
$
85.13
$
0D*TiIO . AL INEORMV10 .
20) Non -Monetary Gifts Given to Other Committees
(CRO -1330)
$
21)
Outstanding Loans (incl. ones from other campaigns)
(CRO -1430)
$
22)
Debts and Obligations owed By the Committee
(CRO -1610)
$
23)
Debts and Obligations owed To the Committee `
(CRO -1620)
$
24)
Account Transfers Within the Committee
(CRO -1720)
$
25)
Administrative Support
(CRO -1710)
$
$
26)
27)
28)
Forgiven Loans
48 -Hour Notice Reports Sum
Contributions to be Refunded
(CRO -1440)
(CRO -2220)
(CRO -1215)
$
$
$
$
$
$
CRO -1100 NC State Board of Elections August 2008
Contributions from Other Political Committees Pg _ or
Use this form to report contributions from other candidate, referendum or PAC committees
Amendment
❑ Yea ® No
L.Committee Full Na
2. ID Number
16JM77E
John G for Waxhaw
3. Contributor Information Add Remove
. Full Name, Mailing Address & Phone
(include city, state,&zip)
It. Type of Committee
W Candidate CYPAC
0 Referendum
d. Comments
Catering from
Queens South
Campaign team t -shirt
Committee to Elect Daniel Farris
4003 English Oaks Ct.
Waxhaw, NC 28173
c. Level Registered (Specify)_ _ _.__
Federal � snooty:
Q State ® Municipality:
e. Election Sum to Date
$ 621.01
f. Account Gide
g. Form of Payment
It. In -Kind Description
Election Watch Party food
1. Date I mm/ddlyyyy)
11/4/2025
J.Ammard
$116.96
Campaign team t -shirts
11/3/2025
$33.33
3. Contributor Information REGEIVED U Add U Remove
a. foil Name. Mailing Address & Phone
i include city, state, & zip)
3 0 2026
UNION COUNTY
BOARD OF ELECTIONS
b. Type of committee
d. Comments
- -
U Candidate PAC'AN
Q Referendum
c. Level Registered (Spectly)
[3 Federal County:
Q State Q Municipality:
a Flection Sum to bate
$
1'. Account Code
g. Form or Payment
h. LooKiod Description
L Date (mm/dd/yyyy)
J. Amount
3. Contributor Information Acid Remove
. Full Name, Mailing Address & Phone
(include city, state, & zip)
It. Type of committee
d. Comments
a Candidate PAC
QReferendum
G Level Registered (Specify)
13 Federal 13 County:
Q State Q Municipality:
a. Flection Sum to Date
$
. Account Code
g. from of Payment
h. In -Kind Description
L tate (mmlddlyyyy)
J. Amount
Total on]) this Page $150.29
S. Total of ALL CRO -1230 Pages
(This fine mast be on line 8 o Detailed Summary Page CRO -1100) $150.29
CRO -1230 NC State Board of Elections April 'U
rAmendmeot
In -Kind Contributions Pg of 1 ❑`Yes _® No
Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund.
Use CRO -1215 if In -Kind Contributions were or will be refunded within 7 days.
,L^Cootmi[feeFIillNalnc. and=ktiiid.ifa licatile
JOHN G FOR WAXHAW
6JM77E
3, Coatriblifor Infiirmation' : ".Add ❑: _ •Remove' „ - ..,
,ft , 4` ; -.:rr t . t : . -;t'
a. 'ull Name, Mailing Addresy'&Phone + a a, 'ter ,' � ,.
_ -;(include city,'state & zip), , a ,,,.� , �,. _
,b'lype`ot0iiitrib_utor „'„,;Q
.e. Comments i
❑ Individual
® Candidate
Catering
Campaign
Committee to Elect Daniel Farris
4003 English Oaks Ct.
❑ Party
T-shirts
Waxhaw, NC 28173
❑ PAC
(704)519-2444
❑ Referendum
�d:Electioo:SumtoDate✓�° a;-; ="
❑ Other Receipt Source
$ 621.01
,,,s '=' z �, �.
,f. Da[e(mmlddlyyyy}
r,
-g.Eeirhlarke4Amouot� -
Food from Queens South
11/4/2025
$ 116.96
Campaign team T-shirts
11/3/2025
$ 33.33
:3 Coritr b6foi Wo'r` ilia.
Adds"" ,,, :❑-,-'Remove
a. Full Name, hlaibng Address&'Phoney' -
'=(include city,emter&zip)„ Y*. }
RECEIVE
`r
..a
b: Type ofC6dtr'tiutor� ,i
C. Comments r
❑ Individual
date
❑❑ Party
JAN 3 0 2026
F] PAC
UNION COUNT
BOARD OF ELECTI
OR Referendum
Other Receipt Source
dl~,IectidnSumtoDafe;�;
$
escrjphon <;�, , .� ,„ ��;:',": xR '.:;".,. '�'` �.><s„�x.*..._ ....,
�, .ss MT ,,..
..tDate (mm/dd/yyyy}
�,�
s
g Fair Market,Aroount” �sz-��:
3.-C61ribtiforinf6rmati on *,,;".'` ;®•., AiId,, ,' `;Q Remove,
a. Full Name, Mailing Address&Phone, '.:- r ' �;, ;_
Anclu`de city'state, &z�p),4„
,b: Type of Contributor
❑ Individual
❑ Candidate
❑ Party
❑ PAC
❑ Referendum
d'ElectionSnm toDatca; �, -
❑ Other Receipt Source
$
�f_Date(mm/dd/yyyy);k,
g vairMnrketAmount
4;yTotaLon1IMItis Pa
$ 150.29
5 lgtahofALLC$01$10rages
"�"(3T6is)fne`austbeonhhe`IlkaJ`Dei'aJte%dSummoryryP6geCH0.1100)
$ 150.29
CRO -1510 NC State Board of Elections December 2007