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Benn,Jordan_2025-Pre-electionYes Do not use this form to update information. 8. Number of Fundraisers this Report d. Period Begin Balance d. Period Begin Balance Signer has not received mandatory training CRO-1000 NC State Board of Elections December 2007 FOR OFFICE USE ONLY ____________ Date Received: Date Postmarked: Date Scanned:Employee: ____________ 3. Account Information b. Mailing Address (include City, State and Zip Code) Municipal State/County 3. Account Information Referendum d. Date Filed CERTIFICATION _______________ Printed Name of Signer Signature of Appointed Treasurer Date Hand Delivered 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 State Board ___________________________Employee: e. Phone Number Disclosure Report Cover Amendment No Use this form for general report and committee information, must be signed and submitted along with other detailed forms. 1. Committee Information a. Full Name c. ID Number a. Financial Institution Full Name Thirty-five day Pre-election"Booster Fund" Legal Expense FundReferendum Pre-primary a. Financial Institution Full Name Special Semi-annual Mid Year Year End Final 10. Special Report Name Organizational Pre-runoff Mid Year Fourth Third Second First Quarterly Semi-annual Organizational Year End Pre-referendum Final Supplemental Final Annual Special Candidate Campaign Joint Fundraiser PAC Party Presidential Election Year Candidates Fund Building Fund Organizational Other: 7. Type of Fund (if applicable, check one) Special Final 2. Report Year 3. Period Start Date (mm/dd/yy) _______________ Employee: 5. Treasurer Full Name 9. Type of Report (check only one type of report from one category) 4. Period End Date (mm/dd/yy) NC Public Campaign Financing Fund 6. Type of Committee (Check One) Registered Mail 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. Date Data Entered: _______________Employee:____________ Electronically Filed Normal Mail Delivery Method c. Account Codeb. Purpose c. Account Code b. Purpose $ $ JORDAN BENN FOR WAXHAW COMMISSIONER 10/29/2025 2025 01/01/2025 10/20/2025 JORDAN MARCELLUS BENN WELLS FARGO CAMPAIGN RELATED EXPENSES BENN4WXW 1049 WINNETT DR WAXHAW, NC 28173 X X (704) 655-8152 0.00 10/29/2025 X 0 Yes 4)$ $ 5)$ $ 6)$ $ 7)$ $ 8)$ $ 9)$ $ 10)$ $ 11) $ $ $ $ $ $ $ $ $ $ 12)$ $ 13) $ $ $ $ $ $ 14)$ $ 15)$ $ 16)$ $ 17)$ $ 18)$ $ 19)$ $ 20)$ 21)$ 22)$ 23)$ 24)$ 25)$ $ 26)$ $ 27)$ $ 28)$ $ (CRO-1430) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,11a,11b,11c,11d and 11e) 13b) (CRO-1310) (CRO-1510) (CRO-1320) (CRO-1420) (CRO-1240) CRO-1100 NC State Board of Elections Administrative Support 48-Hour Notice Reports Sum August 2008 Debts and Obligations owed by the Committee Debts and Obligations owed to the Committee (CRO-2220) Forgiven Loans (CRO-1440) (CRO-1720) (CRO-1620) (CRO-1610) (CRO-1710) In-Kind Contributions TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) Non-Monetary Gifts Given to Other Committees (CRO-1330) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18) EXPENDITURES 13a) Operating Expenditures RECEIPTS Aggregated Contributions from Individuals (CRO-1205) Total thisTotal this 1. Committee Full Name (and Fund if applicable) Reporting Period Election CycleStart of Election Cycle: January 1, ________ Amendment NoDetailed Summary Cash on Hand at Start 3. ID Number 2. Type of Report Contributions from Individuals Loan Proceeds (CRO-1210) (CRO-1220) (CRO-1230) (CRO-1410) Contributions from Other Political Committees Contributions from Political Party Committees 11b) Interest on Bank Accounts 11d) Contributions from Not-For-Profit Organizations 11a) Other Receipt Sources 11c) Use this form to summarize all disclosure reporting forms and to total monetary information (CRO-1250) (CRO-1250) (CRO-1250)Outside Sources of Income Refunds/Reimbursements to the Committee Refunds/Reimbursements from the Committee Legal Expense Fund - Other Sources (CRO-1270) (CRO-1310) (CRO-1310) (CRO-1265) Aggregated Non-Media Expenditures (CRO-1315) Disbursements 13c) 11e) Exempt Purchase Price Sales Coordinated Party Expenditures Contributions to Candidates/Political Committees Contributions to be Refunded (CRO-1215) Account Transfers Within the Committee Loan Repayments Outstanding Loans (incl. ones from other campaigns) ADDITIONAL INFORMATION JORDAN BENN FOR WAXHAW COMMISSIONER 2025 Pre-Election 0.00 0.00 755.00 755.00 565.00 565.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.00 500.00 0.00 0.00 1,820.00 1,820.00 1,500.17 1,500.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 500.00 500.00 2,000.17 2,000.17 X 2025 )(180.17 )(180.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Yes 2. ID Number 1. Committee Full Name (and Fund if applicable) _____ Amendment No Optional form used to report NC Contributions From Individuals of $50 or less Aggregated Contributions from Individuals Page _____of d. In-Kind Descriptionb. Account Code c. Form of Payment 3. Contributor Information a. Amend f. Amounte. Date (mm/dd/yyyy) X JORDAN BENN FOR WAXHAW COMMISSIONER 1 2 $Add Remove Debit Card 20.0008/06/2025BENN4WXW $Add Remove Debit Card 20.0008/01/2025BENN4WXW $Add Remove Debit Card 5.0008/02/2025BENN4WXW $Add Remove Debit Card 20.0008/02/2025BENN4WXW $Add Remove Debit Card 20.0007/31/2025BENN4WXW $Add Remove Debit Card 25.0008/06/2025BENN4WXW $Add Remove Debit Card 5.0008/06/2025BENN4WXW $Add Remove Debit Card 20.0008/02/2025BENN4WXW $Add Remove Debit Card 20.0008/01/2025BENN4WXW $Add Remove Debit Card 10.0008/07/2025BENN4WXW $Add Remove Debit Card 10.0008/06/2025BENN4WXW $Add Remove Debit Card 10.0008/07/2025BENN4WXW $Add Remove Debit Card 25.0007/31/2025BENN4WXW $Add Remove Debit Card 20.0007/31/2025BENN4WXW $Add Remove Debit Card 10.0008/01/2025BENN4WXW $Add Remove Debit Card 50.0008/01/2025BENN4WXW $Add Remove Debit Card 25.0008/03/2025BENN4WXW $Add Remove Debit Card 25.0008/03/2025BENN4WXW $Add Remove Debit Card 10.0007/31/2025BENN4WXW $Add Remove Debit Card 20.0008/06/2025BENN4WXW $Add Remove Debit Card 10.0008/01/2025BENN4WXW $Add Remove Debit Card 50.0008/06/2025BENN4WXW $Add Remove Debit Card 20.0008/06/2025BENN4WXW $ April 2007CRO-1205 NC State Board of Elections (This line must be on line 5 of Detailed Summary Page CRO-1100)$5. Total of ALL CRO-1205 Pages 4. Total only this Page $450.00 $755.00 Yes 2. ID Number 1. Committee Full Name (and Fund if applicable) _____ Amendment No Optional form used to report NC Contributions From Individuals of $50 or less Aggregated Contributions from Individuals Page _____of d. In-Kind Descriptionb. Account Code c. Form of Payment 3. Contributor Information a. Amend f. Amounte. Date (mm/dd/yyyy) X JORDAN BENN FOR WAXHAW COMMISSIONER 2 2 $Add Remove Debit Card 50.0008/02/2025BENN4WXW $Add Remove Debit Card 50.0008/03/2025BENN4WXW $Add Remove Debit Card 20.0008/08/2025BENN4WXW $Add Remove Debit Card 10.0007/31/2025BENN4WXW $Add Remove Debit Card 25.0007/31/2025BENN4WXW $Add Remove Debit Card 50.0008/02/2025BENN4WXW $Add Remove Electric Funds Tran 30.0007/21/2025BENN4WXW $Add Remove Debit Card 5.0007/31/2025BENN4WXW $Add Remove Debit Card 5.0008/01/2025BENN4WXW $Add Remove Debit Card 5.0008/06/2025BENN4WXW $Add Remove Debit Card 25.0008/05/2025BENN4WXW $Add Remove Debit Card 5.0008/07/2025BENN4WXW $Add Remove Debit Card 20.0007/31/2025BENN4WXW $Add Remove Debit Card 5.0007/31/2025BENN4WXW $ April 2007CRO-1205 NC State Board of Elections (This line must be on line 5 of Detailed Summary Page CRO-1100)$5. Total of ALL CRO-1205 Pages 4. Total only this Page $305.00 $755.00 Yes 2. ID Number 1. Committee Full Name (and Fund if applicable) _____ Amendment No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used _____ofContributions from Individuals Pg JORDAN BENN FOR WAXHAW COMMISSIONER X1 1 k. Amount $ $ a. Full Name, Mailing Address & Phone b. Job Title/Profession d. Comments e. Election Sum to Date c. Employer's Name/Specific Field 3. Contributor Information Add $ f. Prior i. In-Kind Descriptionh. Form of Payment j. Date (mm/dd/yyyy)g. Account Code (include city, state, & zip) Remove $ JOHN KELLY 132 HUNTINGTON RD NEWTOWN, CT 06470 STRUCTURE TONE 100.00 BENN4WXW Debit Card 08/07/2025 100.00 LABORER k. Amount $ $ a. Full Name, Mailing Address & Phone b. Job Title/Profession d. Comments e. Election Sum to Date c. Employer's Name/Specific Field 3. Contributor Information Add $ f. Prior i. In-Kind Descriptionh. Form of Payment j. Date (mm/dd/yyyy)g. Account Code (include city, state, & zip) Remove $ BARBARA ROSEMAN 4035 MURRAY ST FORT MILL, SC 29707 N/A 465.00 BENN4WXW Debit Card 07/31/2025 BENN4WXW Debit Card 08/09/2025 440.00 25.00 RETIRED $ CRO-1210 NC State Board of Elections April 2007 (This line must be on line 6 of Detailed Summary Page CRO-1100)$5. Total of ALL CRO-1210 Pages 4. Total only this Page 565.00 565.00 Yes Outside Sources of IncomeContributions from Not-for-Profit OrganizationsInterest _____ Amendment No Use this form to report income not reported on another form. i.e. interest income, not for profit contributions etc. _____ofPg 1. Committee Full Name (and Fund if applicable) 3. Type of Receipt Source (Please use separate CRO-1250 forms for each type of Receipt Source.) Other Receipt Sources 2. ID Number X JORDAN BENN FOR WAXHAW COMMISSIONER X 11 4. Contributor Information Add d. Comments (include city, state, & zip) e. Election Sum to Date $ c. Outside Source Explanation i. Date (mm/dd/yyyy) j. Amount $ $ Remove a. Full Name, Mailing Address & Phone b. Not-for-Profit Federal ID # f. Account Code g. Form of Payment h. In-Kind Description BENN4WXW In-Kind VOTEBUILDER TOOL; VOTER FILE FAIR MARKET VALUE 07/23/2025 500.00 560470821 NC DEMOCRATIC PARTY 220 HILLSBOROUGH ST RALEIGH, NC 27603 500.00 $ (This line goes in line 11c of Detailed Summary Page CRO-1100 if Outside Sources of Income) 6. Total of ALL CRO-1250 Pages 5. Total only this Page (This line goes in line 11b of Detailed Summary Page CRO-1100 if Not-for-Profit Contribution) (This line goes in line 11a of Detailed Summary Page CRO-1100 if Interest)$ December 2007CRO-1250 NC State Board of Elections 500.00 500.00 Yes Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political Operating Expenses Contributions to Candidates/Political Committees Coordinated Party Expenditures 2. ID Number 3. Type of Disbursement (Please use separate CRO-1310 forms for each type of Disbursement.) 1. Committee Full Name (and Fund if applicable) Amendment No_____of committees and coordinated party expenditures PgDisbursements _____1 X JORDAN BENN FOR WAXHAW COMMISSIONER X 3 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount (include city, state, & zip) Municipality: k. Required Remarks Remove4. Payee Information Add c. Level Registered (Specify) Federal State County: a. Full Name, Mailing Address & Phone $ e. Election Sum to Date d. Commentsb. Coordinated Committee Name $ $B 907.3808/14/2025 BUILDASIGN ENTERPRISE 11525A STONEHOLLOW DR. SUITE 120 AUSTIN, TX 78758 (877) 995-7995 BENN4WXW Debit Card 907.38 CAMPAIGN SIGNS f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount (include city, state, & zip) Municipality: k. Required Remarks Remove4. Payee Information Add c. Level Registered (Specify) Federal State County: a. Full Name, Mailing Address & Phone $ e. Election Sum to Date d. Commentsb. Coordinated Committee Name $ $B 56.1408/10/2025 CUSTOMINK LLC 933 LOUISE AVENUE SUITE 101 10 CHARLOTTE, NC 28204 (855) 271-2660 BENN4WXW Debit Card 56.14 CAMPAIGN T-SHIRT f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount (include city, state, & zip) Municipality: k. Required Remarks Remove4. Payee Information Add c. Level Registered (Specify) Federal State County: a. Full Name, Mailing Address & Phone $ e. Election Sum to Date d. Commentsb. Coordinated Committee Name $ $B 171.3108/15/2025 PENS.COM 1 SHARPIE WAY BUILDING 3 SHELBYVILLE, TN 37160 (866) 900-7367 BENN4WXW Debit Card 171.31 CAMPAIGN PENS $ 7. Purpose 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 H* - Holding Public Office Expenses I - Postage J - Penalties K* - Office Expenses December 2009CRO-1310 NC State Board of Elections Q* - Donation to Legal Expense Fund O* Other * Codes require detailed explanation in required remarks field (k) 6. Total of ALL CRO-1310 Pages 5. Total only this Page (This line goes in line 13b of Detailed Summary Page CRO-1100 if Contrib to Candidates/Political Comm) (This line goes in line 13a of Detailed Summary Page CRO-1100 if Operating Expenses)$ (This line goes in line 13c of Detailed Summary Page CRO-1100 if Coordinated Party Expenditures) 1,134.83 1,500.17 Yes Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political Operating Expenses Contributions to Candidates/Political Committees Coordinated Party Expenditures 2. ID Number 3. Type of Disbursement (Please use separate CRO-1310 forms for each type of Disbursement.) 1. Committee Full Name (and Fund if applicable) Amendment No_____of committees and coordinated party expenditures PgDisbursements _____2 X JORDAN BENN FOR WAXHAW COMMISSIONER X 3 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount (include city, state, & zip) Municipality: k. Required Remarks Remove4. Payee Information Add c. Level Registered (Specify) Federal State County: a. Full Name, Mailing Address & Phone $ e. Election Sum to Date d. Commentsb. Coordinated Committee Name $ $B 160.7808/11/2025 PRINTPPS.COM 9004 WASHINGTON ST NE ALBUQUERQUE, NM 87113 (800) 921-1322 BENN4WXW Debit Card 160.78 200X PALM CARDS f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount (include city, state, & zip) Municipality: k. Required Remarks Remove4. Payee Information Add c. Level Registered (Specify) Federal State County: a. Full Name, Mailing Address & Phone $ e. Election Sum to Date d. Commentsb. Coordinated Committee Name $ $A 133.2008/25/2025 QR CODE CREATOR 407 CUBES 1 BEACON SOUTH QUARTER DUBLIN BENN4WXW Debit Card 133.20 QR CODE CREATOR f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount (include city, state, & zip) Municipality: k. Required Remarks Remove4. Payee Information Add c. Level Registered (Specify) Federal State County: a. Full Name, Mailing Address & Phone $ e. Election Sum to Date d. Commentsb. Coordinated Committee Name $ $O 10.0009/30/2025 WELLS FARGO BANK 420 MONTGOMERY STREET SAN FRANCISCO, CA 94104 BENN4WXW Electric Funds Tran 10.00 MONTHLY SERVICE FEE $ 7. Purpose 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 H* - Holding Public Office Expenses I - Postage J - Penalties K* - Office Expenses December 2009CRO-1310 NC State Board of Elections Q* - Donation to Legal Expense Fund O* Other * Codes require detailed explanation in required remarks field (k) 6. Total of ALL CRO-1310 Pages 5. Total only this Page (This line goes in line 13b of Detailed Summary Page CRO-1100 if Contrib to Candidates/Political Comm) (This line goes in line 13a of Detailed Summary Page CRO-1100 if Operating Expenses)$ (This line goes in line 13c of Detailed Summary Page CRO-1100 if Coordinated Party Expenditures) 303.98 1,500.17 Yes Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political Operating Expenses Contributions to Candidates/Political Committees Coordinated Party Expenditures 2. ID Number 3. Type of Disbursement (Please use separate CRO-1310 forms for each type of Disbursement.) 1. Committee Full Name (and Fund if applicable) Amendment No_____of committees and coordinated party expenditures PgDisbursements _____3 X JORDAN BENN FOR WAXHAW COMMISSIONER X 3 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount (include city, state, & zip) Municipality: k. Required Remarks Remove4. Payee Information Add c. Level Registered (Specify) Federal State County: a. Full Name, Mailing Address & Phone $ e. Election Sum to Date d. Commentsb. Coordinated Committee Name $ $O 11.1110/07/2025 WFAE 90.7 P.O, BOX 896890 CHARLOTTE, NC 28289-6890 (704) 549-9323 BENN4WXW Debit Card 11.11 ACCIDENTAL USE OF CAMPAIGN ACCT - f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount (include city, state, & zip) Municipality: k. Required Remarks Remove4. Payee Information Add c. Level Registered (Specify) Federal State County: a. Full Name, Mailing Address & Phone $ e. Election Sum to Date d. Commentsb. Coordinated Committee Name $ $A A 24.00 26.25 09/30/2025 09/30/2025 WIX.COM LTD 100 GANSEVOORT ST NEW YORK, NY 10014 (415) 639-9034 BENN4WXW BENN4WXW Debit Card Debit Card 50.25 WEBSITE PREMIUM PLAN - LIGHTWEBSITE SUBSCRIPTION (MONTHLY) $ 7. Purpose 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 H* - Holding Public Office Expenses I - Postage J - Penalties K* - Office Expenses December 2009CRO-1310 NC State Board of Elections Q* - Donation to Legal Expense Fund O* Other * Codes require detailed explanation in required remarks field (k) 6. Total of ALL CRO-1310 Pages 5. Total only this Page (This line goes in line 13b of Detailed Summary Page CRO-1100 if Contrib to Candidates/Political Comm) (This line goes in line 13a of Detailed Summary Page CRO-1100 if Operating Expenses)$ (This line goes in line 13c of Detailed Summary Page CRO-1100 if Coordinated Party Expenditures) 61.36 1,500.17 Yes Use this form to report non-monetary contributions, donations, goods or services provided to the committee or fund. 2. ID Number 1. Committee Full Name (and Fund if applicable) _____ Amendment No Use CRO-1215 if In-Kind Contributions were or will be refunded within 7 days. _____ofPgIn-Kind Contributions JORDAN BENN FOR WAXHAW COMMISSIONER 1 1 X f. Date (mm/dd/yyyy)e. Description 3. Contributor Information Add Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Type of Contributor Individual Referendum Other Receipt Source d. Election Sum to Date $ Candidate Party $ c. Comments $ g. Fair Market Amount PAC $ NC DEMOCRATIC PARTY 220 HILLSBOROUGH ST RALEIGH, NC 27603 500.00 VOTEBUILDER TOOL; VOTER FILE FAIR MARKET VALUE 07/23/2025 500.00 X $ CRO-1510 NC State Board of Elections 5. Total of ALL CRO-1510 Pages 4. Total only this Page December 2007 (This line must be on line 17 of Detailed Summary Page CRO-1100)$ 500.00 500.00