Smith,Thomas_2026-Mid-YearAmendment
Disclosure Report Cover O Yes ® No
Use this foam for general report and committee information, must be signed and submitted along with other detailed fours.
Do not use this formto update information.
1. Committee Information
a. Full Name
C. ID Number -
SMITH4WCD2 COMMITTEE
519-ORZA3R-C-001
b. Mailing Address (include City, State and Zip Code)
d. Date Filed
1840 TRIANGLE BRIAR CT
07/21/2026
MATTHEWS, NC 28104
e. Phone Number
(704) 877-8825
2. Report Year
13. Period Start Date (mm/dd/yy)
14. Period End Date (mm/dd/yy)
5. Treasurer Full Name _
2026
01/01/2026
06/30/2026
JINGER KELLEY
6. Type of Committee (Check One)
9. Type
of Report _ (check only one type ofrepori from one category)
IN Candidate Campaign ❑ Party
Municipal
State/County
Referendum
❑ Joint Fundraiser ❑ PAC
❑
Organizational
❑ Organizational
❑ Organizational
❑ Referendum ❑ Legal Expense Fond
❑
❑
❑
Thirty-five day
Pre-primary
Pre-election
Quarterly
❑ First
❑ Second
❑ Pre -referendum
❑ Final
❑ Supplemental Final
7. Type of Fond (J applicable. check one)
❑ 'Booster Fund"
❑ Building Food
❑
Pre-mooff
❑ Third
❑ Annual
❑ PresidentialElection Year Candidates Fond
Semi-annual
❑ Fourth
❑ Special
❑ NC Public Campaign Financing Fund
®
Mid Year
Semi-annual
❑
Year End
❑ Mid Year
10. Special Report Name
❑ Other:
❑
❑
Final
Special
❑ Year End
❑ Final
❑ Special
8. Number of Fundraisers this Re rt
0
3. Account Information
3. Account Information
a. Financial Institution Full Name
a. Financial Institution Full Name
TRUIST BANK
b. Purpose
c. Account Code
b. Purpose
c. Account Code
MAINTAIN
Ol
CAMPAIGN FINANCE
CONTRIBUTIONS &
d. Period Begin Balance
d. Period Begin Balance
EXPENSES
JUL G 24 2026
LIJ
$
116.96
$
CERTIFICATION
I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B & 2213-22M of
Chapter 163 ofthe 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
) 2t))Qy
07/21/2026
l4fated Name of Signer
'gn a of Appointed T er Date
FOR OFFICELISEONLY p
7hq 1/� b
Delivery Method
Date Received:
Employee:
❑ Normal Mail
Date Postmarked:
Employee: Registered Mail
Hand Delivered
❑ Electronically Filed
Date Scanned:
Employee:
Date Data Entered:
Employee: ❑ Signer has not received
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- to make committee changes.
CRO -1000 NC Sate Board of Elections December 2007
t
Detailed Summary ❑Yes Amendmen® No
Use this Form to summarize all disclosure reporting forms and to total monetary information
1. Committee Full Name(and Fandifapplicable)
2.T of Re
rt
13.IDNumber
SMITH4WCD2 COMMITTEE
2026 Mid Year Semi -Annual
519-ORZA3R-C-001
Start of Election Cycle: January 1, 2024
Reporting
Total this
Period
Total this
Flection Cycle
4) Cash on Hand at Start
$
116.96
$
531.96
RECEIPTS
5) Aggregated Contributions fromindi%iduals
(CRO -1205)
$
0.00
$
0.00
6) Contributions from Iudividuals
(CRO -1210)
$
500.00
$
1,500.00
7) Contributions from Political Party Committees
(CRO -1220)
$
0.00
$
0.00
8) Contributions from Other Political Committees
(CRO -1230)
$
0,00
$
0.00
9) Loan Proceeds
(CRO -74/0)
$
0.00
$
0.00
0) Refunds/Reimbursements to the Committee
(CRO -1240)
$
0.00
$
0.00
1) Other Receipt Sources
Ila) Interest on Bank Accounts
(CRO -1250)
$
0.00
$
0.00
11 Ill Contributions from Not-For-ProfttOrganizations
(CRO -1250)
$
0.00
$
0.00
11c) Outside Sources of Income
(CRO -1250)
$
0.00
$
0.00
I Id) Legal Expense Fund- Other Sources
(CRO -1270)
$
0.00
$
0.00
Ile) Exempt Purchase Price Sales
(CRO -1265)
$
0.00
$
0.00
2) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10,11 a,1lb, 11c,Ild and Ile)
$
500.00
$
1,500.00
EXPENDITURES - --
3) Disbursements
$
70.00
$
1,485'.00
13a) Operating Expenditures (CRO -1310)
13b) Contributions to Candidates/Political Committees
(CRO -1310)
$
0.00
$
0.00
13c) Coordinated Party Expenditures
(CRO -1310)
$
0.00
$
0.00
4) Aggregated Non-MediaExpenditures
(CRO -1315)
$
0.00
$
0.00
5) Loan Repayments
(CRO -1420)
$
0.00
$
0.00
6) Refunds/Reimbursements from the Committee
(CRO -1320)
$
0.00
$
0.00
7) In -Kind Contributions
(CRO -1510)
$
0.00
$
0.00
8) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)
$
70.00
$
1,485.00
9) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18)
$
546.96
$
546.96
ADDITIONAL INFORMATION
;
0) Non -Monetary Gifts Given to Other Committees
(CRO -1330)
$
0.00
-
1) Outstanding Loans (incl. ones from other campaigns)
(CRO -1430)
$
0.00
-
2) Debts and Obligations ovmd by the Committee
(CRO -1610)
$
0.00
-
3) Debts and Obligations owed to the Committ
(CRO -1620)
$
0.00
4 Account Transfers Withi NION EOl4N-
a4IgANCE
(CRO -1720 )
$
0.00
-
5) Administrative Support U Z 4�OZ�
6) Forgiven Loans
7) 48 -Hour NoticeReports Sum ENE
(CRO -1710)
(CRO -1440)
(CRO -2220)
$
$
$
0.00
0.00
0.00
$
$
$
0.00
0.00
0.00
8) Contributions to be Refunded
(CRO -1215)1
$
0.00 1
$
0.00
CROLIll u0 NU Nate Hoard of Elections August 2008
Contributions from Individuals Pg I of 1 Amen
r dment 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 Fundifapplicable)
2. ID Number
SMITH4WCD2 COMMITTEE
519-ORZA3R-C-001
3. Contributor Information
J❑ Add 1❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
it. Comments
NO JOB TITLE
THOMAS JSMITH
1840 TAGE BRIAR CT
MATTHEWS, NC 28104
(704) 877-8825
c. Employer's Name/Specific Field
NOT EMPLOYED
e. Election Sum to Date
$
1,500.00
f. Prior
g. Account Code
h. Form of Payment
i. In -land Description
j. Date (mmldd/yyyy)
k. Amount
❑
pl
Electric Funds Tran
01/21/2026
$
500.00
❑
$
❑
$
4. Total only this Page
Is
500.00
5. Total of ALL CRO -1210 Pages
(This line mast be online 6 of Detailed Summary Page CRO -1700)
$
500.00
Nu mace noara oc csiecuons
JNION COUNTY
CAMPAIGN FINANCE
JUL 2 4 2026
RECEIVED
April 2007
Amendment
Disbursements Pg i of I ❑ Yes ®Na
Use this formto report expenditures from the committee for operating expenses, contributions to candidate/political
committees and coordinated patty expenditures
1. Committee FLIT Name and FLnd if applicable)
2. ID Number _
SNHTH4WCD2 COMMITTEE
3. Type of Disbursement (Please use separate CRO -1310 forms for each tune olrDisbursement.)
IM Operating Expenses Contributionsto Candidates/Political Committees U Coordinated Party Expcnditmes
4. Payee Information 10 Add 1❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Coordinated Committee Name.
d. Comments
J -BOOKS SERVICES INC
236 SUMMERHOUSE PT
NORWOOD, NC 28128
c Level Registered (Specify)
Federal County:
❑ State ❑ Municipality:
e. Election Sum to Date
$ 70.00
G Account Code
g. Form of Payment
h. Purpose Code
1. Date (mm/ddlyyyy)
I. Amount
1k. Required Remarks
01
Check
0
03/09/2026
$ 70.00
CAMPAIGN REPORTING
5. Total only this Page u
$ 70.00
6. Total of ALL CRO -1310 Pages
$ 70.00
(This line goer in line Ma gfDetalled Summary Page CRO -1100 iiOperating Expenses)
(This line goes in line 13b ojDelailed Summary Page CRO -1100 iiConuib to CandidatesTolitical Comm)
(This line goer in line He oirDetalled Summary Page CRO -1100 if Coordinated Party Expenditures)
7. Purpose Codes (List detailed expenditure code in (h.) above)
A* -Media B* -Printing , IC* - FWndraising �D-To Another Candidate _
E_'=Salades—_q_pmen�_- '�` Gam -Political Party iH*_-_Holding Public Of�ce rtes__
I - Postage J - Penalties OK* tLce rtes *
_ r— FStpe i Q -Donation to Legal Ekpense FLnd
O* Other
* Codes require detailed explanation in required remarks field(k)
Efft"F F11/1
UNION COUNTY
CAMPAIGN FINANCE
JUL 2 4 2026
RECENED
Nc sate lioara of Elections December 2009
NORTH CAROLINA
STATE BOARD OF ELECTIONS
Loan Proceeds Statement
This Statement is used to report detailed information about a new loan and is required to accompany the
Loan Proceeds Form in the report for which the loan is initially disclosed. If the loan is from an individual,
the lender's signature is required on this form.
This Statement Is to be filed with the Election Board where the committee's reports are filed.
•
Name of committee to receive loan: SMITH4WCD2
•
Person or committee to make loan: Tom Smith
•
Date of loan to committee: 01/21/26
•
Name of lending institution (source):
•
Amount of loan: $500.00
•
Description (if in-kind loan):
•
Names of all parties responsible for payment of loan (guarantors):
•
Period of loan: N/A
•
Rate of interest of loan:
•
Security pledged for loan:
Tom Smith , acknowledge that all of the information
(Person lending money to committee)
provided is complete, true, and accurate I further understand I may not forgive a loan
that has an outstandina.balanck-to anv. ource_
01/21/2026
of Lender
of Treasures of Committees ""p"I"
Loan P-AM5rocee N FINANCE Date Signed
JUL 2 4 2026