Atkinson,Jeff_2019-MidYearAmendment
Disclosure Report Cover I ❑ 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. ID Number
The Vote Jeff Atkinson Committee
ATK118
b. Mailing Address (include, City, State and Zip Code)
, . �.
it. Date Filed
8509 Whitehawk Hill Rd
JU� 2 2019
07/26/19
Waxhaw, NC 28173
e. Phone Number
Union Co. Elections
(704)641-4491
2. Report Year
3. Period Start Date (mm/dd/yy)
4. Period End Date
5. Treasurer Fall Name
mm/dd/
Baxter Ware Starnes
2019
01/01/2019
06/30/2019
6. Type of Committee Check One
9, Type
of Report check only one ttvne ore ort rom one tate o/
® Candidate Campaign ❑ Party
Municipal
State/County
Referendum
❑ PAC ❑. Referendum
❑
Organizational
❑ Organizational
❑ Organizational
Independent Joint Fundraiser
❑ Expenditure - [j Joint
Thi dY-five da Y
Quarterly
E]Pre-referendum
❑ Legal Expense Fund
❑
❑
Pre-primary
Pre-election
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7. Type of Fund (y'applicable, check one)
❑ 'Booster Fund"
❑ Building Fund
❑
Pre -runoff
❑ Third.
❑ 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
0
11. Account 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
1
Account for
Committee,
it. Period Begin Balance
d. Period Begin Balance
$ 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 the NQ St to Board of El , tions,
Baxter Ware Starnes
q
7 --2L �/
Printed Name of Signer
ignature of Appointed Treasurer
Date
FOR OFFICE USE ONLY
Date Received: d` �a q
Employee:
DelivM Method
❑ Normal Mail
Date Postmarked:
Employee:
] Registered Mail
Hand Delivered
Date Scanned: 8�� �tq
Employee:
❑❑❑❑ Electronically Filed
®
! t �
❑ 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
Amendment
Detailed Summary ❑ --Yes E ........-No..-.-...
Use this form to summarize m
all disclosure reporting fors and to total monetary information.
1. Committee Full Name and Fund if applicable) 7TTTpeofReport
3, ID Number
The Vote Jeff Atkinson Committee
Mid Year .
ATKI 18
Start of Election Cycle: January 1, 2019
Total this
Reporting Period
'notal this
Election C cle
4)
Cash on Hand at Start
$
52.52
$ 52.52
�1-�s•PTS
5)
6)
Aggregated Contributions from Individuals
Contributions from Individuals
(CRO -1205)
(CRO -1210).
$
$.
- $
$
7)
--
8)
Contributions from Political Party Committees
-- --
Contributions from Other Political Committees
(CRO -1220)
_.-.---
(CRO 1230)
$
$
$
$
$
$
9) Loan Proceeds - (CRO -1410)
10)
11)
Refunds/Reimbursements To the Committee
Other Receipt Sources
_ .... ........ ----.._.
Ila) Interest on Bank Accounts
(CRO -1240)
— —
(CRO -1250)
$
$
• $
$
llb) Contributions from Not -for -Profit Organizations
(CRO -1250)
$
$
Ile) Outside Sources of Income
(CRO -1250)
$
$
lld) Legal Expense Fund —Other Sources
--------- - - --- ---- —
Ile) Exempt Purchase Price Sales,
(CRO -1270)
(CRO -1265)
$
$
$
$
12)
13)
TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10, Ila, Ilh, Mel1d and Ile)
Disbursements
$
$
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)
$
$
18)
TOTAL EXPENDITURES (Add lines 13a, /3b, /3c, 14,13, 16and 17)
$
$
19)
Cash on Hand at End (Add lines 4 and 12 logether, (hen subiraci line 18)
$
52.52
$ 52.52
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
(CRO -1330)
(CRO -1430)
(CRO -1610)
$
$
$
-
��
o t7F F775 mn
23)
24)
.... .._..
Debts and Obligations owed To the Committee
Account Transfers Within the Committee
--
(CRO -1620)
(CRO -1720)
$
Jul. 1105 ULM
Uniono, Eea '
$
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