Atkinson,Jeff_2019-YearEndAmendment
Disclosure Report Cover I ❑ -1es ® No
Use this form for general report and committee information, must be signed and submitted along with other detailed forms.
Do not use this forth to update information
1. Committee Information
a. Full Name
c. ID Number
The Vote Jeff Atkinson Committee
7L F w L
ATKI 18
b. Mailing Addreaa (include City, State and Zip Code)
jAN 31 2UZ0d.
Date Filed
8509 Whitehawk Hill Rd
Waxhaw, NC 28173
Union Co. Elections
01/31/20
e. Phone Number
(704)641-4491
2. Report Year
3. Period Start Date (mm/dd/yy)
. Period
e od End Date 5. Treasurer Full Name
Baxter Ware Starnes
2019
07'01 19
12.'31 19
6. Type of Committee Check One)
9. Type
of Report (check only one type of report rom one category)
® Candidate Campaign ❑ Party
Municipal
State/County
Referendum
❑ PAC ❑ Referendum
❑
Organizational
❑ Organizational
❑ Organizational
Independent ❑ )Dint Fundraiser
❑ Expenditure
❑
Thirty-five day
Quarterly
❑ Pre -referendum
❑ Legal Fxpensc Fund
❑
❑
Pre-primary
Preelection
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7. Type of Fund ffapp(icalik. check ora)
❑ "Booster Fund"
❑ Building Fund
❑
Pre -runoff
❑ Third
❑ Annual
Semi-annual
❑ Fourth
❑ Special
❑
Mid Year
Semi-annual
❑ Other:
❑
Year End
❑ Mid Year
10. Sixtial Report Name
❑
❑
Final
Special
® Year End
❑ Final
❑ Special
8. Number of Fundraisers this Report
p
11. Account Information
11. Account Information
a. Financial Institution Full Name
a. Financial Iasntution Full Name
Wells Faro Bank
IL Purpose
a Account Code
b. Purpose
c Account Code
Checking
1
Account For
Committee
it. Period Begin Balance
d. Period Begin Balance
$ 52.52
$
CERTIFICATION
1 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 Ng State Board of Electi
Baxter Ware Starnes�.
At --
D/ 3/ asap
Printed Name of Signer
tgnalure of Appointed Treasurer
bate
FOR OFFICE USE ONLY
-i
_
Delivery Method
Date Received: �J/ / ;
TT
Employee:
El Normal Mail
Date Postmarked:
Employee: Registered Mail
R
Hand Delivered
Date Scanned:
Employee: ❑ Electronically Filed
❑
Signer has not received
Date Data Entered:
Employee:
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-210OA-E) to make committee changes.
CRO -1000 NC State Board of Elections August 2008
Amendment
Detailed Summary JAN 31 2020 ❑ Yes ® No
Use this form to summarize all disclosure reporting forms and ti total monetary informatio .
1. Committee Full Name and Fund if applicable)
2.
I rElectlo
3. ID Number'
The Vote Jeff Atkinson Committee
Year
End
ATKI 18
Start of Election Cycle: January 1, 2019
Total this
Reporting Period
Total this
Election Cycle
4)
5)
6)
7)
8)
9)
10)
11)
Cash on Hand at Start
Aggregated Contributions from Indi%iduak
Contributions from Individuals
Contributions from Political Party Committees
Contributions from Other Political Committees
Loan Proceeds
Refunds/Reimbursements To the Committee
Other Receipt Sources
Ila) Interest on Bank Accounts
l lb) Contributions from Not -for -Profit Organizations
Ile) Outside Sources of Income
lid) Legal Expense Fund—Other Sources
11 e) Exempt Purchase Price Sales
N0-1'05)
(CRO -1210)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CRO -1140)
(CRO -1250)
(CRO -1250)
(CRO -1150)
(CRO -1270)
(CRO -1265)
$ 52.52
$
S
S
52.52
$ S
$ $
$ $
$ $
$ $
$ $
$ $
$ $
S $
S $
12)
13)
14)
15)
16)
17)
TOTAL RECEIPTS (Addtines5.6.7.8. 9, lo, Ila, llb. 11c. lldand lie)
Disbursements
13a) Operating Expenditures (CRO -1310)
13b) Contributions to Candidates/Political Committees (CRO -1.310)
13c) Coordinated Party Expenditures (CRO -1310)
Aggregated Non -Media Expenditures (CRO -1315)
Loan Repayments (CRO -1410)
Refunds/Reimbursements From the Committee (CRO -1320)
In -Kind Contributions (CRO -1510)
Is
$
$ $
$ $
$ $
$ $
$ $
$ $
$ $
18)
TOTAL EXPENDITURES (Addlines 13a, 13b, 13c, 14. 15. 16and 17)
$
$
19)
A�QNAL.INTO
20)
21)
22)
23)
24)
25)
26)
27)
28)
Cash on Hand at End(.1ddlmes 4and 12 together. ihensabtraci 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 -1610)
Account Transfers Within the Committee (CRO -1720)
Administrative Support (CRO -1710)
Forgiven Loans (CRO -1440)
48 -Hour Notice Reports Sum (CRO -2110)
Contributions to be Refunded (CRO -1115)
$ 52.52
$
5'
$
$
$
$
$
$ S
S $
$ $
$ $
CRO -1100 NC State Board of Elections August 2008