Atkinson,Jeff_2020-Mid-YearDisclosure Report Cover �E3 Y°e°'
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.
eraiafion
. Fu6 Name
e. M N�
7/!E VP Txr iKiti/son/ Co,4f.U17TtE�
AT -K /l
. Mailing Add,e (include qty, State and Zip Code)
d. Date Fled
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-7 3/ do_?o
+A)/ Alv C. e7 cP/ % 8
e. Phone Number
(7o'tZJG-//-'7�9/
Re ort Year
3. POW
4. Period End Date mm/
S. Treasurer Full Name
�o io
O//off/aeon
o� ao/r;2o !p
99xTtA !.✓9r1F 57 -4 -AA/
6. Type of Committce Check One
9. TW
of Report (check only one type of r5epnonfrom one category)
® Candidate Campaign ❑ Pany
Municipal
statelcounly
Referendum
❑ PAC ❑ Referendum
❑ Omanimuonal
❑ Organisational
❑ Organizational
❑ Independent Expenditure ❑ Joint Fundraiser
❑ Thiny-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑ Pre-primary
❑ First
❑ Final
0 Pre-election
❑ Second
❑ Supplemental Final
❑ Pre-mnoff
❑ Third
❑ Annual
❑ Booster Fund
Semi-annual
❑ Fourth
❑ Special
❑ Building Fund
❑ Mid Year
Semi-annual
❑ Year End
® Mid Year
Re rt Nenae
❑ Other:
❑ Final
❑ Special
❑ Year End
❑ Final
_
8. Numher of Fundraisers this Report
— C) —
❑ Special
1.1. Account Information
11. Account Information
. Financial Institution Full Name
a. Financial Institution Full Name J
GtJELL S F�RGo �j�ll�
RECEIVED
. Purpose
e. Account Code
Jr. Purpose
c. Aon
iSA C0AIMir7-ZZC
y�0 -
d. Period Begin Balanced.
54Q
Period Begin
$ Sat , 6a .
$
ERTIFICATION
I cenify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B & 2213-22M 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 of Elections.
saRxiF2 a/�¢� ST�a✓FrGJ,ra_ 7-3/-a0
Printed Name of Signer (Signature of Appointed Treasurer Date
FOR OFFICE USE ONLY
.Q
Date Received: Employee: Delivery Method
❑ Normal Mail
Date Postmarked: Employee: Registered MailHand Delivered
Date Scanned: Employee: ❑ Electronically Filed
Date Data Entered: Employee: ❑ Signer has not received
mandatory training
Please Note: This form cannot he 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 snake committee changes.
CRO -1000 NC State Board of Elections August 2008
Detailed SI1mmar At rendment
Y o Yes fSI No
Use this form to summarize all disclosure re orcin Forms and to total monetary information
1. Committee Full Name (and Fund d a ica le)
2. Type of Report
3. ID Number'
T7% ✓oic cTEGGilTK/Vd4✓ CCIRM/7%r
�/�
E/4�
A� K Il8
Start of Election Cycle: January 1, 010-20
Total this
Reporting Period
Total this
Election Cycle
4) Cash on Hand at Start
$
Sa , sa
S
RECEIPTS
5) Aggregated Contributions from Individuals
6) Contributions from Individuals
7) Contributions from Political Party Committees
8) Contributions from Other Political Committees
(CRO -1205)
(CRO -1210)
(CRO -1220)
(CRO -1230)
$
$
$
$
$
$
$
$
9) Loan Proceeds
0) Refunds/Reimbursements to the Committee
1) Other Receipt Sources
11s) Interest on Bank Accounts
11 b) Contributions from Not -For -Profit Organizations
I lc) Outside Sources of Income
lld) Legal Expense Fund - Other Sources
l le) Exempt Purchase Price Saks
(CRO -1410)
(CRo.1240)
(CRO -1250)
(CRO -1250)
(CR0.1250)
(CRO -1270)
(CRO -1265)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
12) TOTAL RECEIPTS (Add lines 5.6.7, 8.9,10,1 la,l lb.11c.1 ld and I le)
$
$
EXPENDITURES
13) Disbursements
13a) Operating Expenditures
13b) Contributions to Candidates/Political Committees
13c) Coordinated Party Expenditures
4) Aggregated Non -Media Expenditures
(CRO -1310)
(CRO -1310)
(CRO -1310)
(CRO -1315)
$
$
$
JUL 3
$
Au
$
p
15) Loan Repayments
(CRO.1420)
$
$
pF El E�
16) Refunds/Reimbarsements from the Committee
(CRO -1320)
$
$
7) In -Rind Contributions
(CRO -1510)
$
$
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15. 16 and 17)
$
$
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18
$
J.2, S �
S
sSj 's 2
DDITIONAL INFORMATION
0) Non -Monetary Gifts Given to Other Committees
1) Outstanding Loans (incl. ones from other campaigns)
2) Debts and Obligations owed by the Committee
23) Debts and Obligations owed to the Committee
24) Account Transfers Within the Committee
25) Administrative Support
Forgiven Loans
(CRO -1330)
(CRO -1430)
(CRO -1610)
(CRo-1620)
(CRO -1720)
(CRO -1710)
(CRO -1440)
$
$
o.. :..
$
$
$
$ $
$ $
48 -Hour Notice Reports Sum
(CRO -2220)
$
$
Contributions to be Refunded
(CRO -1215)
$
$
CA 1100 NC State Board of Elections August 2008