Atkinson,Jeff_2020-YearEndAmendment
Disclosure Report Cover ❑ 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
it. I till Name
c. Ill Number
The Vote Jeff Atkinson Committee
ATK118
b. Mailing Address (include City, State and Zip Code)
it. Date Filed
8509 Whitehawk Hill Rd
01/29/21
Waxhaw, NC 28173
e. Phone Number
(704) 641-4491
2. Report Year
3. Period Start Date tmm/d(mm/dd/yy)4.
Period End Date
5. Treasurer Full Namey)
mm/dar )
Baxter Www Stawtc
2020 0701 '0
12 31/20
6. Type of Committee tCheck One
9. Type
of Report cheek only one e o 're ort
om one tate o
® Candidate Campaign ❑ Party
Municipal
State/County
Referendum
❑
Organizational
❑ Organizational
❑ Organizational
❑ PAC ❑ Referendum
Independent ❑ Joint Fundraiser
❑ Expenditure
❑
Thirty-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑
Pre-primary
❑ First
❑ Final
orre) :
❑ "Booster Fund"
❑
Pre-election
❑ Second
❑ Supplemental Final
❑ 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 Faro Bank
It. Purpose
c. Account Code
b. Purpose
c. Account Code
Checking
1
Account for
d. Period Begin Balance
d. Period Begin Balance
Committee
$ 52.52
$
CERTIFICATION
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 1 have been trained
by the Slate Board of Ele 'ons.
/ 9
Baxter Ware Starnes
c.? — o?
Printed Name of Signer
Signature of Appointed Treasurer
Date
FOR OFFICE USE ONLY
Date Received:
Employee: Delivery Method
❑
Normal Mail
❑ Registered Mail
Date Postmarked:
Employee:
❑ Hand Delivered
Date Scanned:
Employee: ❑ Electronically Filed
❑ 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 ❑ \'es ® No
Use this form to summarize all disclosure reaortinQ forms and to total monetary information.
1. Committee Full Name(and Fund if applicable)
2. T
e of Report
3. ID Number
The Vote Jeff Atkinson Committee
Year End
ATK 118
Start of Election Cycle: January 1, 2020
Total this
Reporting Period
Total
Election Cycle
4)
5)
6)
7)
8)
9)
10)
11)
Cash on Hand at Start
Aggregated Contributions from Indic iduals
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
fib) Contributions from Not -for -Profit Organizations
11c) Outside Sources of Income
Ild) Legal Expense Fund — Other Sources
11 e) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1210)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CR0.1240)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1270)
(CRO -1265)
$
$
52.52
$
$
52.52
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
12)
13)
14)
15)
16)
17)
TOTAL RECEIPTS (Addlines5.6.7.8.9.10,Ila. 11h.11r.11dandlie)
Disbursements
13a) Operating Expenditures (CRO -1310)
13b) Contributions to Candidates/Political Committees (CRO -1310)
13c) Coordinated Party Expenditures (CR04310)
Aggregated Non -Media Expenditures (CRO -1315)
Loan Repayments (CRO -1420)
Refunds/Reimbursements From the Committee (CRO -1320)
In -Kind Contributions (CRO -1510)
$
$
$ $
$ $
$ $
$ $
$ $
$ $
$ $
18)
TOTAL EXPENDITURES (Add lines 13a, 136, 13e, 14, 15, 16 and 17)
$
$
19) Cash on Hand at End(Additnes 4and 12 together, thenninract line 18)
ADDITIONAL
$
52.52
20)
21)
22)
23)
24)
25)
26)
27)
28)
Non-1lonetarc Gifts Given to Other Committees
Outstanding Loans (incl. ones from other campaigns)
Debts and Obligations owed By the Committee
Debts and Obligations owed To the Committee
Account Transfers Within the Committee
Administrative Support
Forgiven Loans
48 -Hour Notice Reports Sum
Contributions to be Refunded
(CRO -1330)
(CRO -1430)
(CRO -1610)
(CRO -1620)
(CRO -1720)
(CRO -1710)
(CRO -1440)
(CRO -2220)
(CRO -1215)
$
$
$
$
$
$ $
$ $
$ $
$ $
CRO -1100 NC State Board of Elections August 2008