Atkinson,Jeff_2021-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 Voce Jeff Atkinson Committee
ATKI 18
b. Mailing Address (include City, State and Zip Code)
d. Date Filed
8509 Whitehawk Hill Rd
07/30/2021
Waxhaw, NC 28173
e. Phone Number
(704)641-4491
2. Report Year 3. Period Start Date (mm)dd/yy)
4. Period End Date
mm/dd/
5. Treasurer Full Name
2021
_
1 01/01/21
0630'21
Baxter Ware Starnes
6. of Committee Check One 9. Type
of Report check only one type of re ort om one tate
® Candidate Campaign ❑ Party Municipal
State/County
Referendum
❑ PAC ❑ Referendum ❑
Organizational
❑ Organizational
❑ Organizational
Expenditure
❑ Expenditure Joint Fundraiser ❑
Thirty-five day
Quarterly❑
Pre -referendum
Legal Expense Fund
❑
Pre-primary
❑ First
❑ Final
❑ "Booster Fond" ❑
Pre-election
❑ Second
❑ Supplemental Final
❑ Building Fond ❑
Pre -runoff
❑ Third
❑ Annual
Semi-annual
❑ Fourth
❑ Special
❑
Mid Yew
Semi-annual
❑ Other: ❑
Year End
® Mid Year
10. Special Report Name
❑
Final
❑ Year End
8. Number 4tu6draisers this Re rt ❑
Special
❑ Final
p
❑ Special
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. Pur ION COUNTY
c. Account Code
Checking
1CAMPAIGN
FINANCE
Account for
Committee
JUL 3 Z�2�
d. Period Begin Balance
d. Period Begin Balance
$ 52.52
$
RECEIVED
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 1 have been trained by the_W State Board of EI ons.
Baxter Ware Starnes(r/64,
- p
Printed Name of Signer
Signature of Appointed Treasurer
Date
FOR OFFICE USE ONLY
Date Received: 7 30 a �
Employee:
45d—
Delivery Method
❑ Normal Mail
Date Postmarked:
Employee:
Registered Mail
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 -2 100A -E) to make committee changes.
CRO -1000 NC State Board of Elections August 2008
\mendment
Detailed Summary ❑ N e, ® No
Use this form to summarize all disclosure reporting forms and to total monetary information.
1. Committee Full Name and Fund if sp licable)
2. Type
of Report
3. ID Number
The Vote Jeff Atkinson Committee
Mid Year
ATK 118
Start of Election Cycle: January 1, 2021
Total this
Reporting Period
Total this
Election Cycle
4)
5)
6)
7)
8)
9)
10)
11)
Cash on Hand at Start
Aggregated Contributions from Individuals
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
11b) Contributions from Not -for -Profit Organizations
11c) Outside Sources of Income
11d) Legal Expense Fund — Other Sources
11 e) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1210)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CRO -1140)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1170)
(CRO -1265)
$
$
52.52
$
$
52.52
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
12)
13)
14)
15)
16)
17)
TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10, Ila. Il b, IIc, Ild and Ile)
Disbursements
13a) Operating Expenditures (CRO -1310)
13b) Contributions to Candidates/Political Committees (CRO -1310
13c) Coordinated Party Expenditures (CRO -1310)
Aggregated Non -Media Expenditures (CRO -1315)
Loan Repayments (CRO-142f—CCE
Refunds/Reimbursements From the Committee (CRO -1320)
In -Kind Contributions (CRO -1510)
$
$
0
$ $
W ION COUNTY $
$ $
$
$
$ $
$ $
18)
TOTAL EXPENDITURES (Add lines 13a, 13b, 13e, 14, 15, 16 and 17)
$
$
19)
A
20)
21)
22)
23)
24)
25)
26)
27)
28)
Cash on Hand at End (Addbne.v J,i,/ C together, thensubtract line 18)
Non -Monetary Gifts Gicen 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 -1620)
Account Transfers Within the Committee (CRO -1720)
Administrative Support (CRO -1710)
Forgiven Loans (CRO -1440)
48 -Hour Notice Reports Sum (CRO -2220)
Contributions to be Refunded (CRO -1115)
$
52.52
$
52.52
$
$
$
$
$
$ $
$ $
$ $
$ $
CRO -1100 NC State Board of Elections August 2009