Atkinson,Jeff_2022-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 intbnnation
1. Committee Information
a. Full Name -- —
C. ID \umber
The Vote Jeff Atkinson Committee
ATKI 18
b. Mailing Address (include City, State and Zip Code)
d. Date Filed
8509 Whitehawk Hill Rd
Waxhaw, NC 28173
07/26/2022
e. Phone Number
(704) 641-4491
2. Report Year
p
3. Period Start Date Imm/ddryy)
4. Period End Date
mmtdd/ ,)
5. Treasurer Full
Name
?(Y_'_' 01 Il l _'
6 022
Baxter Ware Starnes
6. Type of Committee (Check One
9. Type
of Report check only one type o re ort rom one category)
® Candidate Campaign ❑ Party
Municipal
State/County
Referendum
❑ PAC ❑ Referendum
❑
Organizational
❑ Organizational
❑ Organizational
Independent ❑ Joint Fundraiser
❑ Expenditure
❑
Thirty-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑
❑
Pre-primary
Preciection
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7. T of Fund (i(apphcab[e, check one) a
❑ "Booster Fund"
❑ Building Fund
❑
Pre -runoff
❑ Third
❑ Annual
Semi-annual
❑ Fourth
❑ Special
❑
Mid Year
Semi-annual
❑ Other:
❑
Year End
® Mid Yew
10. Speelal'-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
b. Purpose
c. Account Code
b. Purpose
a Account Code
CheckingUOUNTY
Account for
I
77,GN FINANCE
d. Period Begin Balance
d. Period Begin Balance
Committee
JUL 2 6 2022
$ 52.52
REGEIVED
$
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
Baxter Ware Starnes
by the NC State Board of Election
�o .✓
%' a6'� 1
Printed Name of Signer
ignature of Appointed Treasurer
Date
FOR OFFICE USE ONLY
Date Received:nLbaEmployee:
Delivery Method
❑ Normal Mail
Date Postmarked: iK::::
Employee:
g 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 -2100A -E to make committee changes.
CRO -1000 NC State Board of Elections August 2008
Amendment
Detailed Summary ❑ les ® 'o
Use this form to summarize all disclosure revortinK forms and to total monetary information.
1. Committee Full Name and Fund if applicable)
2. T
e of Re ort
3. ID Number
The Vote Jeff Atkinson Committee
Mid Year
ATK118
Start of Election Cycle: January 1, 2022
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
I la) Interest on Bank Accounts
11 b) Contributions from Not -for -Profit Organizations
lie) Outside Sources of Income
11d) Legal Expense Fund — Other Sources
11 e) Exempt Purchase Price Sales
(CRO -1105)
(CRO -1110)
(CRO -1120)
(CRO -1230)
(CRO.1410)
(CRO -1240)
(CRO -1150)
(CRO -1250)
(CRO -1150)
(CRO -1170)
(CRO -1265)
$
S
52.52
$ 52.52
$
S
$
S
$
S
$
$
$
$
$
$
$
$
$
$
$
$
$
S
S
12)
13)
14)
15)
16)
17)
TOTAL RECEIPTS (Add lines 5.6. 7.8,9, lo, Ila, llb, Ile. lldand lie)
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 -1420)
Refunds/Reimbursements From the Committee (CRO -1320)
In -Kind Contributions (CRO -1510)
S
$
S
$
$
$
$
$
$
$
$
$
$
$
$
$
18)
TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15. 16and 17)
$
$
19) Cash on Hand at End (Add 6mx l and 12rogerher, thenmbtraetline 18)
20l Non -Monetary Gifts Giv en to Other Committees (CRO -1330)
21) Outstanding Loans (incl. ones from other campaigns) (CRO -1430)
22) Debts and Obligations owed By the Committee (CRO -1610)
23) Debts and Obligations owed To the CRY",ee' ', � U : (CRO -1620)
24) Account Transfers Within the Com mfiNeAIGN FINANCE(CRO-1720)
25) Administrative Support illi_ 2 6 2022 (CRO-r71o)
26) Forgiven Loans R E C E 7y"o-l"o)
iV ��.
27) 48 -Hour Notice Reports Sum (CRO -2210)
28) Contributions to be Refunded (CRO -1215)
$
$
$
52.52
$
$
S
S
$
$
$
$
S
$
$
$
CRO -1100 NC State Board of Elections August 2008