Loading...
Bention,Jimmy_2022-2nd-qtrAmendment Disclosure Report Cover ❑ Yes ® 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 uodate information 1. Committee Information a. Full Name c. ID Number Committee to Elect Rev. Bention, Sr. b. Mai6og Address (include City, State and Zip D d. Date Filed 302 Tucker Street JUL 022 07/05/2022 Monroe, NC 28110 e Plume Number Union Co:. Elections UFi 704-572-0879 2. Report Year 3. Period Start Date (mm/dd/yy) 4. Period End Date 5. Treasurer Full Name mm/d Latoya L.Bention 2022 105/01/2022 0630/2022 6. Type of Committee Check One 9. Type of Report check on!v one tvpe o re ort om 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 ❑ Pre-election ❑ First ® Second ❑ Final ❑ Supplemental Final 7. Type of Fund (if applicabk, check ore) ❑ "Booster Fund- ❑ 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 Fargo b. Purpose c. Account Code b. Purpose a Account Code Election 104 Committee d. Period Begin Balance d. Period Begin Balance Donations S 2,642.90 S 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 1 have been trained by the NC State Board of Elections. Lw+o_c.. L. f3r__}.oti tj:n_ L. fzm SuI•, -5020ILa.- Printed Name of Signer % nature of Appointed Treasurer Date FOR OFFICE USE ONLY Delivery Method Date Received: Employee: ElNormal Mail 14* ❑ Registered Mail Date Postmarked: Employee: ❑ Hand Delivered ❑ Electronically Filed Date Scanned: Employee: ❑ 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 -2 100A -E) to make committee changes. CRO -1000 NC State Board of Elections August 2009 Amendment Detailed Summary p yes ® %o Use this form to summarize all disclosure reoortime forms and to total monetary information. 1. Committee Full Name and Fund if applicable) 2. of Report 3. ID Number Committee to Elect Rev. Bention, Sr. Second Quarter Report Start of Election Cycle: January 1, 2022 Total this Report uPeriod Total this Election Cycle 4) Cash on Hand at Start RECEI 5) Aggregated Contributions from Individuals 6) Contributions from Individuals 7) Contributions from Political Party Committees 8) Contributions from Other Political Committees 9) Loan Proceeds 10) Refunds/Reimbursements To the Committee 11) Other Receipt Sources Ila) Interest on Bank Accounts 11 b) Contributions from Not -for -Profit Organizations 1 le) 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 -1150) (CRO -1250) (CRO -1150) (CRO -1170) (CRO -1165) $ $ 2,642.90 25 ti S 0 360 $ 0 $ 2,640 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 12) TOTAL RECEIPTS (Addlines5. 6.7.8, 9. 10, Ila, l/b. 11c. lldand lie) EXPENDITURES _ 13) Disbursements 13a) Operating Expenditures (CRO -1310) 13b) Contributions to Candidates/Political Committees (CRO -1310) 13c) Coordinated Party Expenditures (CRO -1310) 14) Aggregated Non -Media Expenditures (CRO -1315) 15) Loan Repayments (CRO -1410) 16) Refunds/Reimbursements From the Committee (CRO -1310) 17) In -Kind Contributions (CRO -1510) $ 25 $ 3000 $ 99.03 $ 404.54 $ $ $ $ 26.59 $ $ $ $ $ $ $ $ 18) TOTAL EXPENDITURES (Add lines 13a. 13b. 13c. 14. 15. 16and 17) $ 99.03 $ 431.13 19) Cash on Hand at End 1.-1,0lmc%4 and 12together. ihensubtractline 18) ADD - , INFORMA 20) Non -Monetary Gifts Given 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 Committee (CSO -1620) 24) Account Transfers Within the Committee (CRO -1720) 25) Administrative Support (CRO -1710) 26) Forgiven Loans (CRO -1440) 27) 48 -Hour Notice Reports Sum (CRO -1110) 28) Contributions to be Refunded (CRO -1115) $ $ $ $ $ $ $ 2,568.87 $ 2,568.87 REMEIVED $ $ fit, r $ $ Unior go. Board Of El .,,, > CRO -1100 NC State Board of Elections August 2008 Amendment Aggregated Contributions from Individuals Page , of 1 ❑ Yes ® .a Optional form used to report NC Contributions From Individuals of $50 or less 1. Committee Full Name and Fund if applicable) 2. ID Number Committee to Elect Rev. Bention, Sr. 3. Contributor Information a. Amend b. Account Code C. Form of Payment d. In -Kind Description e. Dale mm/dd/ f, Amount Add 104 Credit Card N/A 06/08/2022 $ 25 Remove Add $ ❑ Remove ❑ Add $ Remove Add $ Remove Add $ Remove Add $ Remove Add $ Remove ❑ Add $ ❑ Remove Add $ Remove Add $ Remove Add $ ❑ Remove Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove Add $ Remove Add $ Remove Add $ E] Remove Add $ ❑ Remove Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove 4. Total only this Page $ 25 5. Total of ALL CRO -1205 Pages (This fine must be on fine 5 ojDetailed Sununarp PageCRO-1100) $ 25 CRO -1205 NC State Board of Elections April 2007 Amendment Disbursements Pg I of I ❑ ves Use this form to report expenditures from the committee for: operating expenses, contributions to candidate/political committees and coordinated party expenditures. 1. Committee Fall Name and Fund if applicable) 2. ID Number Committee to Elect Rev. Bention, Sr. 3. Type of Disbursement Please use se rate CRO -1310 form for eaelt nwe of Disbursement ® Operating Expenses ❑ Contributions to Cwdidates/Poiaical Committee, ❑ C'o..nimated Partx Expenditures 4. Payee Information R Add Remove a. Full Name, Mailing Address & Phone include city, state & a b. Coordinated Committee Name d. Comments Campaignpartners.com PO Box 118 Still River, MA 01467 617-500-7251 c. level Registered (Specify) ❑ Federal ® County: ❑ State ❑ Municipality: e. Election Sum to Date $ 201 E Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount L Required Remarks 104 CreditCard O 05/08/22 $49 Monthly website fee 104 CreditCard O 06/08/22 $49 Monthly website fee 4. Payee Information Add El Remove a. Full Name, Mailing Address & Phone include city, state & a b. Coordinated Committee Name d. Comments Online Platform for accepting donations https://stripe.com/ 185 Berry St #550 San Francisco, CA 94107 c. IAvd Registered (Specify) ❑ Federal ® County: ❑ State ❑ Municipality: e. Election Sum to Date $ 48.51 E Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount L Required Remarks 104 Bank Draft O 06/08/22 $1.03 Stripe processing fee 4. Payee Information F Add Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Date f, Account Code g. Form of Payment h. Purpose Code L Date (mm/dd/yyyy) j. Amount k. Required Remar $ JUL 0 5 2022 $ Union Co. Board of Elections 5. Total only this Pae $ 99.03 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) (This fine goes in line 13b of Detailed Summary Page CRO -1100 if Contrib to Candidates/Pnfifical Comm) $ 99.03 (This line goes in line 13c of Detailed Summon, Page CRO -1100 if Coordinated Party Expenditures) 7. Purpose Codes(List detailed expenditure code in h. above A* - Media B* - Printing C* - Fundraising D -'I o Another Candidate E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses 1 - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* - Other * Codes require detailed explanation in required remarks field k CRO -1310 NC State Board of Elections December 2009