Loading...
Callis,Elizabeth_2019-YE-reportdment Disclosure Report Cover es E3 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 . Full Name c. ID Number Elizabeth Callis for Mayor . Mailing Address (include City, State and Zip Code) it. Date Filed 1675 Cox Road 1/29/2020 Weddington NC 28104 a Pltone Number 704-8140525 2. Report Year 3. Period Start Date (mm(daivy) 4. Period End Date (m®lddhy) S. Trewmr Full Name Elizabeth Callis 2019 7/5/2019 12/31/2019 Committee Check Ones 9. of Report (check only one type of report from one category) Wof Candidate Campaign ❑ Party Municipal Statc/County Referendum ❑ PAC ❑ Referendum Organizational ❑ Organizational ❑ organizational ❑ independent Expenditure ❑ Joint Fundraiser ❑ Thirty-five day Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ Pre-primary ❑ Firs ❑ Final ❑ Pre-election [:I Pre -runoff Second ❑ Third ❑ Supplemental Final ❑ Annual 7. Type of Fund ofapplicable. cheek ora) ❑ Boo.ter Fund Semi-annuat E] Fourth ❑ Special ❑ Building Fund Mid Year Semi-annual Year End ❑ Mid Year 10. special RiTort Name ❑ Oihcr. ❑ Final ❑ special ❑ Year End ❑ Final ❑ special 8. Number of Fundraisers this Report 11. Account Information 11. Account Information . Fin, cial Institution Full Name a. Financial Institution Full Name Truliant Credit Union b. PurPOSUNION COUN I Y e. Account Code b. Purpose - c. Account code CAMPA EC JAN 2 9 2020 it. Period Begin Balanced. Period Begin Balance $o --- $ CER I certify 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. 1 further certify that this report is complete, true and correct and that I have been tra led by the NC State B IW5,"J. Elizabeth Callis 1/29/2020 Printed Name of Si store of Appointed Treasurer Date FOR OFFICE USE ONLY Date Received: aZ0 Employee: Delivery Method [3Normal Mail Date Postmarked: Employee: 0 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 2009 Detailed Summary E3 `ves°` p No Use this form to summarize all disclosure renoninp fonns and to total monct• information 1. ommittee Fall Name (and Fund if ap licable) 12. Type of Report 13. ED Number Elizabeth Callis for Mayor Year- End Start of Election Cycle: January 1, 2o1sTotal this Reporting Period Total this Election Cycle 4) Cash on Hand at Start $ 0 $ RECEIPTS 5) Aggregated Contributions from Individuals (CRO -1205) $100.00 $ 6) Contributions from Individuals (CRO -1210) $1913.34 $ 7) Contributions from Political Party Committees (CRO -1220) $ $ 81 Contributions from Other Political Committees (CRO -1230) $144,00 $ 9) Loan Proceeds (CRO -1410) $ $ 10) Refunds/Reimbursements to the Committee (CRO -1240)$ $ 1 l) Other Receipt Sources Ila) Interest on Bank Accounts (CRO-12so) $ $ I lb) Contributions from Not -For -Profit Organizations (CRO -1250) $ $ I lc) Outside Sources of Income (CRO -1250) $ $ l Id) Legal Expense Fund - Other Sources (CRO -1270) $ $ I Ie) Exempt Purchase Price Sales (CRO -1265) $ $ 12) TOTAL RECEIPTS (Add lines 5, 6. 7, 8, 9,10.11a.I Ib,I Ic.l Id and I Ie) $2157.34 IS EXPENDITURES 13) Disbursements 13a) Operating Expenditures (CRO -1310) $ 2072,3eF $ 13b) Contributions to Candidates/Potitical Committees (CRO -1310) $ $ 13c) Coordinated Party Expenditures (CRO -1310) $ $ 14) Aggregated Non -Media Expenditures (CRO -1315) $ $ 15) Loan Repayments (CRO -1420) $ $ 16) Refunds/Reimbursements from the Committee (CRO -1320) $ $ 17)In-Kind Contributions (CRO -1510) $85.00 $ 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $2157.34 $ 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line I S $ 0 $ ADDITIONAL INFORMATION 0) Non -Monetary Gifts Given to Other Committees (CRO -1330) $ 1) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) $ 2) Debts and Obligations owed by the Committee (CR04610) $ 3) Debts and Obligations owed to the Committee (CRO -1620) $ UMON cOUN-A - - 4) Account Transfers Within the C(gP*PP#GN FINANCEPRO-1720) $ 5) Administrative Support (CRO -1710) JAN --2-9--2020 6) Forgiven Loans (CRO -1440) $ $ $ $ 7) 48 -Hour Notice Reports Sum (RO-2220) $ $ 8) Contributions to be Refunded (CRO -1215) $ $ CRO -1100 NC State Board of Elections August 2008 Amendment Aggregated Contributions from Individuals Page 1 or 1 ❑ Yes ❑ No Optional form used to report NC Contributions From Individuals of $50 or less 1. Co®filtee Full Name and Fuad if a ble) 2. ID Number Elizabeth Callis for Mayor Contributor Information A. 1b.AccounlCode c.Form of Payment d. In -Kind Description e. Ihue I mnddd/yyyy) L Amount $50.00 Add ❑ Remove Cash 8/11/19 Add ❑ Remove Cash 8/11/19 $50.00 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 El Add $ 1:3 Remove Add $ ❑ Remove Add $ 11RemoveCOUN Y Aad AMPAIGN F 13Remove$ Add $ ❑ Remove Add RECEIVED $ [:3 Remove Add $ ❑ Remove 4. Total only this Page $100.00 5. Total of ALL CRO -1205 Pages (This fine must be online 5 of Delaiki(Summary Page CRO -1100)$ 100.00 CRO -1205 NC State Board 4 Elections April 2007 Contributions from Individuals Pg -L or 4 El Yes Amenduient ❑ No Use this form to report individual contributions over $50 or contributions under $50 if roan CRO 1205 is not aced 1. Committee Fall Name (and Fund it lieable 2 ID Number Elizabeth Callis for Mayor . Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Indeftofession d. Comments Builder Steve McLeod 217 Avinger Lane Davidson, NC 28036 e. Employer's NamelSpecific Field McLeod Corporation e Election Som to fate $ 250.00 f.Prior g. Account Code d Form of Payment i. In Kind Deseription j. fate (®lddlyyyy) it. Amount ❑ EC Check 8/10/19 $250.00 ❑ $ ❑ $ 3. Contributor Information Add 0 Remove . Full Name, ((tailing Address & Phone (include city, stale, & rip) b. Job 75ae/ProfeWoo d. Comments Retired/Investor Larry Almond 1120 Baron Road Waxhaw, NC 28173 c. Employer's Namd3pecitic Field e. Election Som to fate $ 250.00 . Prior g. Account Code It. Form of Payment L In Kiod Description J. hate (mmldd/yyyy) It. Amotmt ❑ Check 8/12/19 $250.00 ❑ $ ❑ $ 'A. Contributor Information ❑ Add ❑ Remove . Full lame. Mailing Address & Phone tinclude city, stale, & zip) Burke & Carolyn Robertson 133 White Sulphur Springs Road Mt. Airy, NC 27030 b. Job TidelProression d. Comments Retired/Real Estate c. Employer's Name/Spedac Field e. Election Sum to Date $125.00 . Prior g. Account Code b. Form of Paytaenl 1. yo- TY J. fate (mmlddlyyyy) It. Amount ❑ Check CAMPAIGN FINANUL 8112/19 $125.00 ❑ $ 13 RECEIVE $ Total only this Page $625.00 �. Total of ALL CRO -1210 Pages S This fine mast be on lime 6 of Detailed Summary Page CRO-HOO) CRO -1210 NC State Board of Elections April 2007 Contributions from Individuals Pg 2 of Amendment 4 ❑ Yes ❑ N„ Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee Full Nam and Fund H applicable) 2ID Number Elizabeth Callis for Mayor 3. Contributor Information 0 Add Remove . Full Name, Mailing Address & Phone 6adude city, state, & zip) b. Job TifldProfesWm d. Comments Agritourism Nancy Anderson 13624 Providence Road Weddington, NC 28104 c. Kmployer's Name/Specific Held Hunter Farms e. Election Sum to (late $100.00 1EAccounth. Form of Payment I. In -Kind Description Date (mm/dd/yyyy) K Amount Check 9/21/19 $100.00 $ $ 3. Contributor Information Add E3 Remove . Full Name, Mailing Address & Phone (include city, state, & zip) b. Job TitidProfessiom d. Comments - Founder/Owner Sharon Sanders 4401 Horseshoe Bend Weddington, NC 28104 a Employer's NanWSpedRc Field Kids First of the Carolinas e. Election sum to Date $ 25.00 . Prior g. Account Code h. Form of Payment 1. In -Kind Description Political Sign j. Date (mm/dd/yyyy) 9/7/19 K Amount $25.00 ❑ 0 $ El . Contributor Information ❑ Add ❑ Remove Full Name, Mailing Address & Phone (include city, stip l)GOU NTY b. Job Thle/Profession d. Comments JAN 29 2020 RECEIVED c. Employer's Name/Specific Feld e. Election Sum to Date $ I'. Prior g. Account Code h. Form of Payment 1. In -Kind Description J. Ate (mm/ddlyyyy) It. Amount ❑ $ ❑ $ ❑ $ 4. Total only this Page $125.00 5. Total of ALL CRO -1210 Pages $ (This fine most be on tine 6 ofDendled summary Page CR0-1100) CRO -1210 M State Board of Elections April 2007 Contributions from Individuals Pg 3 of 4 Amendment E3 ❑ xa Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee Fall Name (and Ftmd ff a bcable) 2. ID Number Elizabeth Callis for Mayor 3. Contributor Information ❑ Add El Remove . Full Name, Mailing Address & Phone (include city, slate, & zip) b. Job TitidProfemion d. Comments Builder Steve McLeod 217 Avinger Lane Davidson, NC 28036 e. Employer's NamelSpMfic Field McLeod Corporation e. Election Sam to tate $ 570.00 f. Prior g. Account Code It. Form of Payment 1. In -Kind Description ' tate (mmddd/yyyy) k Amonot ❑ EC Check 11/4/19 $320.00 ❑ $ ❑ $ . Contributor Information E3 Add ❑ Remove . Fag Name, Mailing Address & Phone (include city, state, & zip) Larry Almond 1120 Baron Road Waxhaw, NC 28173 b. Job TitidProfession d. Comments Retired/Investor c. Employer's Name/Specific Field e. Election Sam to Date $ 570.00 . Prior g. Account Code It. Form of Payment i. In -Kind Description J. Date (mmfdd/yyyy) i Amount ❑ EC Check 11/3/19 $320.00 ❑ $ ❑ $ 3. Contributor Information Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) Burke & Carolyn Robertson 133 White Sulphur Springs Road Mt. Airy, NC 27030 b. Job'ntidProfesafon d. Comments Retired/Real Estate c. Employer's Name/Specific Field e. Election Sum to Date $ 285.00 . Prior g. Account Code h. Fors of Payment 1. to -Kind Description J. Date (mmfdd/yyyy) k Amount ❑ EC Check UNION COUNTY 11/3/19 $160.00 ❑ $ ❑ $ 4. Total only this Page RECE$ 800.0 5. Total of ALL CRO -1210 Pages (This fine must be online 6 of Detailed Summary Page CRO -1100) Man $ CRO -12101 NC Slate Board of Elections Apr,! 'ntr' Contributions from Individuals Pg a or 4 Amendmentres ❑ xa Use this form to report individual contributions over 150 or contrihutinns under sill if f... run t )Ac is .,,.i ..moa 1. Committee Full Name (sod Fund if a ble) 2. ED Number -- Elizabeth Callis for Mayor . Contributor Information OAdd ❑ Remove . Full Name, Mailing Address & Phone (include city, state, & tip) It. Job Tide/Profession d. Comments Pet Sitter Joanne Wescott 6008 Highview Road Weddington, NC 28104 c. Employer's NameSped6c Field e. Election Sam to Date $ 25.00 r.Prior g. Account Code h. Form of Payment i. In -Kind Description .. Date (mmlddlyyyy) k Amount ❑ Meet & Greet 10/28/19 $ 25.00 ❑ $ ❑ $ 3. Contributor Information 0 Add Remove . Full Name, Mailing Address & Phone (include city, state, & tip) b. Job Tltle/Profession d. Comments Founder/Owner Sharon Sanders 4401 Horseshoe Bend Weddington, NC 28104 c. Employer's Name/Specific Field Kids First of the Carolinas e. Election S® to Date $ 60.00 . Prior g. Amount Code h. Form of Payment i. In-Khul Description Date (mmlddlyyyy) k. Amo at ❑ Election Celebration 11/7/19 $35.00 ❑ $ ❑ $ 3. Contributor Information Add 13Rcmove . Full Name, Mailing Address & Phone (include city, state, & tip) b. Job 71delTrofession d. Comments Substitute Teacher Elizabeth Callis 1675 Cox Road Weddington, NC 28104 c. Employer's NamdSpecific Field UCPS e. Election Sum to Date $ 303.34 . Prior Ill. Account Code It. Form of Payment 1. In -Kind Description I. Date (mmtdd/yyyy) k Amoat ❑ EC Cash 11/19/19 $303.34 ❑CAM AIG' FINANCE $ ❑ INN2920 S 4. Total only this Page EINIED$ 363.34 5. Total of ALL CRO -1210 Pagel; S 1913.34 (This Une must be on line 6 of &WIrd Summary Page CRO.1100) CRO -1210 NC State Board of ElmNow Ap i! '00- Contributions from Other Political Committees Pgnr 1 Amendment ❑ Yes ❑ No Use this form to report contributions from other candidate, referendum or PAC committees 1. Committee FA Name andFund I applicable) Elizabeth Callis for Mayor . Contributor Information ❑ Add ❑Remove . Full Name. :hailing Address & Phone (include city, slate, & zip) Committee to Elect Anne Pruitt PO Box 77172 Charlotte, NC 28271 b. T e of Committee Candidate PAC ❑ Referendum d. Comments c. Level Registered (Specify) 0Federal emmly: 13State Municipality: e. Election Som to Date $ 72.00 f. lccnunt Code g. Form of Payment h. In -Kind Description 1. Date ounIdd/yyyy) J. Amooat EC Cash 12/10/19 $72.00 $ 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phuneb. (include city, state, &rip) T pe of Committee Candidate U PAC ❑ Referendum d. Comments Committee to Re -Elect Janice Propst 531 Weddington Road Weddington, NC 28104 c. Level Registered (Specify) Federal County: ❑ State Municipality: e. Election Sum to Dale $ 72.00 f. Account Code g. Form of Payment h. IaKind Description i. Date (mnr/dd/yyyy) J.Anoamt $72.00 EC Check 12/11/19 $ $ . Contributor Information ❑ Add ❑ Rtmove . Full Name, Maiifi ju (include city FINANCE SAN 2020 RECEIVED❑ b. Type of Committee Candidate PAC [3 Referendum d. Comments c. Level Registered (Specify) Federal 0 County: State ❑ Municipality: e, Election Sum to Date $ . Account Code S. Form of Payment Ir. fa -Kind Des rriptlen i. Date (am✓d ill"") J. Amount 4. Total only this Page �Q 5. Total of ALL CRO -1230 Pages (This line most be online 8 of Detailed Summary Page CR0.1I00) I y�l .00 CRO -1230 NC State Board of Elections April 200 Disbursements Pg L of 6 Amendment ❑ Ya ❑ No Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated natty exnendinnnc 1.'Committee FuH Name (and Fund If applicable) Number Elizabeth Callis for Mayor of Disbursement (Please use separate CRO -1310 forms for each tvpe of Disbursement.) Operating Expenses U Contributions to Candidates/Political Committees Coordinated Party Expenditures Payee Information U Add U Remove a. Full Name, Mailing Address & Phone include city, state, & zip) It. Coordinated Committee Name d. Comments Elizabeth Callis for Mayor _ Amazon Online e. Level Registered (Speedy) Federal County: ❑ State Munic�ality: e. Election Sum to Date $ 26.93 . Account Code 1g.FormofPayment jh.PurposcCode IL tate (mmfddhvvv) .Amount lit. Required Remarks EC Debit 113 9/29/19 $ 26.93 Printing $ 4. Payee Information U Add Remove . Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comm Elizabeth Callis for Mayor Cards & Banners 715 E 3900 St #210 Sak Lake City, UT 84107 c. Level Registered (Specify) U Federal �.,/ County: El state pQ Municipality: e. Flection Sum to Date $ 225.00 . Aceomnt Code g. Form of Payment It. Purpose Code 1. Date (n m/dd/yyyy) Amount L Required Remarks EC Debit B 10/3/19 1$85.50 Printing 4. Payee Information U Add Remove . Full Now, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments UNION COUNTY CAMPAIGN FINANCE JAN 29 2020 c. Level Registered (Specify) Federal U County, 0 State Q Municipality: e. Fleclim Som to Date $ r. Account Code7Pages rpm Code i. Date (mmlddlyyyy) Among lc Required Remarks 7 . Total only this Page $ 85.50 6. Total of ALL CRO - (This line goes in line 13a of DetaJed Summary Page CRO -1100 if Operating F,xpenses) (This line goes in fine 136 of Detailed Summary Page CRO -1100 if Comrib to Candidates/Political Comm) (This line goes in Line lac of Detailed Summary Page CRO -1100 i Coordinated Party Expenditures) $ . Purpose Codes (List detailed expenditure code in (h.) above) A* - Media B* - Printing C* - Fundraising D - To Another Candidate E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* Other * Codes re vire detailed extilanation in re Hired remarks field W CRU -1110 NC Stam Board of Elections December 2009 DisbursementsAmendment Pg ? or 6 _- ❑ Yea ❑ No Use this form to report expenditures from the committee for operating expenses, contributions to candidatelpolitical committees and coordinated Darty exoendimres 1. Committee Frill Name (and Fund it' applicable) 2. ED Number Elizabeth Callis for Mayor of Disbursement (Please use seoarme CRO -1310 forms for each i of DisbursemerU. ) operating Expenses U Contributions to CandidalestPOlitical Committees U Coordinated Party E ditures Payee Information E3Add U Remove a. Full Name, Mailing Address & Phone indude d , state, & zip) It. Coordinated Committee Name d. Comments Elizabeth Callis for Mayor Cards & Banners 715 E 3900 St #210 Salt Lake City, UT 84107 c. Level Regidered (specify) Federal County: ❑ state Municipality: e. Election Sm to Date $ 348.50 . Account Code g. Form of Payment PLParpmCode i. Date (tam/ddlyyyy) '.Amo®t k Required Reuurla EC Debit B 10/22/19 $ 209,00 Door Hangers T Is 4. Payee Information 0 Add 0 Remove a. Full Name, Mailing Address & Phone I include city, state, & zip) It. Coordinated Committee Name d. Comments - Elizabeth Callis for Mayor Sign Masters U 314-B Depot Street CAMPAIGN FINANCE Monroe. NC 28112SAN 2 g 2020 PPQRVED c. Level Registered (Specify) Fedcm .�/ Cmmty: ❑ State pQ Municipality: e. Electiuu Sum to Date 1 1 $ 293.57 . Account Code g. Form of Payment Purpose Code J. Date (mm/dd/yyyy) . Amount k Required Remarlts EC Debit B 10/23/19 $ 160.13 Signs --l$- 4. Payee Information Add Remove . Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Commeittt Elizabeth Callis for Mayor Fairway Forms 7000 Stinson Harlis Road Suite A Indian Trail, NC 28079 c. Levd Registered (Specify) L3 Federal [3m State �cipality: e. Election Sm to Date $178.83 . AccountCode g. Form of Psyment h. PurPme Code i. Date (®Iddlyyyy) D. Amman k Required Remarks EC Debit B 10/29/19 $ 178.83 Flyers S 5. Total only this Page $ 547.96 6. Total of ALL CRO -1310 Pages (This line goes in fine 134 of Detailed Summary Page CRO -1100 if Operating Expenses) (This line goes in tine 130 of Detailed Summary Page CRO -1100 (f Contrite to Candidates/PaWcal Comm) (Thio fine goes in line 13c o Demikd Summ Page CRO -1100 i Coordinated P ndaures $ 7. Purpose Codes (List detailed expenditure code in (h.) above) * - Media B* - Printing C* - Fundraising D - To Another Candidate E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fort O* Other * Codes require detailed extilanation in re aired remarks field k CR01 310 NC State Board or Eiections December 2009 Disbursements Pg 3of 6 Amendment p ❑ Na Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinazed a enditures amm 1. Committee FuH'Name(a= if applicable) 2. ID Nambcr Elizabeth Callis for Mayor of Disbursement (Please use separate CRO -1310 forms for each toe ofDisbursemen(-) O tatin Expenses Contributions to Candidues/Political Committtts Coordinated P Ex endittaes Payee Information Add Remove a. Pull Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments Elizabeth Callis for Mayor Conservative Connections 5223 C.R. Wood Rd. Gastonia, NC 28056 °. Level Registered (Specify) U Federal county: ❑ Sim Municipality: e- Election Sam to tate $ 519.34 . Account Code 1g.FortnofPayment h. Purpose Code i. Date (mmfddlyyyy) J.Amount k Required Remarks EC Debit B 11/20/19 $ 519.34 Direct Mail Print 4. Payee Information U Add ❑ Remove . Full Name, Mailing Address & Phone (include city, sate, & nip) b. Coordinated Committee Name d. Comments Elizabeth Callis for Mayor Staples 10850 Providence Road Charlotte, NC 28277 C. Level Registered (specify) U Federal cnnnty: ❑ State Municipality: e. Flection Sum to tate $140.48 . Account Code g. Form of Payment JILParpose Code i. Date(mmlddlyyyy) JI.Amount L Required Remarks EC Check B 9/7/19 $ 98.00 Invitations 4. Payee Information 13 Add 0 Remove . Full Name, Mailing Address & Phone (include city, state, & zip) It. Coordinated Committee Name d. Comments EI'izabeth Callis for Mayor Publix CAMPAIGN FINANCE 3110 Fincher Farm Road Matthews, NC 28015 JAN 2 9 2020 RECEIVED e. Level Registered (Specify) Federal County. ❑ state Municipality: a Election Sum to Date 1 1 $120.00 r. Account Code g. Form of Payment ILFUrposeCode i. Date(mmldd1yyyy) . Amoout ILRequireditemarks EC Debit O 12/2/19 $ 120.00 Food for celebration Is I 5. Total only this Page I $ 779.83 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) (This line goes in line 136 of Detailed Summary Page CRO -1100 if Contrib to Candidates/Political Comm) (This line goes in line lac of Detailed Summary Page CRO -1100 if Coordinated Parly Expejdilures) $ 7.PUrpmeCodes (List detailed expenditure code in (h.) above) • - Media B* - Printing C* - Fundraising D - To Another Candidate E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* Other * Codes re uire detailed ex lanation in re aired remarks field k CRO -1310 NC State Board of Elections December 2009 Disbursements p Amendmen` g _ 4 of _ 6 ❑Yea ❑ No Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated Darty expenditures 1. Committee Full Nam (and Fund if applicable) 12. ID Number Elizabeth Callis for Mayor of Disbursement (Please use separate CRO -1310 forms for each trope of Disbursement.) Operating Expenses Contributions to Candidates/Political Committees Coordinated Party Ex ndilures Payee Information U Add U Remove a. Full Name, Mailing Address & Phone Ndude city, stale, & zip) b. Coordinated Committee New d. U,mmems Elizabeth Callis for Mayor Cards & Banners 715 E 3900 St #210 Salt Lake City, UT 84107 e. Levet Registered (Specify) U Federal Cmmty: ❑ Slate Mmicipality: e. Election Spm to Date $139.50 . AccountCode g. Form of Payment h. Purpose Code B IL Dao (mm/dd/yyyy) 8/13/19 Amount $139.50 k- Required Remrks Palm cards EC I Debit 4. Payee Information Ll Add Ll Remove . Full Name, Mailing Address & Phone (include city, state, At zip) It. Coordinated Committee Name d. Comments Elizabeth Callis for Mayor Cmagnets 100 Capitola Drive #100 Durham, NC 27713 c Level Registered (Specify) U Federal county: ❑ State Municipality: & Election Sum to Date $ 174.15 . Accmmt Code g. Form of Payment JIL Purpose Code i. Date (mm/dd/yyyy) Amount It. Required Remarks EC Debit I B 8/30/19$ 174.75 Magnets . Payee Information Ll Add Ll Remove . Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d, Comments Callis for Mayor Sign MastersElizabeth 314-B Depot Street CAMPAIGN FINANC Monroe, NC 28112 JAN 2 9 2020 c. Lend Registered (Specify) Federal County' 13 state UMunicipahty: e. Election Sam to Date $133.44 . Account Code g. Form of Payment 1h. Purpose Code i. Date (mmiddlyyyy) ' Amount IL Required Remarks EC Debit B 9/3/19 S 133.44 Signs $ 5. Total only this Page $ 447.09 6. Total of ALL CRO -1310 Pages (Thy 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 Conlrib to Candidates/Political Comm) (This line goes in line 13c o Delailed Summary Poe CRO -1100 W Coordinated Party Expenditures) $ 7. Purpose Codes (List detailed expenditure code in (h.) above) * - Media B* - Printing C* - Fundraising D - To Another Candidate - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* Other * Codes re vire detailed exulanation in re aired remarks field k CRO -1310 NC State Board of Elections December 2009 Disbursements Pit 5 _ of 6 Amendment ❑ Yes ❑ No Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated arty ex enditures .'Committee Fall Name (and Fund if applicable) 2. ID Number Elizabeth Callis for Mayor of Disbursement (Please rose separate CRO -1310 forms for each tune ofDisbarsemenL) Operating Expenses Contributions m Candidates/Political Committees Coordinated PartExpenditures . Payee Information rl Add 0 Remove . Full Name, Mailing Address & Phone included , state, & zip) b. Coordinated Committee Name d. Comments Elizabeth Callis for Mayor All-Star Signs 241 Post Office Drive Suite 7A Indian Trail, NC 28079 c. Level Registered (Specify) U Federal y: ❑ State kkmC::tpatity: e. Election Som to Ilam $ . Account Code Ig.FormofPaywat h. Purpose Code it. Date (mmlddlyyyy) Amort IL Required Remarks EC Debit B 9/9/19 j$64.0s Decals Is 4. Payee Information L3 Add El Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Contributed Committee Name d. Comments Waddington Swim and Racquet Club 4315 Weddington Matthews Road Weddington, NC 28104 c. Level Registered (Spedry) U Federal County: ❑ State Municipality: e. Election Sum to Dam $17.00 . Account Cade g. Form of Payment JIL Purpose Code L Dam (mm/dd/yyyy) J. Amort L Required Remarks EC Check 10 9/7/19 $ 17.00 Meet & Greet $ 4. Payee Information Add Remove . Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments Sams Club AMPAIGN FINANCE 1801 Windsor Square �rive Matthews, NC 28105 JAN 2 g 2020 RECEIVED c. Levi Registered (Specify) U Feral �cO arr ❑ State Municipality. a Election Sam to Date 1 $33.50 . Account Code g. Form of Payment JIL Purpose Code L fate (mmfdd/yyyy) , Amrt IL Required Remarks EC Check 10 9/6/19 $ 33.50 Meet & Greet Is 5. Total only this Page j $114.55 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) 5 (This line goes in line 136 of Defdkd Summary Page CRO -1100 iJCon(rib in Candidates/PoGlicd Comm) (This line goes in line 13c of Detailed Summarv, Pae CRO -1100 ' Coordinated Party Expenditures) e Codes (List detailed expenditure code in (h.) above) * - Media B* - Printing C* - Fundraising D - To Another Candidate E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* Other * Codes relmire detailed exulanation in retruired remarks field W ta(U-LJ10 NC State Board of Elections December 2009 Disbursements Pg 6 of 6 Amendment ❑ Yes ❑ No Use this form to report expenditures from the committee for operating expenses, contributions to candidatelpolitical committees and coordinated ex enditures 1. Committee Fall Name (and Fund if applicable) 2. Number Elizabeth Callis for Mayor Type of Disbursement (Please use separate CRO -1310 forms for each lune of Disbursement.) operating Expenses U Contributions to Candidates/Political Committees Coordinated P Ez 'lutes Payee Information 0 Add El Remove a. Full Name, Mailing Address & Phone include city, stats & zip) b. Coordinated Committee Name — d. Comments Elizabeth Callis for Mayor Postnet 5922 Weddington Rd Wesley Chapel, NC 28104 a Level Registered (Specify) 0 Federal ounty: ❑ c state M:11Ypdity: e. Election st®to Date $ 30.00 . Account Code jg.FormofPaymem 1h. Purpose Code IL Date (mmlddlyyyy) 1j. Amo od B 8/8/19 1$30.00 k. Required Remarks Artwork EC Debit Is I . Payee Information Add Remove . Full Name, Mailing Address & Phone (include city, state, & zip) Staples 10850 Providence Road Charlotte, NC 28277 Is. Coordinated Committee Name d. Comments Elizabeth Callis for Mayor c. Level Registered (Specify) L3 Federal county: E3�../ state m Mtmicipahty: e. Election sum to Date $42.48 L Accused Code g. Form of Payment 1h.PurposeCodle t ate (®hidlyyyy) J. Amopnt L Required Remarks EC Debit B 9/20/19 $ 42.48 Printing $ 4. Payee Information rrAdd Remove . Fug Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments CAMPAIGN FINANCE JAN 29 2020 RECEIVED a f.erd Registered (Specify) U Federal ❑ State ❑ Municipality: e.Election Sum u. Uate $ . Account Code 1g.ForsoofPsymend ILPorposeCade 1. Date (mmlddlyyyy) j. Amount k Required Remarks $ $ S. Total only this Page $ 72.48 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) $ (This line goes in line 136 of Detailed Summary Page CRO -1100 if Contrib to CandidateslPolilicat Camm) 2072.34 (Thu line goes in Line lac o Derailed Summarr Pare CRO -1100 if Coardinafed Party Expenditures) . Purpose Codes (List detailed expenditure code in (h.) above) * - Media B* - Printing Cs - Fundraising D - To Another Candidate E - Salaries Fa - Equipment G - Political Party H* - Holding Public Office Expenses Postage J - Penalties Ka - Office Expenses Qa - Donation to Legal Expense Fund O* Other ' Codes relluire detailed exiflanation in rerjuired remarks field k CK(1-I310 NC State Board of Elections December 2009 Amendment In -Kind Contributions Pg of 1 ❑ Yes ❑ No Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund. Usc CRO -1215 if In -Kind C'nntribntionc wem nr will Fw .s,.,.t,.a .aa,:., v a -.r.. 1. Committee FuH Name and Fund if lfcable 2. ED Number Elizabeth Callis for Mayor 3. Contributor Information Add Rettove . Full Name, Mailing Address & Phone (include city, slate,&ap) b. T pe of Contributor jyyl—ndividual - ❑ Candidate ❑ Perry ❑ PAC ❑ Referendum ❑ Other Receipt Source c. Continents _ - -- __ Sharon Sanders 4401 Horseshoe Bend Weddington, NC 28104 d. Election Som to Date $ 60.()0 . Description f Date (nmd dd/Y7yy) g. Fair Market Amount Election Celebration 1117/19 $35.00 Policitcal Sign 9/7/19 $25.00 $ . Contributor Information 0 Add DRemove . Full Name, Mailing Address & Phone (include city. state, & zip) b. T pe of Contributor Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source e. Comments Joanne Wescott 6008 Highview Road Weddington, NC 28104 d. Election Sum to Date $ 25.00 . Description _ _ _ _ f Date (mmlddlyyyy) g. Fair Market Amount Meet & Greet 10/28/19 $25.00 $ 3. Contributor Information Add 0 Remove . Full Name, Mailing Address & Phone (include city, state, &zip)ndi Jr. Type of Contributor Ividual ---- Candidate 0 Party ❑ PAC ❑ Referendum Other Receipt Source c. Comments -- U CAMPAIGN FINANCE JAN 29 2020 VED❑ d. Election Sm to fate $ ' Deseriplion _ f. Date (mm/dd/yyyy) Ill. Fair Market Amount $ $ $ 4. Total only this Page $60.00 5. Total of ALL CRO -1510 Pages (This line must be online 17 of Detailed Summary Page CRO -1100) r -on rern - $ 85.00 NC Matt noara or erection, December 2007