Cathey,Eddie_2021-midyearAmendment
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
a. Full Name
c. ID Number
Eddie Cathey for Sheriff
6jmupg
b. Mailing Address (include City, State and Zip Code)
d. Date Filed
3909 Halcyon Lane
07/27/2021
Monroe, NC 28112
e. Phone Number
704-764-7439
2. Report Year
3. Period Start Date (mm/dd/yy)
4. Period End Date
mm/dd
5. Treasurer Full Name
2021
01/01/2021
06/30/2021
Linda T. Broome
6. Type of Committee Check One
9. Type
of Report check only one e of report.... rom one category)
® Candidate Campaign ❑ Parry
Municipal
State/County
Referendum
❑
Organizational
❑ Organizational
❑ Organizational
❑ PAC ❑ Referendum
Independent ❑ ,loin Fundmiser
❑ Expenditure
❑
Thirty-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑
❑
Pre-primary
Pre-election
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7. Type of Fund (fapplicable, check one)
❑ 'Booster Fund"
❑ Building Fund
❑
Pre-mnoff
❑ 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
IIi
11. Account Information
11. Account Information
a. Financial Institution Full Name
a. Financial Institution Full Name
First National Bank
b. Purpose
c. Account Code
b. Purpose NCE
c. Account Code
For all
eAMPPI
campaign
JUL 2 7 2021
d. Period Begin Balance
d. Period Begin Balance
expenses
RECEIVED
$ 4972.75
$
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. 1 further certify that this report
is complete, true and correct and that 1 have been trained
by the NC 5tate Board of Elections.
Linda T. Broome'
07/278021
Printed Name of Signer
Signature of Appointed Treasurer Date
FOR OFFICE USE ONLY
Date Received: 7 d1 a I
Employee: Delivery Method
❑ Normal Mail
Date Postmarked:
Registered Mail
Employee:
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.
( RO-1000 NC State Board of Elections August 2008
Amendment
Detailed Summary ❑ yes E No
Use this form to summarize all disclosure reporting; forms and to total monetary information.
1. Committee Full Name and Fund if a licable
2. T
e of Report
3. ID Number
Eddie Cathey for Sheriff
2021
Mid Year
6jmupg
Start of Election Cycle: January 1,
Total this
Reporting Period
Total this
Election Cycle
4) Cash on Hand at Start
REC
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
l lb) Contributions from Not -for -Profit Organizations
Ile) Outside Sources of Income
l ld) Legal Expense Fund — Other Sources
11 e) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1110)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CRO -1140)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1270)
(CRO -1265)
$
$
4972.75
0
$
$
354.37
580.00
$ 0 $
51385.96
$ 0 $
0
$ 0 $
1576.48
$ 0 $
2200.00
$ 0 $
0
$ 0 $
0
$ 0 $
0
$ 0 $
$ 0 $
$ 0 $
0
0
0
12)
13)
14)
15)
16)
17)
TOTAL RECEIPTS (Add lines 5, 6, 7.8, 9, 10, Ila, Ilb, 11c, Ildand Ile)
ENDITURES
Disbursements
l3a) 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 -7420)
Refunds/Reimbursements From the Committee (CRO -1320)
In -Kind Contributions (CRO -1510)
$
0
$
55742.44
$ 96.27 $
40,517.01
$ 0 $
500.00
$ 0 $
0
$ 0 $
37.36
$ 0 $
1700.00
$ 0 $
0
$ 0 $
8465.96
18)
TOTAL EXPENDITURES (Add lines 13a, 13b, 13c. 14, 15, 16and 17)
$
96.27
$
51,220.33
19) Cash on Hand at End (Addlinres 4 and 12 together, thensubtract line 18)
ADD
20) Non-Munetar) 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 %20rTL'8' MTY (CRO -1620)
24) Account Transfers Within the(iTU"" FINANCE (CRO -1720)
25) Administrative Support JUL 27 2021 (CRO -1710)
26) Forgiven Loans (CRO -1440)
27) 48 -Hour Notice Reports Sum RECEIVED (CRO -1110)
28) Contributions to be Refunded (CRO -1115)
$
$
$
$
$
$
$
4876.48
0
0
0
0
0
0
$
$
4876.48
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
CRO -1100 NC State Board of Elections August 2008
Amendment
Disbursements Pg I of x ❑ Yes ® No
Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political
committees and coordinated party expenditures.
1. Committee Full Name and Fund if applicable) 2. ID Number
Eddie Cathev for Sheriff 6imupg
3. Type of Disbursement Please use se orate CRO -1310 fornits for each type of Disbursement
® operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures
4. Payee Information Add Remove
a. Full Name, Mailing .Address & Phone
include city, state, & zip)
It. Coordinated Committee Name
d. Comments
Sam's Club
1801 Windsor Square
Matthews, NC 28105
704-847-6742
c. Level Registered (Specify)
❑ Federal ❑ County:
State ❑ Municipality:
e. Election Sum to Date
$ 96.27
L Account Code
g. Form of Payment
It. Purpose Code
i. Date (mm/dd/yyyy)
J. Amount
It. Required Remarks
I
check
H
06/28/2021
$9627
Bubble gran for
July 4 parades
4. Payee Information Add El Remove
a. Full Name, Mailing Address & Phone
include city, state ,& ti
It. Coordinated Committee Name
d. Comments
e. Level Registered (Specify)
❑ Federal ❑ County:
❑ State ❑ Municipality:
e. Election Sum to Date
L Account Code
g. Form of Payment
h. Purpose Code
L Date (mm/ddlyyyy)
J. Amount
k. Required Remarks
4. Payee Information rl Add El Remove
a. Full Name, Mailing Address & Phone
include city, state & zi
CAMPAIGN FINANCE
JUL 2 7 2021
L0
RECEIVED
It. Coordinated Committee Name
it. Comments
G Level Registered (Specify)
E] Federal El County:
State ❑ Municipality:
e. Election Sum to Date
$
L Account Code
g. Form of Payment
h. Purpose Code
i. Date (mm/dd/yyyy)
J. Amount
k. Required Remarks
$
5. Total only this Pae
$ 96.27
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 13b of Detailed Summary Page CRO -1100 if Contrib to Candidales/Political Comm)
(This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures)
$ 9627
7. Pur ose Codes List detailed expenditure code in h. above
A* - Media D* - Printing C* - Fundraising D - To 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 -Lill 1�C Shue board of I leeGons December 2009