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Elam,Edwin_2022-1st-qtr--._t- _ Disclosure Report Cover o � antenes IM No Use this form for general report and committee information, must be signed and submitted along with i her detailed forms. Do not use This form to undate inforrrcnion. 1. Committee information a. Full Name c. ID Number AJM320 EDWIN ELAM FOR COUNTY COMMISSIONER b. Mailing Address (Include City, State and Zip Code) it. Date Filed 100 WAXHAW PARKWAY "- C PO BOX 123 2 e. Phone Number WAXHAW, NC 28173 % 2% y%S V—k 2. Report Year 13ANNEMMate (vent! . ) 4. PitrlodWoate (mmidtf/yy) 15. Treasurer Fall Name 202'_ 01/01/2022 04/30/2022 9.lyp of Report check on r one type a reporifrom one catego�rq ® Candidate Campaign Q Party Municipal State/County Referendum ❑ Joint Fundraiser Q PAC ❑ Organizational ❑ Organizational ❑ Organizational Referendtnn E] Legal Expense Fund ❑ Thirty-five day ❑ Pre-primary Quarterly ® First ❑ Pre -referendum ❑ Final licohle. checknerj ❑ "Booster Fund" ❑ Pre-election ❑ Second ❑ Supplemental Final ❑ Building Fund ❑ Pre -runoff Third ❑ Annual ❑ Presidential Election Year Candidates Fund Semi-annual Q Forth ❑ Special NC Public Campaign Financing Food ❑ Mid Year Semi-annual ❑ Year End ❑ Mid Year 10. Special Report Nance Other: ❑ Final ❑ Special Q Year End ❑ Final ❑ Special MAGOWeif Fundraisers this Report 1 3 Account Information 3. Account Information a. Financial Institution Full Name a. Financial Institution Full Name FIRST NATIONAL BANK b. Purpose c. Account Code b. Purpose c. Account Code FOR CAMPAIGN UCEE22 MAY 14 102L RELATED ACTMTY d. Period Begin Balance d. Period Begin Balance RECEIVED S $ CERTIMAT10N I certify that the Committee or Fund is in compliance with able prod ons o Article 22A, 22B& 22D -22M of Chapter 163 of the NC General Statutes and that no s are o gled bited or other non -disclosed funds. I further certify that this report is complete, a et an at hav been trained by the NC State Board l_Lf:l E(Am. S z Printed Name of Signer Signature of Appointed Treasurer D FOR OFFICEUSEONLY Date Received: a a Employee:Delivery Method ❑ NormalMail ❑ Registered Mail Date Postmarked: Employee: N Hand Delivered ❑ Electronically Filed Date Scanned: Employee: ❑ Signer has not received Date Data Entered: Employee: mandatory ttainin 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 most amend the Statement of Organization CRO -2100A- to make committee changes. CR04000 NC State Board of Elections December 2007 Detailed Summar Amendment -,7 ❑ Yes IN No Use this form to summarize all disclosure renortine forms and to total monetary information 1. Conunittee Flail Name and Fund Ifapplicable) 2. Type of Report 13. ID Number EDWIN ELAM FOR COUNTY COMMISSIONER 2022 First Quarter A1M320 Start of Election Cycle: January 1, 2021 Reporting Total this Period Total this Election Cycle 4) Cash onHandatStart $ 0.00 $ 0.00 RECEIPTS 5) Aggregated Contributions fromindidduais 6) Contributions from individuals 7) Contributions from Political Party Committees 8) Contributions from Other Political Committees 9) IA= Proceeds 0) Refunds/Reimbursements to the Committee 1) Other Receipt Sources I I a) Interest on Bank Accounts I Ib) Contributions from Not -For -Profit Organizations I I c) Outside Sources of Income 11 d) legal E tpense Fund- Other Sources Ile) &emptPurchase Price Sales (CRO -1205) (CRO -1210) (CRO -1220) (CRO -1230) (CRO -1410) (CRO -1240) (CRO -1150) (CRO -1150) (CRO -1250) (CRO -1270) (CRO -1265) $ 225.00 $ 225.00 $ 1,724.40 $ 2,136.40 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 272.00 $ 272.00 $ 0.00 $ 0.00 $ $ 0.00 0.00 $ 0.00 $ 0.00 $ 500.00 $ 500.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 2) TOTAL RECEIPTS (Add lines 5,6.7.8.9, 10,1la.I1b,Ilc,lldand Ile) $ 2,721.40 $ 3,133.40 EXPENDITURES 3) Disbursements 13a) Operating Expenditures 13b) Contributions to Candidates/Political Committees 13c) Coordinated Party Expenditures 4) Aggregated Non -Media Expenditures 5) Loan Repayments 6) Refunds/Reimbursements from the Committee 7) In-IGnd Contributions (CRO -1310) (CRO -1310) (CRO -1310) (CRO -1315) (CRO -1420) (CRO -1320) (CRO -1510) $ 2,205.99 $ 2,480.99 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 65.82 $ 65.82 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 449.40 $ 586.40 8) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $ 21721.21 $ 3 133.21 9) Cash on hand at End (Add lines 4 and 12 together, then subtract line 18) $ 0.19 $ 0.19 ADDITIONAL INFORMATION 0) Non-MonetaryCiftsGiven to Other Committees (CRO -1330) 1) Outstanding Loans (incl. ones from other cangraigns) (CRO -1430) 2) Debts and Obligations omedby the ( onuuilice (CRO -1610) 3) Debts and Obligations ovsedtothe Comminee r-INANGEKNO-1620) 4) Account transfers Within the Cummi(tee /2072 (CRO -1720) 5)Adndnistrad%e Support (CRO -1710) -_ -- 6) Forgiven Loans -RECEIVED (CRO -1440) 7) 48 -Hoar Notice Reports Sum (CRO -2210)$ $ $ 0.00 272.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 0.00 $ 0.00 8) Contributions to be Refunded (CRO -1215)1 $ 0.00 $ 0.00 CRO -1100 NC State Board of Elections August 2008 Aggregated Contributions from Individuals Page ! of 1 ;0 Amendment ER Optional form used to report NC Contributions From Individuals of $50 or less ndff icable 2.IDNamber OUNTY ('()MMISSIONER ED7UCEE22 -.. Cotion a. .At Code c. Form of Payment d. In -Kind Description e. Date (mm/dd/vc_cc) f. Amount '22 Electric Funds Tran 0I/10/2022 $ 25.00 ❑ R A22 Electric Funds Tran 04/I3/2022 $ 50.00 ❑ Remove rT Add ❑ Remove UCEE22 Cash 03/04/2022 $ 50.00 Add ❑ Remove UCEE22 Cash 02/07/2022 $ 50.00 ❑ Add UCEE22 Check 04/15/2022 $ 50.00 ❑ Remove 4. Total only this Page $ $225.00 5. Total of ALL CRO -1205 Pages $ $225.00 (This tine in" be online 5 ojDeniled Summary Page CRO -1100) C MU -1205 NC State Hoard of Flections �tN1ON COUNTY C. ,.,.PAIGN F1NAN(. t MAV 2 4 2022 RECEN ED April 2007 Contributions from Individuals Amendment Pg I of 3 ❑ Yes ® No Use this fonnto report individual contributions over$50 or contrib tit ons under $50 if [ottit CRO 1205 is not used 1. Committee Full Name tindFlia dif icable 2. ID Number EDWIN FLAM FOR COUNTY COMMISSIONER A3A1320 3. Contributor information ❑ Add ,❑ Remove a. Full Name, Mailing Address & Phone n clude city, ('t ty, state, &zip) b. Job TKtle/Profession d. Comments - Suzanne C Devine 4516 Raymond Austin Rd Waxhaw, NC 28173 70Y 514-:2S 7 J 7 f c. Employer's Name/Specific Field e. Election Sum to Date S 100.00 L Prior g. Account Code b. Farm of Payment I. In -Kind Description J. Date (mm/dd/yyyy) k. Amount ❑ 1( FE22 Check 04/12/2022 $ 100.00 ❑ $ 3. Contributor bdormation ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone Include city, state, & zip) b. Job Title/Profession d. Comments LIFE INSURANCE AGENT FIAVIN ELAM 100 WAXHAW PARKWAY PO BOX 123 WAXHAW, NC 28173 (704)475-6588 c. Employer's Name/Specific Field SELF-EMPLOYED e. Election Sum to Date $ 499.40 L Prior g. Account Code h. Form of Payment I. In -Kind Description j. Date (mm/ddlyyyy) k. Amount ❑ UCEE22 In -Kind PURCHASE OF SIGNS 04/18/2022 $ 449.40 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Rcno%c a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Titic /Profession d. Comments R e.1 _ Q e�Q Katherine M Feldmann UNION COUNTY 1003 Millwright Ln Matthews, NC 28104 CAte1PAICN FINANCE 7° f -d3f- VP5 MAY 2 4 2022 e. F1n to yer a Name/Specific Held _p_ e. Election Sum to Date $ 100.00 f. Prior g. Account Code It. Form tsJ gt._ '. - "escription J. Date (mm/dd/yyyy) It. Amount ❑ UCEF22 Cash 02 "'022 $ 100.00 ❑ $ ❑ $ 4. Total only this Page 5 649.40 5. Total of ALL CRC) -1210 Pages 1,724.40 (This line mus( he online b of Detailed Summary Page (80-/100) CRO -1110 \t u,Ic Rnurd nl I cci inns April 2007 Contributions from Individuals �nlendment Pg a( ' ❑ Yes ® "t tl/v _ t"I'll U I IUCI 1-111 1 - I!• O IIU l 1, i, CU 1. Committee VuH NrmC fled Pliclidif icable 2, In Number EDWIN FFAM FOR COUNTY COMMISSION[ItVM�'0 - ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) It. Job 71tle/Profession d. Comments 54 ( PS Stephanie Johnson 2014 Ditmas Ave #2B Brooklyn, NY 11226 3`i 7. 60 Z. /�/9 c. Employer's Name/Specific Field q,sA c c t Qtxrro q -1 A/c 1. ��l -3c4ey-e I �Fr e. Election Sum to Date $ 317 00 f.Prior g. Account Code b. Form of Payment i. In -Kind Description J. Date (mm/dd/vyyy) it. Amount ❑ UCEE22 Elcctnc Funds Tran 04/06/2022 $ 375.00 ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full .Name, Mailing Address S Phnna (include city, state, & zip) Katy] Jones 1202 E Franklin St Monroe, NC 28112 711// �l ar 6Sa.L 7/ PO• b. Job title/Profession d. Comments n j c. Employer's Name/Specific Field gew2f-t4rfD h{ome- 1� OQRI+� e. Election Sum to Date $ 200.00 f. Prior g. Account Code h. Form of Payment i. In -Kind Description J. Date (mm/dd/yyyy) it. Amount ❑ UCEE22 Check 03 141202 $ 200.00 ❑ $ ❑ S 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments rr Re t(r e Loretta D Melancon 2923 Meadow Creek Ln Monro/e, NC 28110 SaI.S�J —ofZeJ MAy242't c. Employer's Name/Specific Field e. Election Sum to Date $ 100.00 i. Prior g. Account Code h. Form - Description J. Date (mm/dd/yyyy) It. Amount ❑ UCFF22 Check 04/04/2022 $ 100.00 ❑ $ ❑ $ 4. Total only this Page S 675.00 5. Total of ALL CRO -1210 Pages 1,724.40 (This line mus( he on line 6 of Detailed Summay Page CRO -1 1/10) CRO -1210 "i x., ...�.. Aoril2007 Contributions from Individuals Amendment Pg 3 of 3 ❑ N'es ® No Use III IN iurrn to report malvnlUal C01111 -10 1.111011s over aDu or concrintmons unaeryxo It Conn UQ) I LID IS not LIS Co 1.' elle ' 2. ID Nmlber EDWIN ELAM FOR COUNTY COMMISSIONPR ,AJM320 3. Contributor Information ,. _' ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) h. Job Title/Profession d. Comments Adm t.%frA,j� n` Carline Sitterud 4019 Paul Rose Ln W eddington, NC 28104 7 O (/ b ep y S (// e/ /CJ J 0 j c. Fbtployer's Name/Specific Field - �ry �� 01 20 / e. Election Sum to Date $ 100.00 G Prior g. Account Code h. Form of Payment L In-10nd Description j. Date (mm/dd/yyyy) k. Amount ❑ UCEE22 Electric Funds Tran 02/04/2022 $ 100.00 ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. I inni,ni, /Aeit22f1 14-5 A JamesW/omack tfa 00/) ' 1 r— ` -7-7 30 III- / / 0' �f 1o3 c. Fbtployer's Name/Specific Flet e. Flection Sum to Date $ 300.00 f. Prior g. Account Code h. Form of Payment i. In -Kind Description J. Date (mm/ddlyyyy) It. Amount ❑ UCEE22 Electric Funds Tran 04/04/2022 $ 300.00 ❑ $ 4. Total only this Page 400.00 5. Total of ALL. CRO -1210 Pages 1,724.40 (Thu line must he online h oJDetuiteQ .Summary Page CRO -1 100) CRO -1 -' l0 NC Sate fi ­ III„ .., Amil 2007 U�iIOCd C�UN GA19PF,tGN rtN�", May 2 a 2x22 RFG��ti�F� Amendment Loan Proceeds Pg I of 3 ❑ Yes ® No Use this fonnto report proceeds from loan and loan endorser's information A loan proceeds statement must accormanv each loan that is from an individual 14. F O W IN ELAM FOR COUNTY CO M M I S S I ON IR 12.IDNumber 3. Lender ❑ Add ❑ Rcnnve a. Full Name, Mailing Address & Phone (include city, state, & zip) h. Job title/Profession d. Comments LIFE INSURANCE AGENT EDWIN ELAM 100 WAXHAW PARKWAY PO BOX 123 WAXHAW, NC 28173 (704) 475-6588 e. Stark Date (mm/dd/yyyy) c. Employer's Name/Specific Field 01/28/2022 SELF-EMPLOYED G End Date (mm/dd/yyyy) g. Rate Ills. Security Pledged li.AccountCode J. Form of Payment k. Amount .io --- CCI f�2 Cash S 62 00 I. Full Name of Lending Institution m. Loan Number 4. Endisrsers/Makers (The People who guaian/ee the loan.) a. Full Name, Mailing Address & Phone (include city, state, & zip) h. Job Title/Profession c. Employer's Name/Specific Field d. Percentage e. Amount 5. Total of ALL CRO -1410 Pages (This line must be on liar 9 ojDerafled Summary Page CRO -1 100) ti 272.00 CRO -1410 NC time R3 .cud of Llcci inns April 2007 UWIU; . F 1P o& Mpy 2 a 2o2z RF��tVE'� Amendment Loan Proceeds Pg 2 of 3 ❑ vet Usethis form to report proceeds froma loan and loan endorser's information A loan proceeds statement must acco any each loan that is from an individual W,Coamnlittee FWl Nam and I ra i2. EDWIN 1:1 AM FOR COUNTY COMMISSIONER ID Number 3. Lender Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments LIFE INSURANCE AGENT EDWIN ELAM 100 WAXHAW PARKWAY PO BOX 123 WAXHAW, NC 28173 (704) 475-6588 e. Start Date (mm/dd/yyyy) e. Employer's Name/Specific neid 01 /28/2022 SELF-EMPLOYED f. Fnd Date (mm/dd/yyyy) g. Rate h. Security Pledged I. A eunt Code i. Form of Payment it. Amount oho UCEE22 Cash S 160.00 1. Full Name of [.ending institution m. Loan Number 4.1•_'}adOrsers/Makers /The people who guarantee the loan.) a. Full '.Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession c. Employer's Name/Specific Field d. Percentage e. Amount % 5. Total of ALL CRO -1410 Pages (This line mast he online 9 of Detailed Summay Page CRO -1100) ' 272.00 ( R(1-11111 %( >[,iu li.,.ud. I Ic,1,11, 'A'M 2 4 2621 April 2007 Loan Proceeds Pg 3 of Use this form to report proceeds from a loan and loan endorser's information A loan proceeds statement must accompanv each loan that is from an individual !Amendment - 3 ❑ Yes ® No L Committee fid) Name W Fund if icable 2. to Number EDWIN ELAM FOR COUNTY COMMISSIONER %JM320 3. Lender Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, &zip) EDWIN ELAM 100 WAXHAW PARKWAY PO BOX 123 WAXHAW, NC 28173 (704) 475-6588 b. Job Title/Profession d. Comments LIFE INSURANCE AGENT e. Start Date (mm/dd/yyyy) c. Employer's Name/Specific Field 04/04/2022 SELF-EMPLOYED f. End Date (mm/ddlyyyy) g. Rate 1b. Security Pledged It. Account Code 1j. Form of Payment k. Amount % UCEE22 Cash g 50.00 I. FLIT Name of Lending Institution Im. Loan Number 4. Endorsers/Makers ( The people %*a guarantee the loan.) a. PoII Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession e. Employer's Name/Specific Field d. Percentage `n c. Amount 5. Total of ALL CRO -1410 Pages (This dme must be online 9 of Detailed Summary Page CRO -1100) 272.00 ( 20-1410 �'�nPA1GN r„ w1P� 2 4 122 tiC St:ue Rrvurd n(Plcci inns April 2007 Amendment Other Receipt Sources Pg I of ❑ Yes ® No Use this form to report income not reported on another form. i.e. interest income, not forprofit conmbution, rtc. 1. ConoWKee PM Name' tasd P%md if is EDWIN El AM FOR ('OUNT)' COMMISSIONER 12. ID Number VIN1120 3. "ftpe of Receipt Source (Please use separate CRO -I250 forms for each tune of Receipt Source.l _c _— Coninhn�inn� from \, t Pig lii (li E:m val inn. nu'. a{e SR1aCeS Uf In Comr 4. Contributor Information ❑ Add ❑ Remove a. Full Name, Ntailim,,, Address &- Phone (include city, state, & zip) It. Not -for -Profit Federal IDN d. Comments FUr%DSOU• `J _ ViP ���efidJtc�R U.S. Bonding Company 101 N McDowell St Charlotte, NC 28104 c. Outside Source Fzplanation e. Election Sum to Date $ 500.00 f.Account Code g. Form of Payment It. In -Kind Description J. Date (mm/dd/yyyy) j. Amount UCEE22 Check 02/28/2022 $ 500.00 5. Total only this Page $ 500.00 ofALL CRO 1250 Pages e goes in line lla of Detailed Summary Page CRO -1100 if listened) egoes in line Ilh ofDelailed Summary• Page CRO -1100 if.Not-fnrProfrt Com ribution) L(TAe goes in line Ile of Detailed Summary Page CRO -1100 ifOutdde Sources oflneume) $00.00 ( R0-1 ' iI) NC State Board of Elections December 2007 amendment Disbursements Pg i of 3 [1 Yes ® No Use this form to report expenditures from the committee for operating expenses, contributions to candidate/polis real conanittees and coordinated party expenditures 1. eFWINam(and Flundif icable 2.IDNumber FDWIN ELAM FOR COUNTY COMMISSIONER \JM1,20 3. use selvaEve CRO -1310 forsits for each twe o Disbursement. JN Operornte Fepcnscs U Conii but to C'MIR1,11cs POIli I[al (Conon lit ccs Contdinatcd Parl}Fspcnditures 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state &zi b. Coordinated Committee Name d. Comments --- ,r / ?r IN-�t�j PtIlI^^ CA rD ELITE DESIGN 3901-C S Providence Rd Waxhaw, NC 28173 c. Level Registered (Specify) Lj Federal County ❑ State ❑ Municipality: e. Electioo Sum to Date $ 60.67 L Account Code g. Form of Payment 1h. Purpose Code if. Date (mm/dd/yyyy) 11. Amount Ills. Required Remarks UCEF.22 Debit Card B 02/01/2022 $ 60.67 CAMPAIGN ti 4. Payee Worttmtion ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments GrM�fFlSa S! fA (� �UI•' / �1�� GAS STATIONS NC c. Level Registered (Specify) Federal U County: ❑ Sare ❑ Municipality: e. Election Sum to Date S 276.00 f. Account Code g. Form of Payment h. Purpose Code 1. Date (mm/dd/yyyy) J. Amount k. Required Remarks UCF,E22 Debit Card O 04/30/2022 $ 276.00 GAS S 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Photic (include city, state, & zip) b. Coordinated Committee Name it. Comments ORtACK Billie W R hiAS�w�,l�e su'F N d S/Y ^1 GEMCO AUTOMOT VE NC t 1t 1' UFdIO�I i�t)� p.N�-�De(we<t {at 1PWG('! FIN 4 �Qqq MAY LL c. Level Registered (Specify) Federal County: ❑ Slate ❑ Municipality e. Election Sum to Date _......... $ 77.20 L Account Code 1g. Form o 'mini' .'Purpose Code It. Date (mm/ddlyyyy) 1j. Amount lit. Required Remarks UCEE22 Debit Card O 04/06/2022 $ 77.20 OTHER $ 413,87 imim" - I (This line goes in line 13a of Detailed Summary Page CRO -1100 ifOpewdeig Expenses)$ 2,20S,99 (This line goes in line 13b of Derailed Summary Page CRO -1100 ifConnih to C'andidates/Political Comm) (Thi%line goev in line 13e of Detailed .Summary Page CRO -1100 if Coordinated Puny Fxpenditurev) 7. Purpose Codes (Last detailed expenditure code in (h.) above) A* - Media R* - Printing C* - Fundraising D - IoAnotherCandidate E - Salaries F� - Equipment G - Political Party H* - Holding Pudic Office Expenses I- Postage J - Penaltir, K* - OfficeFxpenses Q* - DonationtoLegalFxpenseFund O* Other * Codes require detailed explanation in requiredremarks field(k) CRO -1310 NC' Sate Board of Flections December 2009 Amendment Disbursements Pg 2 of 3 ❑ Yes ® No Use this forth to report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated party expenditures 1. Committee andFlandif cake 2. ED Namber alM3,n _ _ FDVFIN 11 -AM FOR COUNTY COYIMISSIUti'I R 3. Type of Disbursement (Please use separate CRO -1310 forms for each tine afDisburaemena) Ini), ( i'^:v — I -,J l 11 1 cz. Cnordinmed PamFependilures 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) Is. Coordinated Committee Name d. Comments ✓ r'�k� / t J �l Hornets Nest Republican Men NC c. Level Registered (Specify) Federal County: ❑ Sate ❑ Municipality: e. Election Sam to Date $ 60.00 L Acimmut Code g. Form of Payment 1h.purpose Code if. Date (mm/dd/yyyy) j. Amount It. Required Remarks UCEE22 Debit Card O 01/16/2022 5 60.00 RECEPTION 4. Payee mimmation ❑ Add ❑ Remove a. Full Name. Mailing Address & Phone (include city,state, & zip)�, b. Coordinated Committee Name it. Comments r Q J /•�'( -'jr Lincoln -Regan Dinner NC c. Level Rcgistered(Specify) Federal. y: 11 Rate ❑ Municipality: e. Election Som to Date $ 180.00 f. Account Code g. Form of Payment h. Purpose Code L Date (mm/dd/yyyy) J. Amount It. Required Remarks UCEE" Draft O 01/31/2022 $ 180.00 EVENT $ 4. Payee Information ❑ Add ❑ Remove `n a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments f hoS �I jt �(AMPa ry„f ReQ-lam a) 'Z� RESTAURANTS NC - -, - - c. Level Registered (Specify) Federal County: ❑ Sate ❑ Mwiicipality: e. Election Sum to Date $ 511.27 L Account Code g. Form o Payment Is. P.4rp4fsokCode J. Date (mm/dd/yyyy) J. Amount k. Required Remarks UCEE22 Debi(sCrer 04/30/2022 $ 511.27 MEALS $ 5. Total only this Page $ 751.27 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summan' Page CRO -1100 if Operating Expenses) (This line goes in line 13b of1letalled Summary Page CFO -1100 ifContdb to Candidales/Pol fieal Comm) (This line goes in line 13c of Detailed Summm) Page CRO -1 100 ifCoordinaled Parr F_rpenditures) $ 2,205,99 7. Pu rpIN ise Codes (List detailed expenditure code in (h.) above) A* - Media R* - Printing C* - Fundraising D- To Another Candidate E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* Other * Codes require detailed wiplanation in requiredremarks field(k) CRO -1310 NC Satz Board of Elect ions December 2009 S Amendment Disbursements Pg 3 of 3 ❑ Yes ® No Use this formic, report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated art e. enditures 1. )Null Nttme ifcalve FDWrN FFAM FOR COUNTY CONIMISSTON17R 2. ID Number AJM320 3, Type of Disbursement (Please use separate CRO -1310 forms for each tune afDisbursement) f )perm incl r prn1e, Contnbunnnn io Camlil'o"P olrt ad C um11111", dineted Pane l cpendii urre.+ . Payee Information ❑ Add ❑ Remove a. Full Natne, Mailing Address & Phone include city, state, & zi o It. Coordinated Committee Name d. Comments G/}t PPrSa Sy,� SIGN MASTERS 314-B Depot St Monroe, NC 28112 c. Level Registered (Specify) Federal County: ❑ State ❑ Municipality: e. FleeHon Sum to Date $ 346.94 f. Account Code g. Form of Payment It. Purpose Code 1. Date (mm/dd/yyyy) J. Amount k. Required Remarks UCFE22 Debit Card B 0303'2022 $ 346.94 CAMPAIGN 4. Payee Information ❑ Add ❑ Remove a. Full Name. Mailing Address & Phone include city, state, & zip)_ b. ('oordinated Committee Name it. Comments CAn pp r 3 a Sly w SIGN MASTERS 314-B Depot St Monroe, NC 28112 c. Level Registered (Specify) Federal County: ❑ State ❑ Municipality: e. Flection Sum to Date $ 693.91 f. Account Code g. Form of Payment It. Purpose Code t. Date (mm/dd/yyyy) J. Amount it. Required Remarks UCEE22 Debit Card B 04/05/2022 $ 346.97 CAMPAIGN I " Debit Card It n� n- ,n„ $ 346.'1-1 (' VA1PAIGN 5. Total only this Page 5 1,040.85 6. Total of ALL CRO -1310 Pages (This line goes in line I is of lh•railed .9rnunnrr Page ('RO-1101/ if0peraring ErpemeV $ 2,205.99 (This line gne, in It,,, l ;h of Dctad, d.S'.... n....I Page ('RO-1100 if(,,nrrib ro Candirlares Pulirirui (7nnn.r (This line goes in hne I ,j Detailed Sum In art Page CRO -I 11111 if Caa rdinared Parrp Expenditures) 7. Purpose Codes (List detailed expenditure code in (h.) above) A* - Media B* - Printin- C* - Fundraising D- to Another Candidate E - Salaries I- - Equipment G- Political Party H* - Holding Public Office Expenses I - Postage .1 - Penalties K* -Office Expenses Q* - Donation to Leal Fypensc Fund O* Othen * Codes require detailed explanation in requiredremarks field(k) CRO -1310 NC State Board of Elections December 2009 1'It}�FI`il`1 r' Mai 2 y 2422 Amendment Aggregated Non -Media Expenditures Page I of 1 ❑ Yes ® No j Optional form used to report NC Non -Media Expenditures of $50 or less. CRO -1315 NC State Board of Elections pN P --raF1U'G.AC.i�1 ' MPS .� y 1011 December 2009 EDWIN FL.4M FOR COUNTY COMMISSIONER AJ\1120 3. Payee Information a. Amend b. .lecount Code c Form of Payment d. Purpose Code e. nate (mm/dd/.vYVy) F. Amount g. Required Remarks 7 Dcbnca]d n 0;/1812022 $ 38.83 OTIIER-'s E] Remt1F, rye Add UCEL22 Draft k 02/28/2022 $ 0.05 BANK FEES ❑ Remove Add UCEE22 Draft h 04/13/2022 $ 1.94 BANK FEES ❑ Remove 'AddUCEE22 Check 02/17/2022 $ 25.00 CONTRIBUTION ❑ Remove 4*'T6i'al only tlii-s Wage . - - - - S 65.82 5. Total of ALL CRO -1315 Pales 65.82 (This line mnd he nn line /4 of Derailed .Summar) Page ('Rl1-1100) lI B* - Printing 1) lo ;Anuihcr Candidate E - Salaries G -Political Pa * - Holding J - Penaltic, Q* - Donations to Legal Expense Fund O* - Other *Codes require detailed e \ planation in required remarks field CRO -1315 NC State Board of Elections pN P --raF1U'G.AC.i�1 ' MPS .� y 1011 December 2009 ,Amendment In -Kind Contributions Pg of I ❑ Yes ❑ No Use this form to report non -monetary contributions, donations, goods or services provided to the committee m fund Use CRO -1215 if In -Kind Contributions were or will be refunded within 7 days. 1. Committee FhH N 1f W ieable EDAAlN II VV1 Pt tR COUNTY COMMISSIONER 2. ID Number 4W I,A13_0 3. Contributor information ❑ Add ❑ Remove a. Full %ame. hailing Address & Phone (include city, state, & zip) EDWIN ELAM 100 WAXHAW PARKWAY PO BOX 123 WAXHAW, NC 28173 (704) 475-6588 It. Type of Contributor c. Comments Individual -_ ❑ Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source d. Flection Sum to Date 5 499.40 e. Description f. Date (mmtddlyyyy) g. Fair Market Amount PURCHASE OF SIGNS 114.18-'022 S 449.40 4. Total only this Page $ 449.40 5. Total of ALL CRO -1510 Pages (This line must be on fine 17 of Derailed Summary Page CRO -1100) $ 449.40 CRO -1$10 NC State Board of Fled inns December 2007 May 2 y 2422 R�GF��,iFD Outstanding Loans Amendment Pg of I 10 Yes ® No Use this form to report any outstanding loans received during a previous reporting period and until the loan is paid in full. 1. Committeed fJca61e z. ID Number DM IN I I ANI FOR COUNTY COMMISSIONI=R 3. Lender Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments LIFE INSURANCE AGENT EDWIN ELAM 100 WAXHAW PARKWAY PO BOX 123 WAXHAW, NC 28173 (704) 475-6588 e. Start Date (mm/dd/yyyy) c. Employer's Name/Specific Field 01/29/2022 SELF-EMPLOYED f. End Date (mm/dd/yyyy) g. Rate It. Security Pledged ji. Original Loan Amount J. Remaining loan Balance o S 62.00 $ 62.00 it. Full Name of Lending Institution 1. Loan Number 3. Lender Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, &zip) b. Job title/Profession d. Comments LIFE INSURANCE AGENT _ EDWIN ELAM 100 WAXHAW PARKWAY PO BOX 123 WAXHAW, NC 28173 (704) 475-6588 e. Start Date (mm/dd/yyyy) e. Employer's Name/Specific Field 01/28/2022 SELF-EMPLOYED L FAd Date (mm/dd/yyyy) g. Rate 1h. Security Pledged i. Original Loan Amount J. Remaining Loan Balance %S 160.00 S 160.00 it. Full Name of Lending Institution 1. Loan Number 3. Lender Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, At zip) b. Job Title/Profession d. Comments LIFE INSURANCE AGENT EDWIN ELAM 100 WAXHAW PARKWAY PO BOX 123 WAXHAW,NC 28173 •%+ (704) 475-6588 � h 2 e. Start Date (mm/dd/yyyy) c. Employer's Name/Specific Field 04/04/2022 SELF-EMPLOYED f. FLd Date (mm/ ddlYYYY) g. Rate h. Security Pledged ,re-',._- 1. Original Loan Amount J. Remaining Loan Balance S 50.00 S 50.00 it. Full Name of Lending fnstitutiou 1. Loan Number 4. Total only this Page 272.00 5, Total of ALI., C1104430 Pages (This line mast be online 21 ofDetaBed Summary Page CRO -1100) 272.00 CRO -1470 NC State Board of Elections- December 2007 EVO'NORTH CAROLINA � STATE BOARD OF ELECTIONS Loan Proceeds Statement This Statement is used to report detailed information about a new loan and is required to accompany the Loan Proceeds Form in the report for which the loan is initially disclosed. If the loan is from an individual, the lenders signature is required on this form. This Statement is to be filed with the Election Board where the committee's reports are filed. • Name of committee to receive loan: E w, Z N/, r C`,j,4 7 C -x^ ,JSI • Person or committee to make loan: Ft_Lj ,a • Date of loan to committee:_���/�/ Z 2_ • Name of lendinginstitution (source): Edw r y C_ (s / A A • Amount of loan: of • Description (if in-kind loan): /oy CA^ pOL4 / S5 A14, u/_T/Z r4 • Names of all parties responsible for payment of loan (guarantors): • Period of loan: D y0 Cgry PQ rya • Rate of interest of loan: — — • Security pledged for loan: 2 .I a M , acknowledge that all of the information (Person lending money to committee) provy complete, a and accurate. I further understand I may not forgive a loan tk6t h n outst ng ance to any source. Lv^- S 2, Z y z l9jl at"/�f Lendjwf CAMPAIGN FINANCE Date S gned J, Signature of Treasurer of Committee Date Signed RECEIVED CRO -6100 Loan Proceeds Statement VOTE © NORTH CAROLINA V TO 7TATE BOARD OF ELECTIONS ,_, Mp Gro NPNcc day - Loan Proceeds Statement ?QQWr ment is used to report detailed information about a new loan and is required to accompany the Loan Proceeds Form in the report for which the loan is initially disclosed. If the loan is from an individual, the lender's signature is required on this form. This Statement is to be filed with the Election Board where the committee's reports are filed. ti' ^i ��g M (Person lending money to committee) prov' is complete, tru , and accurate. I further understand I may not forgive a loan t ha outstan ' g ance to any source. ZL Si of Len Date Si ned 5 � zazz nature of Treasurer of Committee ate Si ned CRO-6100 Loan Proceeds Statement • Name of committee to receive loan: Ed 1-1,41 �%A� �r ('•.,� I cam 4,0 • Person or committee to make loan: � � ice► � r • Date of loan to committee: � a ZZ • Name of lending institution (source): �G�wI � -/AM t �Su�cC� • Amount of loan: • Description (if in-kind loan): • Names of all parties responsible for payment of loan (guarantors): • Period of loan: • Rate of interest of loan: • Security pledged for loan: I,acknowledge that all of the information "'�- NORTH CAROLINA STATE BOARD OF ELECTIONS Loan Proceeds Statement This Statement is used to report detailed information about a new loan and is required to accompany the Loan Proceeds Form in the report for which the loan is initially disclosed. If the loan is from an individual, the lender's signature is required on this form. This Statement is to be filed with the Election Board where the committee's reports are filed. • Name of committee to receive loan: �J w r A eog,-, Cd,:±" • Person or committee to make loan: �10(Ili r � L'_ /qrM • Date of loan to committee: / 7� B Z2 2 • Name of lending institution (source): 101Z ►�L • Amount of loan: • Description (if in-kind loan): i4 • Names of all partieresponsible for payment of loan (guarantors): • Period of loan: T Z Al r CA n �2 is FIN; . • Rate of interest of loan: tr — 2 4 2622 • Security pledged for loan: I, acknowledge that all of the information (Person lending money to committee) providecLL9 complete, Ind accurate. I further understand I may not forgive a loan t as ar�outsta I a nce to any source. Of nature of Treasurer of Committee CRO -6100 Loan Proceeds Statement Date 7jZL LZ vo E) NORTH CAROLINA STATE BOARD OF ELECTIONS Loan Proceeds Statement This Statement is used to report detailed information about a new loan and is required to accompany the Loan Proceeds Form in the report for which the loan is initially disclosed. If the loan is from an individual, the lender's signature is required on this form. This Statement is to be filed with the Election Board where the committee's reports are filed. 1, EDWI`a �1AM acknowledge that all of the information (Terson lemmng money to committee) provide is complete, tru , nd accurate. I further understand I may not forgive a loan t�_Youts!an,din9tYbnce to any sour&' RECEIVE® z? A V 'Z Z_ Si,qm&ye of Lr Date Sighed 73 Z�zL Signature of Treasurer of Committee Dae Signed CRO -6100 Loan Proceeds Statement U Name G(ora • of committee to receive loan: • Person or committee to make loan: edt:.r, , �(�► • Date of loan to committee: /_2 Z o _Z • Name of lending institution (source): d j(*,i �I ^' -e�s� aL • Amount of loan: 0 h :� • Description (if in-kind loan): L✓f�j • Names of all parties responsible for payment of loan (guarantors): • Period of loan:// v E,Jo • Rate of interest of loan: --b — • Security pledged for loan: 1, EDWI`a �1AM acknowledge that all of the information (Terson lemmng money to committee) provide is complete, tru , nd accurate. I further understand I may not forgive a loan t�_Youts!an,din9tYbnce to any sour&' RECEIVE® z? A V 'Z Z_ Si,qm&ye of Lr Date Sighed 73 Z�zL Signature of Treasurer of Committee Dae Signed CRO -6100 Loan Proceeds Statement U