Loading...
Gilliard, Crystal_2019-Year-endDisclosure Report Cover Amendment ❑ Yes N 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 Crystal Gilliard ROD Campaign HJMTPS b. Mailing Address (include City, State and Zip Code) d. Date Filed 2721 Long Hope Road Monroe, NC 28112 01/31/2020 e. Phone Number 704-361-0606 2. Report Year 3. Period Start Date (mm/dd/yy) mm/ riod End Date 5. Treasurer Full Name 2019 07'01 2019 12/31/2019 Crystal D. Gilliard 6. Type of Committee Check One 9. TVpe of Report check only one type of report om one category) N Candidate Campaign ❑ Party Municipal State/County Referendum ❑ PAC ❑ Referendum ❑ Organizational [j Organizational ❑ Organizational Independent Joint ❑ Expenditure E]it Fd ❑ five da Thirty-five Y Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ ❑ Pre-primary Pre-election ❑ First ❑ Second ❑ Final ❑ Supplemental Final 7. Type of Fond Ofapplicabk, check ore) ❑ 'Booster Fund" ❑ Building Fund ❑ Pre-nmoff ❑ Third ❑ Annual Semi-annual ❑ Fourth ❑ Special ❑ Mid Year Semi-annual ❑ Other. ❑ Year End ❑ Mid Year 10. Special Report Name ❑ ❑ Final special N Year End ❑ Final ❑ Special S. Number of Fundraisers this Report 11. Account Information Il. Account Information a. Financial Institution Full Name a. Financial Institution Full Name UNION COUNTY b. Purpose c. Account Code b.®A}Wt141GN FINANCE c. Account Code JAN 31 2020 d. Period Begin Balance it. Period Begin Balance RECEIVED $ $ 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 com le true and correct and that I have been p C� b the NC State Board of Elections. y ,Ted I i a rd� Q d 6 l 31 aoao Printed Name of Signer Sighature of Appointed Treasurer Date FOR OFFICE USE ONLY Delivery Method Date Received: OI !'3! Employee: ❑ Normal Mail Date Postmarked: Employee: 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 -2 I OOA-E) to make committee changes. CRO -1000 NC State Board of Elections August 2008 Amendment Detailed Summary ❑ Yes ® No Use this form to summarize all disclosure reoortine forms and to total monetary information. ame and Fund if a licable al GilCampaign mmtt:1ec 2. of Re ort 3. ID Number Semi -Annual Year End HJMTPS t of Cycle: January L, 2019 :4) Total this Reporting Period Total this Election Cycle 5) 6) 7) 8) 9) 10) 11) Cash 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 Ila) Interest on Bank Accounts llb) Contributions from Not -for -Profit Organizations Ile) Outside Sources of Income lld) Legal Expense Fund —Other Sources 11 e) Exempt Purchase Price Sales (CRO -1205) (CRO -1210) (CRO -1220) (CRO -1230) (CR0.1410) (CRO -1240) (CRO -1250) (CR0.1250) (CR0.1250) (CRO -1270) (CRO -1265) $ 0 $ 0 $ $ $ 1000 .60 $ 1000 b0 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 12) TOTAL RECEIPTS (Addnness, 6, 7, 8.9,10, Ila.11b, 11c, 11dantd Ile) $ 1000.00 $ 1000.00 13) 14) 15) 16) 17) Disbursements 13a) Operating Expenditures 13 6) Contributions to Candidates/Political Committees 13c) Coordinated Party Expenditures Aggregated Non -Media Expenditures Loan Repayments Refunds/Reimbursements From the Committee In -Kind Contributions (CRO -1310) (CRO -1310) (CRO -1310) (CRO -1315) (CRO -1430) (CRO -1320) (CRO -1510) $ $ $ $ $ $ $ $ $ $ $ $ $ 1000.00 $ 1000.00 18) TOTAL EXPENDITURES (Add lines 13q 13b, 13e, 14, 15.16 and 17) $ 1000.00 $ 1000.00 19) 20) 21) 22) 23) 24) 25) 26) 27) 28) Cash on Hand at End (Add line c ! and 12 together, then subtract lire 18) Non -Monetary Gifts Given to Other Committees (CRO -1330) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) Debts and Obligations owed By the Committee (CSO -1610) Debts and Obligations owed To the C (CRO -1620) UNION irCE Account Transfers Within jaAKl&je0j*& (CRO -1720) Administrative Support JAN 31 2020 (CRO -1710) Forgiven Loans (CR0.1440) 48 -Hour Notice Reports SunRECEIVED (cx0.2220) Contributions to be Refunded (CRO -121S) $ 0 $ 0 $ $ $ $ $ $ $ $ $ $ $ $ $ CRO -1100 NC State Board of Elections August 2008 Amendment Contributions from Individuals Pg of ❑ Yes 53 No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee Full Name and Fund if alplplivable 2. ID Number Cn-OW GW`ard, Rai It�Tm rpS 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title(Profession d. Comments �eer}5 Reyer'sN Cng6AM( 1) Glliar-CL ISL ati11�, Konyw-1i11/�i)4j c. Employer's Name/Sped6c Field et �� 1 U� C e. Election Sum to Date $ Io00 .00 f.Prior g. Account Code h. Form of Payment L In -Kind Description '. Date (mm/ddfyyyy) k Amount ❑ the cK_ ( %.e- ► a /oa ao Ia $ 16 60 ov ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, &zip) b. Job Title/Profession d. Comments a Employer's Name/Specific Field e. Election Sam to Date $ f.Prior g. Account Code h. Form of Payment L In -Kind Description J. Date (nnddd/yyyy) k Amount ❑ $ ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone (include city, state, & zip) — U CN CQUNTl___ CAMPAIGN FINANCE JAN 31 2020 RE EIVED b. Job Titie/Profession d. Continents c. Employer's Name/Specific Field e. Election Sum to Date $ . Prior ❑ g. Account Code h. Form of Payment i. In -Kind Description J. Date (mm/ddlyyyy) k Amount $ ❑ $ ❑ $ 4. Total only this Page $ / t > oo . au 5. Total of ALL CRO -1210 Pages (This line must be online 6 of Detailed Summary Page CRO -1100) $ 00 D CRO -1210 NC State Board of Elections Apii12007 In -Kind Contributions Amendment Pg 1 of 1 ❑ Yea ® No Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund. Use CRO -1215 if In -Kind Contributions were or will be refunded within 7 days. 1. Committee Full Name and Fund H a licable 2. ID Number Crystal Gilliard ROD Campaign HJMTPS 3. Contributor Information Lj Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & tip) b. Type of Contributor c. Comments ❑ Individual ❑ Candidate ❑ Parry ❑ PAC ❑ Referendum ❑ Other Receipt Source Crystal D. Gilliard 2721 Long Hope Road Monroe, NC 28112 d. Election Sum to Date $ 1000.00 e. Description E Date (mm/ddtyyyy) g. Fair Market Amount Filing fee 12/02/2019 $ 1000.00 3. Contributor Information Add U Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Type of Contributor c. Comments ❑ Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source d. Election Sum to Date $ C. Description E Date (mm/ddlyyyy) g. Fair Market Amount $ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city,state,&zip) NION COUNTY JAN 31 2020 RECEIVE b. Type of Contributor c. Comments ❑Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source d. Election Sum to Date $ e. Description E Date (mm/ddlyyyy) g. Fair Market Amount $ 4. Total on] this Pae $ 5. Total of ALL CRO -1510 Pages (This line must be on fine 17 ajlktailed Sumnmry Page CRO -1100) $ 1000.00 (CRO -1510 NC State Board of Elections December 2007