Gilliard,Crystal_2020-Fourth-qtrAmendment
Disclosure Report Cover I ❑ 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
Crystal Gilliard ROD Campaign
HJMTPS
b. Mailing Address (include City, State and Zip Code)
I iNION COLI
d. Date Filed
2721 Long Hope Road
GAMPAIG
Monroe, NC 28112
JAN 12 2021
1 -la a4�1
e. Phone Number
704-361-0606
RECEIVED
2. Report Year
3. Period Start Date (mm/dd/yy)
mPeriod End Date
5. Treasurer Full Name
2019 10/18/2020
12/31/2020
Crystal D. Gilliard
6. Type of Committee Check One
9. Type
of Report (check only onee o re ort om one category)
® Candidate Campaign ❑ Party
Municipal
State/County
Referendum
❑ PAC ❑ Referendum
❑
Organizations]
❑ Organizations]
❑ Organizational
Independent ❑ ❑
Expenditure Joint Fundraiser
❑
Thirty-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fond
❑
❑
Pre-primary
Pre-election
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7. Type of Fund (ifapplicalik, check one)
❑ "Bousicr 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
S. Number of Fundraisers this Report
0
11. Account Information
11. Account Information
a. Financial Institution Full Name
a. Financial Institution Full Name
b. Purpose
c. Account Code
It. Purpose
Account Code
d. Period Begin Balance
d. Period Begin Balance
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 I have been trained by the NC State Board of Elections.
c►� t l �. (9i tuar-a CW �1D .
Printed Name of Signer
St ature of Appointed Treasurer
Date
FOR OFFICE USE ONLY
Date Received: �d
Employee:
Delivery Method
❑ Normal Mail
Date Postmarked:
Employee:
Registered Mail
*471 Hand Delivered
Date Scanned:
Employee:
tj 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 2008
Detailed Summary ❑ead Yes t No
Use this form to summarize all disclosure reporting forms and to total monetary information.
1. Committee Fall Name and Fund if ap licable 7 Uii of Report
3. ID Number
Crystal Gilliard ROD Campaign 1 2020 Fourth Quarter
I
HJMTPS
Start of Election Cycle: January 1, 2017
Total this
Reporting Period
Total this
Election Cycle
4)
5)
6)
7)
8)
9)
10)
11)
Cash on Hand at Start
Aggregated Contributions from Individuals (CRO -1205)
Contributions from Individuals (CRO -1210)
Contributions from Political Party Committees (CRO -1220)
Contributions from Other Political Committees (CRO -1230)
Loan Proceeds (CRO -1410)
Refunds/Reimbursements To the Committee (CRO -1240)
Other Receipt Sources
Ila) Interest on Bank Accounts (CRO -7250)
11b) Contributions from Not -for -Profit Organizations (CRO -1250)
Ile) Outside Sources of Income (CRO -1250)
11d) Legal Expense Fund —Other Sources (CRO -1270)
11 e) Exempt Purchase Price Sales (CRO -1265)
$
0
$
0
$ $
$ $
1000.00
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
FS $
12)
E
TOTAL RECEIPTS (Add lines 5.6. 7, 8, 9, 10, Ila, lib, llc, lldand Ile)
$
0
$
1000.00
13)
14)
15)
16)
17)
Disbursements
13a) Operating Expenditures (CRO -1310)
13b) Contributions to Candidates/Politica�%5RittmNTfCRO-1310)
13c) Coordinated Party Expenditures CAMPAIGN FINA�1310)
Aggregated Non -Media Expenditures JAN 12 2021(CRO-1315)
Loan Repsymeots�� � � I"�(o-Iezo)
Refunds/Reimbursements From the Co e IVE,&1320) oa3z0)
In -Kind Contributions (CRo-Is10)
$
$
$ $
$ $
$ $
$ $
$ $
$ $
1000.00
18)
TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14,15,16 and 17)
$
0
$
1000.00
19) Cash on Hand at End (Add lines 4 and 11 together. then subtract fine 18)
ADDITI
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 (CRO -1610)
24) Account Transfers Within the Committee (CRO -1710)
25) Administrative Support (CRO -1710)
26) Forgiven Loans (CRO -1440)
27) 48 -Hour Notice Reports Sum (CRO -2220)
28) Contributions to be Refunded (CRO -1215)
$
0
j $
0
$
$
-
$
$
$
t
$ $
$ $
$ $
$ $
CRO -1100 NC State Board of Elections August 2008