Gilliard,Crystal_2020-Third-qtrAmendment
Disclosure Report Cover 1 ❑ Yet ® 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. to 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
10/21/2020
e. Phone Number
704-361-0606
2. Report Year
3. Period Start Date (mm/dd/yy)
mid iod End Date
5. Treasurer Full Name
2019
07/01/2020
10/17/2020
Crystal D. Gilliard
6. Type of Committee Check One)
9. Type
of Report check only one type of report oat one category)
® Candidate Campaign ❑ Party
Municipal
State/County
Referendum
❑ PAC ❑ Referendum
❑
Organizational
❑ Organizational
❑ Organizational
Independent ❑ ❑
ExpenditureJoint Fundmiser
❑
Thirty-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑
❑
Pre-primary
Pre-election
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7. Type of Fuad (if applicable, check one)
❑ "Booster Fund"
❑ Building Fund
❑
Pre -runoff
® Third
❑ Annual
Semi-annual
❑ Fourth
❑ Special
❑
Mid Year
Semi-annual
❑ Other:
❑
Yew End
❑ Mid Year
10. Special Report Name
❑
❑
Final
Special
❑ Year End
❑ Final
❑ Special
& Number of Fundraisers this Report
0
11. Account Information
11. Account Information
a. Financial Institution Full Name
a. FinanEW me
FINANCE
b. Purpose
c. Account Code
—C-AMPAIGN
b. Purpose
c. Account Code
OCT 2 1 2020
RECEIVED
it. 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
it (a. G; Ward
by the NC State Board of Elections.
CXyAb_L_L n- 1M (_!__?n y�
10/21/2020
Printed Name of Signer
Signature of Appointed Treaurer
Date
FOR OFFICE USE ONLY
Date Received: �� a
/��&
Employee: l� 6A&3_
�-I�y�
Delivery Method
❑ 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-2100A-E)to make committee changes.
CRO -1000 NC State Board of Elections August 2008
Mailed Summa Amendment
�' ❑ Yes ® No
Use this form to summarize all disclosure reporting forms and to total monetary information.
1. Committee Full Name and Fund if applicable)
2. Type of Report
3. ID Number
Crystal Gilliard ROD Campaign
2020 Third Quarter
HJMTPS
Start of Election Cycle: January 1, 2017
Total this
Period
Total thisReporting
Election Cycle
4) Cash on Hand at Start
RE _ jo
5) Aggregated Contributions from Individuals (CR&1205)
6) Contributions from Individuals (CRO -1210)
7) Contributions from Political Party Committees (CRO -1220)
8) Contributions from Other Political Committees (CRO -1230)
9) Loan Proceeds (CRO -1410)
10) Refunds/Reimbursements To the Committee (CRO -1140)
11) Other Receipt Sources
Ila) Interest on Bank Accounts (CRo-1250)
11b) Contributions from Not -tor -Profit Organizations (CR04250)
Ile) Outside Sources of Income (CRO -1250)
Ild) Legal Expense Fund—Other Sources (CRO -1270)
11 e) Exempt Purchase Price Sales (CRO -1265)
$
0
$
0
$ $
$ $
1000.00
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
12)
13)
14)
15)
16)
17)
TOTAL RECEIPTS (Add lines J. 6, 7, 8, 9, 10, Ila, Ilb, 11c, IId and Ile)
Disbursements
13a) Operating Expenditures (CRO -1310)
13b) Contributions to Candidates/Political Committees (CRO -1310)
13c) Coordinated Party Expenditures UNION CO
CAMPAIGN F1IVFC_ �1p1 J}�jy
Aggregated Non -Media Expenditures (CRO -1315)
Loan Repayments OCT 2 1 (t --1420)
Refunds/Reimbursements From the CommittRECEI &
In -Kind Contributions (CRO-1Sio)
$
0
$
1000.00
$ $
$ $
$ $
$ $
$ $
$ $
$ $
1000.00
18)
TOTAL EXPENDITURES (Add lines 13a, /3b, 13c, 14.15,16 and 17)
$
0
$
1000.00
19) Cash on Hand at End (Add lines 4and 11 together, then subtract line 18)
ADDITIONAL INF
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 -1620)
24) Account Transfers Within the Committee (CRO -1720)
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
$
$
$
$7 $
CKU-1100 NC State Board of Elections August 2008