Greene,Sandra_2022-Org-report-AmendDisclosure Cover Report Amendment
P ® Yes No-�
Use this form for general report and committee information, must be signed and submitted along with other detailed forms.
Do not o.e this torn to update information.
Kania�
. Full Name _ _
e. m Number
SANDRA GREENE 4 BOARD OF EDUCATION
E1M 845
. Mailing Address (Include City, State and Zip Code)
d. Date Filed
3011 GRAY FARM ROAD
07/27/2022
INDIAN TRAIL, NC 28079
e. Phone Number
561-628-3239
Year 3.: Period End
reasure _
2022 01/05/2022 01052021
M,XR1:1 R1:lD
El Candidate Campaign Party Municipal
state/county Referendum
O PAC [3 Referendum [3 Organizational
O Organizational 0 Organizational
Q Independent Expenditure ❑ Joint Fundraiser ❑ Thirty-five day
Quarterly lj Pre -referendum
Q Legal Expense Fund E3 Pre-primary
❑ First lj Final
❑ Pre-election
Second l3 Supplemental Final
0 Pre -runoff
13 Third l3 Annual
Booster Fund Semi-annual
Fourth l3 Special
❑ Building Fund 13 Mid Year
Semi-annual
l3 Year End
❑ Mid Year rt Name
Other: [3 Final
Year End
O Special
Final
ZERO
❑ Speci;,l
11. Accotln J 1. Accomtt Info
a. Financial Institution FuBName a. Financi:d In,tinnion Full Naml,
ala IST
iCC-
b. Purpose
e. Axooat Code
b. Purpose
c. Ace~ Code
CAMPAIGN
GREI
REC E I U E �r
d. Period Begin Balance
d. Period Begin Balance
$ 0.00
$
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 rohibited
other non -disclosed funds. I further certify that this
report is complete, true and correct and that 1 have been trained by e iC
to Boar of ecLions.
MARIA REID
07/27/2022
Printed Name of Signer i nature
Appointed Treasurer Date
OR OFFICE USE ONLY
Date Received: Employee:
Delivery Method
[3 Normal Mail
Date Postmarked: Employce
Registered Mail:
Hand Delivered
Date Scanned: Employee:
Electronically Filed
Date Data Entered: Employee:
Q Signer has not received
mandato 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.
CHU-10W NC State Board of Elections August 2008
Amendment
Detailed Summary El El
I [se this tbnn to sununarize Al (111CIOSlll-e re Nurline Ibrm, and to total nwnetarc intormution
1. Committee Full Nome law apphcabe) __
S:%\DRA GREENE 4 BOARD OF EDCC'A I ION
2. Type of libepml3.
ED Number
EJM 845
ORGANIZA I ION.AL
Start of Election Cycle: January 1, 2022
Total this
Reporting Period
Total this
Election Cvcle
4) Cash on Hand at Start
CEIPTSJJW
5) Aggregated Contributions from Individual, eO-1265)
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 -1240)
ll) Other Receipt Sources
$000
i 0.00
j
5
$ 0.00
$ 0.00
$
$
$
$
$
$
$
$
$
$
Ila) Interest on Bank Accounts (CRO -1250)
I1b) Contributions from Not -For -Profit Organizations (CRO -1250)
$
$
I I c 1 Outside Sources of Income (CRO -/250)
lld) Legal Expense Fund - Other Sources (CRO -1270)
Ile) Exempt Purchase Price Sales (CRO -1265)
$
$
$
$
$
$
12) TOTAL RECEIPTS (Acid lines 5. 6, 7. 8, 9,10,1 1 a. l l b. l l c, l l d and l l e)
$ 0.00
$ 0.00
EXPENDITURES
13) Disbursements
13a) Operating Expenditures (CRO -1310)
13b) Contributions to Candidates/Political Committees (('RO-1310)
13c) Coordinated Party Expenditures (CRO -1310)
14) Aggregated Non -Media Expenditures (CRO -1315)
15) Loan Repayments (CRO -1420)
$
$
$
$
$
$
$
$
$
$
16) Refunds/Reimbursements from the Committee (CRO -1320)
$
$
17) In -Kind Contributions (CRO -1510)
$
$
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)
$ 0.00
$ 0.00
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line IS
$ 0.00
$ 0.00
DITIONAL INFORMATION
Non -Monetary Gifts Given to Other Committees (CRO -1336)
Outstanding Loans (incl. ones from other campaigns) WRO-14.30)
Debts and Obligations owed by the Committee ((RO-1610)
[2)AJLN t 11Debts and Obligations owed to the Committee 'FINAIt1E$L-1620)
4) Account Transfers Within the Committed 11 R 70 {CRO -1720)
5) Administrative Support (CRO -1710)
$
$
$
$
$
$ $
6) Forgiven Loans R—CE R .1440)
$ $
$ $
7) 48 -Hour Notice Reports Sam (CRO -2220)
8) Contributions to be Refunded (CRO -121S)
$ $
vv NC State Board of Elutions August 2008
\nundn-til
Contributions from Individuals Pg i of i p 1, ❑ No
Use this form to report individual contributions neer S5O ..i contributions under $50 if Ibnn CRO 1205 i. not O�Cd
2. ID Number
SANDRA GR4 BOARD OF EDUCATION I1\1 84
Contrib 'rroation : ❑ Add Re
. Full Name, Mailing Address & Phone
(Include city, state, & zip)
b. Job 9'ille/Profession
d. Comments
TEACHER UCPS
DENISE DAUNT
1020 HALLMARK WAY
W AXHW A, NC 28173
c. Employer's Nome/Specific Field
UCPS
e. Election Sum to Date
$ 100.00
'. Prior
❑
g. Account Code
GREI
h. Form of Payment
i. In -Kind Description
'. Date (mMddlyyyy)
L Amount
VISA
01/07/2022
$100.00
❑
$
❑
$
. Full Nam, Mailing Address & Phone
include city, stat, & zip)
b. Job Title/Proresebn
d. Comments
OPERATIONS SPECIALIST
SANDRA GREENE
3011 GRAY FARM RD
INDIAN TRAIL, NC 28079
c. Employer's NamelSpecific Field
ZEUS FINANCIAL LLC
e. Election Sum to Date
$ 50.00
f. Prior
g. Accotmt Code
h. Form of Payment
I. In -Kind Description
J. Date (mmlddlyyyy)
it. Amount
❑
GREI
ZELLE TRANSFER
01/07/2022
$50.00
❑
$
❑ $
- Contributor Information
. Full Name, Nailing Address & Phone It. Job Title/Profession d. Comments
(include city, state, & zip)
c. Employer's Name/Specifile Field
e. Election Stun to Date
UN[Dfl COUNTY $
.Prior
g. Account Code
h. t
Description J. Date (mea(ddlyyyy)
L Amount
❑
1 U L 2 8 2622
$
°
ED
$
❑ $
4. Total o $0.00
5. Total of AL = gcs $ 0.00
(This line must he on line 6 of Detailed Summary Page Cft i
CRO -1210 NC State Board of Elections April 2007