Heintel,Kathleen_2022-1st-qtrAmendment
Disclosure Report Cover o m ex ®Na
Use this form for general report and committee information, nest be signed and submitted along with other detailed finm.
Do not use this fornto update information.
1. Committee Information
a. Full Name
c. ID Number
KATHY HEINTEL FOR BOE
b. Mailing Address (include City, State and Zip Code)
it. Date Fled
904 PATRICIANS LANE
05/09/2022
MONROE, NC 28110
e. Phone Number
(216)536-4009
2. Report Year
13. Period Start Date (mm/dd/yy)
14. Period End Date (mm/dd/>y)
5. Treasurer Full Name
2022
12'06/2021
04/30/2022
KA'l I (LEEN MESEL HEINTF,L
6. Type of Committee (Check One)
9. Type
of Report (check only one e a re ort from one category)
® Candidate Campaign ❑ Party
Municipal
State/County
Referendum
❑ Join Fundraiser ❑ PAC
❑
Organizational
Q Organizational
❑ Organizational
Referendum ❑ Legal Expense Ftmd
❑
❑
❑
Thirty-five dayj)uatterly
Pre-primary
Pre-election
L'r/ Fest
[3 Second
❑ Pre -referendum
❑ Final
❑ Supplemental Final
7. Of Fund (faPPGcable, check one)
❑ "Booster I und"
Building Fund
❑
Pre -runoff
[3 Third
❑ Annual
Q Presidential Election Year Candidates Fund
Semi-annual
13 Fourth
❑ Special
0 NC Public Campaign Financing Fund
❑
Mid Year
Semi-annual
❑
Year End
[3 Mid Year
10. Special Report Name
Other
❑
❑
Final
Special
Q Year End
[3 Final
❑ Special
P
P. Number of Fundraisers this Re rt
0
3 . Account information
3. Account Information
a. Financial Institution Full Name
a. Financial Institution Full Name
BANK OF AMERICA
CITI
It. Purpose
c. Account Code
b. Purpose
c. Account Code
FEES AND EXPENSES
I
FEES AND EXPENSES'.,
2
NAN
.E
it. Period Begin Balance
d. Period Begin Balance
MAY 10 2022
__l
$
$
CERTIFICATION
HLULIVED
[certify that the Committee or Fund is in cornpliance with all applicable provisions ofArticle 22A, 22B & 22D -22M of
Chapter 163 ofthe NC General Statutes and that no funds arecommingled with prohibited or other non -disclosed
funds. I further certify that this report is complete,
true d correct and that I have been trained by the NC State Board
K.+i"k .t,► a(►y1ke�
t! 05/09/2022
Printed Name of Signer
Signature of Appointed Treasurer Date
FOR OFMCE USE ONLY
Date Received:
EDelivery Methodmployee:
❑ Normal Mail
❑ Registered Mail
Date Postmarked:
Employee:
❑ Hand Delivered
® Electronically Filed
Date Scanned:
Employee:
Date Data Entered:
Employee: [3 Signer has not received
mandato training
Please Note: This form cannot be used to amend committee information such as the coranittee address, treasurer,
assistant treasurer, custodian
of books information, or account information.
You must amend the Statement of Organization
CRO -2100A- to make committee changes.
CRO -1000 NC State Board of Elections December 2007
8mendment
Disclosure Report Cover Addendum ❑ Acs ® No
Use this form to report additional bank account intonation that did not fit on the Disclosure Report Cover.
1. Committee Fb1I Nsme and Fund if applicable)
2. ID Number
KATHY HEINTEL FOR BOE
3. Account Information
3. Account Information
a. Financial In,otutmo Pull Name
a. Financial Institution Full Name
CAPITAL ONE
b. Purpose
a Account Code
It. Purpose
c. Account Code
EXPENSES
3
it. Period Begin Balance
it. Period Begin Balance
5
$
CERTIFICATION
I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B&
22M of Chapter 163 of the NC General Statutes and that no funds are commingled with prohibited or other
non -disclosed funds. futther certify that this ort is complete, true and correct and that I have been
II
�( tR,.ewI {SLI G� 05/09/2022
Printed Name of Signer Signature of Appointed Treasurer Date
Please Note: This cover sheet cannot be used to amend conmittee information such as the committee name
or account information.
You trust amend the Statement of Organization CRO -2100A- to make committee changes.
CRO -1010 NC State Board of Elections December 2007
UNION COUNTY
CAMPAIGN FINANCE
MAY 10 2022
RECEIVED
Detailed Summa Amendment
�' ❑ Yes ® No
Use this forth to summarize all disclosure reporting forms and to total monetary information
1. Committee Full Name(and Flandifapplicable)
2. Type of Report
13.IDNumber
KATHY HEINTEL FOR BOE
2022 First Quarter
Start of Flection Cycle: January 1, 2021
R e
Total this
rtin Period
Total this
ilection Cycle
4) Cash on Hand at Start
$
0.00
5
0.00
RECEIPTS
5) Aggregated Contributions from Indi%iduals
6) Contributions from Inditiduals
7) Contributions from Political PartyComrrittees
8) Contributions from Other Political Committees
_
(CRO -1205)
(CRO -1210)
(CRO -1220)
(CRO -1230)
$ 0.00
$
0.00
$ 12,024.00
$
12,024.00
$ 0.00
$
0.00
$ 0.00
$
0.00
9) Loan Proceeds
0)Refunds/Reimbursementsto the Committee
1) Other Receipt S on rces
119) Interest on Rank Accounts
Ilb) Contributions from Not -For -Profit Organizations
llc) Outside Sources oflucome
114 Legal Fxpense Fund -Other Sources
Ile) Eaempt Purchase Price Sales
(CRO -1410)
(CRO -1140)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1270)
(CRO -/205)
$
0.00
$
0.00
$ 0.00
$ 0.00
$
$
0.00
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
2) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,1 la llb,l l0 11d and Ile)
$
12,024.00
1 $
12,024.00
EXPENDITURES
3) Disbursements
13a) Operating Expenditures
13b) Contributions to Candidates/Political Committees
13c) Coordinated PartyEirpendtures
4) Aggregated Non -Media Espenditures
-
(CRO -1310)
(CRO -1310)
(CRO -1310)
(CRO.1315)
$
$
$
$
0.00
0.00
0.00
0.00
$
0.00
$
0.00
$
0.00
5) Lunn Repayments
(CRO -1420)
$
0.00
$
0.00
6) Refunth/Relmbursements from the Committee
7) In-IGnd Contributions
(010-1320)
(CRO -1510)
$
0.00
$
0.00
$ 12,024.00
$
12,024.00
8) TOTAL EXPENDITURFS (Add fines 13a, 13b, 130, 14, 15, 16 and 17)
$
12 024.00
$
12 024.00
9) Cas h on hand at End (Add lines 4 and 12 together, then subtract fine 18)
$
0.00
ADDITIONAL INFORMATION
0) Non -Monetary Gifts Given to Other Committees (CRO -1330)
1) Outstanding Loans (incl. ones from other campaigns) (CRO -1430)
2) Debts and ObligationsoviedbytireCommittee (CRO -1610)
3) Debts and Obligations ouedtothe Committed Pid6N 1 (CRO -1611)
4) Account Transfers Within the Committee ,SAY n_ �;(CRo-neo)
5) Administrative Support (CRO -1710)
6) Forgiven loans t t t- a (CRO -1440)
7) 48 -Hour Notice Reports Sum (CRO -2220)
$
$
$
$
$
0.00
0.00
0,00
0.00
0.00
$ 0.00 $
0.00
$ 0.00 $
0.00
$ 0.00 $
0.00
S) Contributions to he Refunded
(CRO -1215)
$
0.00
$
0.00
CRO -1100 NC State Board of Elections August 2008