Helms,Matt_2020-1st-QtrDisclosure Report Cover [Amend esent ® 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
COMM.1'1'aL 3r, C\.O' 1•\,W W\—t
. Mailing Address (include City, State and Zip Code)
d. Date Filed
5315 S >�vI C2:��+ Ra
ton Puc1 tVL 2811'!„
212517 020
e. Phone Number
7U`l- $-72 - alSy
Z. Report Year
3. Period Start Date m aht )
4. Period End Date (=Wdd/ )
5. Treasurer Full Name
'2U2 U
I It 1207,0
2 115-17,010
Lt,"
6. a of Committee Check One
9. Type
of Report (check only one type of report from one category)
® Candidate Campaign ❑ Party
Municipal
State/County
Referendum
❑ PAC ❑ Referendum
❑ Organizational
❑ Organizational
❑ Organizational
❑ Independent Expenditure ❑ Joint Fundraiser
❑ Thirty-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑ Pre-primary
® First
❑ Final
❑ Pre-election
❑ Pre -runoff
Semi-annual
❑ Second
❑ Third
❑ Fourth
❑ Supplemental Final
❑ Annual
❑ Special
i. Type of Fund(if applicable, check one)
❑ Booster Fund
❑ Building Fund
❑ Mid Year
Semi-annual
❑ Year End
❑ Mid Yea
10. Special Report Name
❑ Other:
❑ Final
❑ Special
❑ Year End
❑ Final
❑ Special
8. Number of Fundraisers this Report
11. Account Information
11. Account Information
a. Financial Institution Full Name
a. Financial ins ' WIO@
F(r's\� \Wde1*n.\
IGNFINANCE
b.
c. Account Code
b. Purpose
c. Account Code
Purpose
l.cmnciSn
RECEIVE
d. Period Begin Balance
Period Begin Balance
$ IIU.od
$
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.
-�
Iyieltbw J.� kW_1 oud, , 0, lam-- l%�_ 212`112020
Printed Name of Signer Si amrezof Appointed Treasurer Date
FOR OFFICE USE ONLj�
Date Received: C Employee: ate ow Delivery Method
❑ Normal Mail
Dale Postmarked: Registered Mailked: Employee: ❑ Hand Delivered
Date Scanned: Employee: ❑ Electronically Filed
Date Data Entered: Employee: ❑ mag er has not received
ory 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.
G'KO-1000 NC State Board of Elections August 2008
Detailed Summary p Amends lip No
Use this form to summarize all disclosure rennrtino forms and to total mnnetary infn�mafinn
1. Committee Full Name (and Fund if applicable)
2. Type of Report
3. H) Number
CO3,-,, 4c' -N-01:4ol— /VI.W 11e,l ;
I, Sa
Qv&4r
—
Start of Election Cycle: January 1, "L o z
Total this
Reporting Period
Total this
Election Cycle
4) Cash on Hand at Start
$
o
1 01,
$
RECEIPTS
5) Aggregated Contributions from Individuals
6) Contributions from Individuals
7) Contributions from Political Party Committees
8) Contributions from Other Political Committees
9) Loan Proceeds
10) Refunds/Reimbursements to the Committee
11) Other Receipt Sources
Ila) Interest on Bank Accounts
11b) Contributions from Not -For -Profit Organizations
Ile) Outside Sources of Income
IId) Legal Expense Fund -Other Sources
Ile) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1210)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CRO -1240)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1270)
(CRO -1265)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10,1 la, l ib,l le, l ld and l le)
$
$
EXPENDITURES
13) Disbursements
13a) Operating Expenditures (CRO -1310)
13b) Contributions to Candidates/Political Committees (CRO -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)
$
$
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18
$
Q - 0
$
ADDITIONAL INFORMATION
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 theCo (CRO -1720)
CAN FINANCE
CORN
25) Administrative Support (CRO -1710)
26) Forgiven Loans FEB 2 4 2020 (CRO -1440)
27) 48 -Hour Notice Reports Sum CRo-2220)
28) Contributions to be Refunded (CRO -1215)
$
$
$
$
-
$
$
$
$
$
$
$
$
$
NC State Board of Elections August 2008
Amendment -_-- l
Outstanding Loans Pg of A ❑ Yea ®No
Use this form to report any outstanding loans received during a previous reporting period and until the loan is paid in full.
1. Committee Full Name (and Fund if applicable)
2. Dl Number
Cor..n.,\Itce, ko E\r.vV fv\a u.\ t
3. Lender Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state,
b. Job Title/Profession
d. Comments
�•+4.no<i �ne\ytl
`&zip)
(Y\C.v
5315 5 �or,\+.i tvY �a
(Monroe JVl Zk\lZ
t
e. Start Date(mmldd/yyyy)
c. Employer's Name/Specirie Field
CAy a LMe loNc
L End Date (mMdd/yyyy)
g. Rate` h. Security Pledged
t. Original Loan Amount
j. Remaining Loan Balance
v 0Y\P
$ jy(). 00
$ 1 SO. oO
it. Full Name of Lending Institution
1. Loan Number
3. Lender Information ❑ Add !❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job TitlelProfession
d. Comments
e. Start Date (mm/ddlyyyy)
c. Employer's Name/Specific Field
f. End Date (mmlddlyyyy)
------------------
g. Rate
h. Security Pledged
t. Original Loan Amount
j. Remaining Loan Balance
%
$
$
k Full Name of Lending Institution
1. Loan Numher
3. Lender Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b• Job Title/Profession
d. Comments
CA,Nlot4 col",
MP GN F NANCE
FEB 2
ECEIVED
e. Start Date (nWddlyyyy)
c. Employer's Name/Specific Field
L End Date(mnrlddlyyyy)
g. Rate
1h, Security Pledged
i. Original Loan Amount
$
J. Remaining Loan Balance
%
$
it. Full Name of Lending Institution
1. Loan Number
4. Total only this Page
$ 1 i -O '
5. Total of ALL CRO -1430 Pages
(This line must he online 21 of Detailed Summary Page CRO -1100)
$ I So • '
CRU -1430 NC State Board of Elections December 2007