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Helms,Matt_2019-YEDisclosure Report Cover 0AYea ni ® 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 Full Name,, c.1D Number `` ,,AAnn MMs4 G ku \<ck t��airY IiG\m< . Maltlog Adilrew imdme City. State and zip Cole) d. Date FBed 53[S NC 2li•tx2 e. Prune Ntunhr -7(a=s�2 oysy 2. rt Year 3. Period Start Date 4. Period End Date i IS. Treasurer FBR Name Z 0 \S 711 / Iq \z 13,114 Mc:ttiw 301 U�\w g 6. Type of Coon Check One 9. TM of Report(c ck only one loyope of reportfrom one cote ary) ® Candidate Campaign Party Manidpal state/county Referendtun ❑ PAC ❑ Referendum ❑ Organizational Organizational Q Organizational ❑ Independent Expenditure ❑ Joint Fundraiser ❑ Thirty-five day Quarterly ❑ Pre -referendum ❑ legal Expense Fund ❑ Pre-primary ❑ First ❑ Final ❑ Neclection ❑ Pre -runoff Semi-annual ❑ Second ❑ lbrd ❑ Fourth ❑ Supplemental Final ❑ Annual ❑ Special 7. Type Of Fund (if applicable. check one) ❑ Booster Fund ❑ Building Fund ❑ Mid Year Semi-annual ❑ Year End ❑ Mid Year 10. Special Report Name ❑ Other: ❑ Final ❑ special ® Year End ❑Final - 8. Number of Fundraisers this Report -- -- ❑ Special 11. Account Information 11. Account Information . Financial Insdiudon Full Name Fluancial lastitutlon Full Name rS� t)cv. .\ 16'nl: U b. Purpose aAccount Code N Purpm CAMPAIGN FINAWWAmwtC-ode ccmpe;s. Y B JAN 2 7 2020 d. Period Begia Balance & Perlod Begin Balance RECEIVED $ Ilo.aa CERTIFICATION I certify that the Committee or Fund is in compliance with a6 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. Ma k4 k.. 3.t, llck ,a <Ll", /7 LL-- 112-7 IZO11 Printed Name of Signer Si amre of Appointed Treasurer Dar, OR OFFICE USE ONLY Date Received: Employee: Delivery Method❑ Normal Mail Date Postmarked: Employee: Registered MailHand Delivered Date Scanned: Employee: Electronically Filed Date Data Entered: Employee: [3 Signer has not receivedmandatory tramun 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 Summa Amendment ❑Yes ®No Use this form to Rummari9e. all diw1m,ire mnnrtino fnrm and to tntal m norm., infnrm Linn 1. Committee Full Name (and Fund if applicable) 2. = of Re rt 13. ID Number Cd,v "441& }• Fkec} Xe" [,%A Start of Election Cycle: January 1, 2019 Total this Reporting Period Total this Election C cle 4) Cash on Hand at Start $ 110. p0 $ 110. •, RECEIM 5) Aggregated Contributions from Individuals 6) Contributions from Individuals 7) Contributions from Political Party Committees 8) Contributions from Other Political Committees 9) Loan Proceeds 0) Refunds/Reimbursements to the Committee 1) Other Receipt Sources Ila) Interest on Bank Accounts 1lb) Contributions from Not -For -Profit Organizations 110 Outside Sources of Income 11d) Legal Expense Fund - Other Sources Ile) Exempt Purchase Price Sales (CRO -1205) (CRO -1210) (CRO -1220) (CRO -7230) (CRO -1410) (CRO -1240) (CRO -12.50) (CRO -1250) (CRO -12,50) (CRO -1270) (CRO -1265) $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 2) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,11 a,1lb,llc,lId and I le) $ (J $ d EXPENDITURES 3) Disbursements 13a) Operating Expenditures (CRO -1310) 13b) Contributions to Candidate Ci (CRO -1310) 13c) Coordinated Party Expenditt�7AN-2 7 2020 (CRO-"" 14) Aggregated Non -Media Expendt'tures(CRO.1315) 5) Loan Repayments RECEIVED (CRO -1420) 16) Refunds/Reimbursements from the Committee (CRO -1320) 7) In -Kind Contributions (CRO -1510) $ $ $ $ $ $ $ $ $ $ $ $ $ $ 18) TOTAL EXPENDITURES (Add lines 13a6 13b, 13c, 14, 15, 16 and 17) $ B $ 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18 $ 11 o. • • $ i \ 0 . DITIONAL INFORMATION 0) Non -Monetary Gifts Given to Other Committees 1) Outstanding Loans (incl ones from other campaigns) 2) Debts and Obligations owed by the Committee 23) Debts and Obligations owed to the Committee 24) Account Transfers Within the Committee Administrative Support nppu 26) Forgiven Loans 7) 48 -Hour Notice Reports Sum (CRO -7330) (CRO-m3o) (CRO.1610) (CRO -1620) (CRO -1720) (CRO -1710) (CR0.1440) (CRO -2220) $ $ 150. 01 $ $ $25) -'.. ...... $ $ $ $ $ $ 28) Contributions to be Refunded (CRO -1215) $ $ R -1100 NC State Board of ©motions August 2008 Outstanding Loans Amendment Pg of ❑ Yes ® 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 Fond applimbleL an 2.ID N� COmrv.iiec }/� p [ CCI 1� ,YA- \ieA,5 3. Lender Information 0 Add E3 Remove . Full Name, Matting Address & Phone (Include city, Acte, & zip) b. Job Title/Professton d. Comments S315 S Zoc4y D;Vv- lid m...... JUL '2-&,%'- e. Start Date (mudddlyyyy) e. Employer's Name/Spectiic Field C.ay .41 f. End Date (mmlddlyyyg) . Rate 1b. S Security Pledged if. Loan Amount Balance,ecu J. Remaining LoBala d Nom $ ISO. `" $ 15-0.10 Fail Name of Lemtiog Institution 1. Loan Number 3. Lender Information Add Remove a. Full Name, Mailing Address & Phone (include city, state, &zip) UNION COON CAMPAIGN FINANCE JAN 27 2020 RECEIVED b. Job Title/Prefessten d. Comments e.SmrtDate (mm/dd/yyyy) e Employer's NamdSpedBc Field L Hud Date (mm/dd"") • Rate 1h. Security Pledged L Original Loan .amount $ J. Remaining Loan Balance $ Fall Name of Lending Institution 1. Loan Number 3. Lender Information 13 Add ORemove . Full Name, Melling Address & Phone (tnclude City, state, & zip) b. Job Tide/Profeselon d. Comments e. Start Date mm uldd/yyyy) a Employer's NamelSpedBc Field L End Date (mmldd(yyyy) . Rate 1b. Security Pledged L Original Loan Amount J. Remaining Loan Balance k. Fail Name of Leading Institution 1. Loan Number 4. Total only this Page $ 5. Total of ALL CRO -1430 Pages ('this line mus( be online 21 of Detailed Summary Page CR0.//00) CR04430 NC Stale Hoard of Elections December 2007