Helms,Matt_2020-2nd-QtrDisclosure Report Cover Amend yes nt ® No
Use this form for general report and committee information, must be signed and submitted along with other detailed loans.
Do not use this form to update information.
1. Committee Information
. Full Now
c. In Number
b. Mailing Address (include City, State and Zip Code)
it. Date Filed
5315 S �ock7 p . < R A
-7 110126
Monroe, N(_ ZkItZ
e.Plow Number
-701-1 -572- OHSy
2. Report Year
3. Period Start Date (mm/dd/yy) 4. Period End Date (mm/dd/yy)
5. Treasurer Fud Name
2U 20
2 -11(v12 -02d 6/901 7v2_()
i�cHHe✓ Jul \\et s
6. Type of Committee (Check One) _
9. Type ofReport (check
only one type of reportfrom
one category)
® Candidate Campaign ❑ Party
Municipal
State/County
Referendum
❑ PAC ❑ Referendum
❑ Oreanizational
❑ Organizational
❑ Organizational
❑ Independent Expenditure ❑ Joint Fundraiser
❑ Thirty-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑ Pre-primary
❑ First
❑ Final
❑ Pre-election
❑ Pre -runoff
® Second
❑ Third
❑ Supplemental Final
p Annual
7. Type of Fund (if applicable. check one)
_ _
❑ Booster Fund
Semi-annual
❑ Fourth
[3 Special
❑ 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 Institution Full Nam�e7
a. Financial Institution Full Name
V"O— Na,\\'O" �cn�
b. Purpose
c. Account Code
h. Purpose
c. Account Code
cavwpr::5n
Y3
it. Period Begin Balance
it. Period Begin Balance
Ido, U�
CERTIFICATION
I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 228 & 2213-22M 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.
MoHt+e, \�a. s .4d.J/) ..."�lfl.. - 7110/2,)2o
Printed Name of Signer Sin lure of Appointed Treasurer I):ac
FOR OFFICE USE ONLY
Delivery Method
Date Received: 2A Employee:
❑ Normal Mail
Date Postmarked: Employee: ❑ Registered Mail
EJ -1 [and Delivered
Date Scanned: Employee: ❑ Electronically Filed
Date Data Entered: Employee: Smandatoryer has nowt ninceived
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 -2 I OOA-E) to make committee c COUNTY
CRO -1000 NC State Board of Elections " "' August 7008
JUL 1 U 2020
RECEIVED
Detailed Summary
Use this form to summarize all disclosure renortinp forms and to total monetary information
1. Committee Full Name (and Fund ifapplicable)2.
LOM'H-4 o ckecv M -kit tt��s
Type o
Sec
Report
Qvarktr
3. ID Number
Start of Election Cycle: January 1, 2020
Total this
Reporting Period
Total this
Election Cycle
4) Cash on Hand at Start
$
t, \ o . ° °
$ \ 1 U .
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
I lb) Contributions from Not -For -Profit Organizations
I lc) Outside Sources of Income
11d) 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, 10,11 a, I lb, I I c, I I d and I I e)
$
$ 6
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)
$
$ (j
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line IS
$
ADDITIONAL INFORMATION
20) Non -Monetary Gifts Given to Other Committees
1) Outstanding Loans (incl. ones from other campaigns)
2) Debts and Obligations owed by the Committee
3) Debts and Obligations owed to the Committee
4) Account Transfers Within the Committee
5) Administrative Support
6) Forgiven Loans
7) 48 -Hour Notice Reports Sum
8) Contributions to be Refunded
(CRO -1330)
(CRO -1430)
(CRO -1610)
(CRO -1620)
(CRO -1720)
(CRO -1710)
(CRO -1440)
(CRO -2220)
(CRO -1215)
$
$
$
$
$
$
sp. u
$
$
$
"'ON COUNTY
$
$
AJC
CRU -1100 NC State Board of Elections Au st 2008
RECEIVED
Outstanding Loans
Amendment
Pg of ❑ties ® 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 WW Fund N applicable)
COMrv.. r�GG Sa 1. `G(.'y' ,•`CTS `��M�
2. ID Number
3. Lender Information Add ❑Remove
. Full Name, Mailing Address & Phone
(include city, state, & nip) _
M \
1'
S3 tS 5 (Z.44y ji: ✓ nj
A, L 2 �((-y
b. Job Title/Profession
II} 1
US.nGil M 41J-
d. Comments
e. Start Date (mm/ddlyyyy)
c. Employer's Name/Specific Field
f. End Date (mm/ddlyyyy)
. Rattee
Security Pledged
tto vl c.
i. Original Loan Amount
$ Ii Uo ej
'. Remaining Loan Balance
$ ISJ ad
v
Full Name of Lending Institution
L Loan Number
3. Lender Information Add ❑ Remove
. Full Name, Mailing Address & Phone
(include city, state, & sip)
b. Job TitielProfession
d. Comments
e. Start Date (mm/ddlyyyy)
e. Employer's Name/Speciftc Field
L Emd Date (nuddd/vYYy)
. Rate
It. Security Pledged
i. Original Loan Anmunt
$
'. Remaining Loan Balance
$
Fall Name of fending Institution
L Loan Number
3. Lender Information ❑ Add 0 Remove
. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
-
e. start Date (mmlddlyyyy)
c. Employer's Name'Spcd8c Field
L End Date (mmldd/yyyy)
g. Rate
%
StxmLLy Pledged
TL
1.Odghml Loan Amount
'. Remaining Loam Balance
$
$
Full Name of Lending Institution
1. Lowe Number
4. Total only this Page
NCE
5. Total of ALL CRO -1430 Pages
(This line moat be online 21 ofDetailed Summary Page CRO -1100)
$ J U L 10 2020
CK(1-1411/ NC State Board of Flections December 2007
RECEIVED