Helms,Richard_2020-2ndQtrReport Cover Amendment
Disclosure Re
P ❑ Yes ❑ 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.
I. Committee Information
. Full Name
c. ID Number
G•ir�At �f�e� Z`o ilea - zt/c e-
�-� M TB
'..Mailing Address (include City, State and Zip Code).
-,
d. Date Filed
7- 05�yi// /&
2-41-73
e. Phone Number
2. Report Year
3. Period Start Date Orim/ddlyy)
4. Period End Date(nmdddry.)
5. Treasurer Full Name
6. j;ype of Committee (Check
9.'I pe of RR�ort (cherf�
onl}' one icpe of'r€f>rirt,frorn
one entegary)
_One)
rj Candidate Campaign Party
Municipal
Stale/County
Referendum
❑ PAC [3Referendum
❑ Organizational
❑ Organizational
❑ Organizational
❑ Independent Expenditure Q Joint Fundraiser
❑ Thirty-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑ Pre-primary
❑ First
Final
❑ Preelection
❑ Pre -runoff
Second
❑ Third
❑ Supplemental Final
❑ Annual
7. Type of Fund (�f applu,d>(e, check one)
❑ Booster Fund
Semi-annual
❑ Fourth
❑ Special
❑ Building Fund
❑ Mid Year
Semi-annual
❑ Year End
❑ Mid Year
10. Special Report Name
❑ Olhcr
❑ Final
❑ Special
❑ Year End
❑ Final
Y. Number of Fundraisers this Report
❑ Special
11. Account Information
11. Account
Information
a. Financial Institution Full Name
a. Financial Institution Full Name
Zo e-11.5- F41?- a
UNION COUNTY
1). Purpose
c. Account Code
Is Purpo GN
c. Account Code
A
l
JUL 0 2 2020
Il —
d. Balance Begin Period
_egin
�
Balance___.._
d. Period BEIVED
$029 O.�v
$
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, time and correct and that I have been trained by the NC State Board of Elections.
a d ';:3. .1-&i, �s sy f ...o 4We � �Zd
Printed Name of Signer Si nature of Appointed Treasurer D;ac
FOR OFFICE USE ONLY
Delivery Method
Date Received: Employee: ❑ Normal Mail
Dale Postmarked: Employee: Registered Mail
Hand Delivered
Date Scanned: Employee: Electronically Filed
Date Data Entered: Employee: ❑ Signer has not received
mandatory 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.
CRO -1000 NC State Board of Elections August 2008
Amendment
Detailed Summary p Yes E3No
Use this form to summarize all disclosure renortine forms and to total monetinformation
1. on�umttee ame (and d ' a licable)12.
Type of Report
13. ID Number
f ���c f I t14, :s
err O` Al
o�/ti 6 i3Q
Start of Election Cycle: January 1, 49.P7
Total this
Re rtin Period
Total this
I Election Cycle
4) Cash on Hand at Start
ti
!) i>L O, _r%_
$
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
1) Other Receipt Sources
11a) Interest on Bank Accounts
11b) Contributions from Not -For -Profit Organizations
llc) Outside Sources of Income
11d) Legal Expense Fund - Other Sources
l le) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1210)
(CRO -1210)
(CRO -1230)
(CRO -1410)
(CRO -1240)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1270)
(CRO -1265)
$
$
$ S'$ O L
$
$
$
$
$
5
$
$
$
$
$
$
$
$
$
$
$
$
12)TOTAL RECEIPTS (Add bnes5,6,7,8,9,10,1 la,I lb,llc,Ild and tie)
!Vp so
$
EXPENbrru ES
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 -7420)
16) Refunds/Reimbursements from the Committee (CRO -1320)
17) In -Kind Contributions (CRO -1510)
$
3 -1 s 7
$
$
$
$
$
$
$
$
$
$
$
$
$
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, l6 and 17)
$
7 (r i %
$
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18
$
3o y 9• (
$
ADDTITONAL INFORMATION
20) Non -Monetary Gifts Given to Other Committees (CRO -7330)
21) Outstanding Loans (incl. ones from other campaigns) (CRO -7430)
22) Debts and Obligations owed by the Committee (CRO -1610)
3) Debts and Obligations owed to the Committee (CRO -1620)
UNION COUNTY
4) Account Transfers Within the CAMRIM FINANCE (CRO -1720)
5) Administrative Support JUL 02 2020 '0-m0)
6) Forgiven Loans (CRO -1440)
27) 48 -Hour Notice Reports SumRECE1V ED (CRO -2220)
$
$
$
$
$
$
$
$
$
$
$
28) Contributions to be Refunded
(CRO -1215)
$
$
CRO -1100 NC State Board of Elections August 2008
Amendment
Contributions from Individuals Pg _ of _ ° Yes ❑ No
Use this form to reoort individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
1. Committee FuH Name and Find if a ticaable)
2. In Number
D/>'t/0141- %v �'/c�1� !f'iclia�a���iris U ec—
2Tth 9 $
3. Contributor Information ❑ Add ❑ Remove
. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. job TittaProfession
d. Comments _
p
!J'G! eR /7%rrf C lA
MJ) -3 1`e, /v C- ZS// Z
c. Employer's NamdSpeci6c Fiidd
e. Election Sum to Daft
$ e2sSo-cc
C Prior
❑
g. Account Code
l
h. Form or Payment
�il eeK
L Io-Khad Dew#don
----
j. Date (mm/dd/yyly) -
O.�j��a �..oZJ
t Amomt
$ o2.sn 9
❑
$
. Contributor Information Add Remove
Full Name, Mailing Address & Phone
(include city,
e,e /7s/3��yy e i yJODC'� J I�S
643 AOu/[/e1OC� '�J
��e�Citr! f /NC 2rf/oY
b. Job Title/Pmfessien 7
d. Comments
a Fmpbyees Name6pecific Field
!ze
e. F7eefion Sent to Duh
$
Prior
8. Atcomt Cade
h. Form of Payment
L In -Kind Description
j. Date (mm/dd/yyyy)
k Aount
m
❑
/
c� �/�
e :, Za 2s
$ Ido
❑
$
❑
$
3. Contributor Information ❑ Add 0 Remove
R. Full Name, Mailing Address & Phone
(include city, state, &zip)
]O / �Orl/I✓.j/
/vim �. g//Q
b. job TitldProfession
e ,,z C a` �4 ox -
d. Comments
Employer's Name/Specific Field
✓�L2G�
//` (j�
e. Election SumbDate _..
$
.Prier
g. Account Code
h Form of Payment
L In-Knal Description
j. Date (m aldd/yyyy)
r AmouN
IV
❑
CAMPAIGN FINANCE
$
4. Total only this Page JuL n 7 2676$ o. op
5. Total of ALL CRO -1210 Pages $
(This line mart be on line 6 ojDetm7ed Summary Page CRO -
CRO -1210 NC State Board of h[Whons April zw r
Amendment
Disbursements Pg _ of _ ❑ Yes ❑ No
Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political
committees and coordinated varty exoenditures
Committeell Name (and Fund applicable)
2. IDN r
//
%O T/CuldCic�yry/yd /%elms j{cC
r�j MQ13rsement
(Please use separate CRO -1310 forms for each type of Disbg emeam
El
Contributions to CandidatestPolkical Committees Coordinated Ex nditures
tion Add Remove
a. Full Name, Mailing Address & Phone
(-include city, state, & zip)
b. Coordinated Committee Name
d. Comments
—
live . -J -46r- . 40d irk aa3
w/ ,eA e d 1 b
I O.a FJ o y 1 C
c. Level Registered (Spec fy)
Federal County:
❑ State ❑ Municipality:
a Election Sam to Date
$ '? �=
. Account Code
g. Form of Paymenth.
e
Purpose Code
1. Date (mm/dd/yyyy)
02-�z, f
J. Amount
5 5 =
k. Required Remarks
add3
is
4. Payee Information E3 Add ORemove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
fj4Gr boo Pi A da3-
b. Coordinated Committee Name
d. Comments
-- - _ ----
--
c. Level Registered (Specify)
FederalCounty:
❑ State ❑ Municipality:
a neetiousumto Date
$ I/ 4f 9,7
. Account Code
g. Form of Payment
h. Purpose Code
ji. Date (mmlddlyyyy)
1j. Amount
11s. Required Remarks
J
th,-t
'gvd.5
1
'A e_ h ,
031c'-L126-La
r$ 2-407
/4C41�1
4. Payee Information L1 Add 0 Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
i
la. Coordinated Committee Name d. Comments
c. Level Registered (Specify)
❑ Federal County:
❑ State ❑ Municipality: e. Election Senn to Date
$ .7 $, e_7
. Account Code
g. Form of Payment
�e�.�
h. Purpose Code
i. Date (mmtddlyyyy)
o3�oq lou
. Amount
$ ems'=�1s
1k. Required Remarks
J
(
170
° 30 ?d2o
s
5. Total only this Page S 3 -] b
6. Total of ALL CRO -1310 Pages
(This line goes inline 13a of Detailed Summary Page CRO -1100 if Operating Expenses)
(This line goes in line 13b of Detailed Summary Page CRO -1100 if Contrib to Candidates/Political Comm)
(This line goes in line 13c o Detailed Summary Page CRO -1100 if Coordinated Party Expenditures)
UNION COUNTY
$CAMPAIGN FINANCE
JUL Q 2020
7. Purpose Codes (List detailed expenditure code in (h.) above)
A* - Media B* - Printing C* - Fundraising D - To Another
E - Salaries F* - Equipment G - Political Patty H* - Holding Public Office Expenses
I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund
O* Other
* Codes rermire detailed ex lavation in re wired remarks A it
CRO-1310 NC State Board of Elections December 2009