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Helms,Brian_2022-0-Org-disclosureDisclosure Report Cover E3 vg n` E3 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. ID Number 3'2 p -j Itrns . Mailing Address (include City. State and Zip Code) d. Date Filed 2s 2022 '' II�^- 1 Y 2 ( '.JA� �EN MWW t N (. i 2911 Z 1 e. Phone Nmnber No) I- ons 2. Report Year 3. Period Start Date 14. Period End Date (mmfd 5. Treasurer FBi1 Name 2022 02 ZS 2D22 I 1J2 2$ oZZ raJ Committee Check One 9. of R (check only one type of report from one category) Referendum ❑ Organizational kof Candidate Campaign ❑ Party ❑ PAC ❑ Referendum Municipal ❑ Orgimi-amoal State/County Organizational ❑ Independent Expenditure ❑ Joint Fundraiser ❑ Thirty-five day Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ Pre -Primary ❑ First ❑ Final ❑ Pre-election ❑ Pre-mnoff ❑ Second ❑ Third ❑ Supplemental Final ❑ Annual 7.Type of Fund (ii applicable, check one) ❑ Booster Fund Semi-annual ❑ Fourth ❑ Special ❑ Building Fund ❑ Mid Year Semi-annual ❑ Year End ❑ Mid Year lU. S lel Report Name ❑ Other ❑ Final ❑ Special ❑ Year Fnd ❑ Final ❑ Special S. Number of Fundraisers this Report 11. Account Information Il. Account Information . Financial Institution Full Name a. Financial Institution Full Name . Purpose e. Accoaat Cade It. Parpose c. Account Code d. Period Begin Balance d. Period Begin Babace $ O $ 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, we and correct and that t have been trained by the NC State Board of Elections, t�c�tJ hbuo F�e4ns. 'i�.'l 2 u 27 - Printed Name of Signer Si nature of A int Treasurer to FOR OFFICE USE ONLY Date Received: a.5 daL� Employee: Delivery Method ❑ Normal Mail Date Postmarked: Employee: Registered Mail Hand Delivered Date Scanned: Employee: Electronically Filed Date Data Entered: Employee: [3 Signer has not received mandato training Please Note: This form cannot he 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-210OA-E) to make committee changes. (RO-1000 NC State Board of Elections August 2008 Detailed Summar Amendment Y ❑Yes ❑ No l ice this fnrm to summarize all disclnsnre re.nnrtina forms and to total monetary information 1. Committee Fall Name (and Fund If applicable) 12. Type of Report 3. H) Number __... __.. UAW 46S �i7� aMht�lKQ �Q,IM1i NtXaJOt� Start of Election Cycle: January 1, 01 Reporting Total this Period Total this Election Cycle 4) Cash on Hand at Start $ Q $ 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 11a) Interest on Bank Accounts 11b) Contributions from Not -For -Profit Organizations 11c) Outside Sources of Income 11d) Legal Expense Fund - Other Sources lle) Exempt Purchase Price Sales (CRO -120S) (CRO -1210) (CR04220) (CRO -1130) (CRO -1410) (CRO -1240) (CRO -1250) (CRO -1250) (CRO -1250) (CRO -1270) (CRO -1265) $ $ $ 87,00 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ S 12) TOTAL RECEIPTS (Add tines 5, 6, 7, 8, 9,10,1 Ia,1 Ib,1 Ic,l Id and I le $ B7 oB $ 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 -1310) $ $ $ $ $ $ $ $ $ $ $ $ $ 81,00 $ 8) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $ B-7-00 $ 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18 $ 0. 410 $ ADDITIONAL 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 3) Debts and Obligations owed to the Committee 24) Account Transfers Within the Committee 25) Administrative Support orgiven Loans •Hour Notice Reports Sum L (CRO -1330) (CRO -1430) (CRO -1610) (CRO -1620) (CRO -1720) (CR04710) (CROa440) (CRO -2220) 8 $ $ $ $ $ $ $ $ $ $ $ ontributions to be Refunded (CRO -1215) $ $ CRO -1100 NC State Board of Elections August AM Amendment Contributions from Individuals Pg or ❑ Yes ❑ No Use this form to report individual contributions over $50 or contributions under 550 if form CRO 1205 is not used 1. Committee Full Name (and Fund If applicable) .ng6ws bn 2. ID Number 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone (include city, state. & zip)_ //..uo t�� - __ -&AW V ' K I 10 2(4018 A^ It. Job Title/Protession - torn 1M�uA9lk d. Comments e Employer's Name/Speti is Field Ckohille ,'K AsJo Election sum to Date $ 81.00 f. Prior ❑ g. Account Code h. Form of Payment i. In -Kind Description f.,(.1 roe, J. Date (mm/ddlyyyy) it. Amount VZ jZS ZO7Z $ 87.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove t. Full Name, Mailing Address & Phone tinclude city, state, & zip) b. Job Title/Profession d. Comments c. Employer's Name/Specific Field e. Election Sum to Date . Prior g. Account Code h. Form of Payment i. In -Kind Description '. Date (mmlddlyyyy) k Amount ❑ $ ❑ $ ❑ $ . Contributor Information ❑ Add ❑ Remove . Full Name. Mailing Address & Phone (include cit), state. & zip) b. Job Title/Professioo d. Comments c. Employer's NanWSpecific Field e. Election S® to Date $ . Prior ❑ g. Account Code R Form of Payment 1. In -Kind Description J. Date (mmlddlyyyy) k Amount $ ❑ $ ❑ $ 4. Total only this Page ti 00 5. Total of ALL CRO -1210 Pages (This fine must he online 6 of Detailed .Summary Page CRO -1100) $ 8700 CRO -1210 NC State Board of Election,, April 2007 Amendment In -Kind Contributions Pg _ of _ ❑ Yes ❑ Na Use this form to report non -monetary contributions, donations, goods or services provided to the committee or tend. Use CRO -1215 if In -Kind Contributions were m will be refunded within 7 due >. 1. Committee Full Name (and Fund if applicable) 2. ED Number AN Y1Qlo?5 k7e ^S5 0nf(L 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, stale, &zip) VNN N�'D 1 tfz I '(;(1��Aqq�C Jjq Z,p !I LE�Z . m OAP,!!, N b. Type of Contributor Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source c. Comments d . Election Stun to Date $ e. Descript m F'�� u E Date (mm/ddlyyyy) g. Fair Market Amount $ 2tfC2 $ $ 3. Contributor Information ❑ Add ❑ Remove . Full Name, Dialling Address & Phone (include city, state, & zip) b. Type of Contributor c. Comments Individual ❑ Candidate ❑ Ply ❑ PAC ❑ Referendum ❑ Other Receipt Source d. Election Som to Date $ e. Description f. Date (nuddd/yyyy) g. Fair Market Amount $ $ . Full Name, MaWog Address & Phone b. Typed 1 Coatr(hutor - (include city, state, & zip) Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source c. Comments d. Election Sum to Date $ . Dacription f. Date (mmtddlyyyy) g. Fair Market Amount $ 4. Total only this Page 5 �, to 5. Total of ALL CRO -1510 Pages (This line must be on line 17 of Detailed Summary Page CRO -1100) 8? ' OO CRO -1510 NC Stam (;card of Flcalon*' December 2007