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James, Angelia_2021-35DayReport-commentsAmendment Disclosure Report Cover I ❑ 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 1. Committee Information a. Full Name c. ID Number Committee to Elect Angelia James GTMBDF b. Mailing Address (include City, State and Zip Code) d. Date Filed PO Box 2596, Monroe NC 28111 9-28-21 e. Phone Number 704-320-7650 2, Report Year 3. Period Start Date (mm/dd/yy) 4. Period End Date 5, Treasurer Full Name mmldd/ Angelia James 2021 07-04-2021 09-21-2021 6. Type of Committee (Check One) 9. Type of Report (check only one type of reportfrom one categn ) ® Candidate Campaign ❑ Party Municipai State/County Referendum ❑ PAC ❑ Referendum ❑ Organizational ❑ Organirational ❑ Organizational Independent ❑ Joint Fundraiser ® Thirty-five day Quarterly ❑ Pre -referendum ❑ Expenditure ❑ Legal Expense Fund ❑ ❑ Pre-primary Pre-election ❑ First ❑ Second ❑ Final ❑ Supplemental Final 7. Type of Fund (if applicable, check one) ❑ 'Booster Fund" ❑ Building Fund ❑ Pre -runoff ❑ Third ❑ Annual Semi-annual ❑ Fourth ❑ Special ❑ Mid Year Semi-annual ❑ Other: ❑ Year End ❑ Mid Year 10. Special Report Name ❑ ❑ Final Special ❑ Year End ❑ Final ❑ Special 8. Number of Fundraisers this Report 0 11. Account Information 11. Account Information a. Financial Institution Full Name a. Financial Institution Full Name First Citizens N COUNTY b. Purpose c. Account Code b. PnrDAMPAIGN l c. Account Code All Campaign 01 SEP 2 $ 221 Expenses d. Period $ Balance Begin d. Period Begin Balance �������� $ 871.68 $ CERTIFICATION 1 certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B, & 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 l have been trained by the N State Board of Elections. Angelia James rjrt, 09-28-2021 Printed Name of Signer Signp&rc of A ointed Treasurer Date FOR OFFICE USE ONLY aftDelivery Method❑ Date Received: a� Employee: Normal Mail ❑ Registered Mail Date Postmarked: Employee: Hand Delivered Electronically Filed Date Scanned: Employee: ❑ Signer has not received mandatory training Date Data Entered: Employee: 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 -21 00A -E) to make committee changes. CRO -1000 NC State Board of Elections August 2008 Amendment Detailed Summary ❑ Yes N,(t I lra thin fnrm to summarize all diselnsure renorting forms and to total monetary information. 1. Committee Full Name and Fund if applicable) 2. Ty e of Report 3. ID Number Committee to Elect Angelia James Organization GJMBDF Start of Election Ocie: January 1, 2020 Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start $ 0 $ 0 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 lit) Outside Sources of Income lid) Legal Expense Fund —Other Sources 11 e) Exempt Purchase Price Sales (CR04205) (CRO -1210) (CR01220) (CRO -1230) (CRO -1410) (CRO -1240) (CRO -1250) (CRO -1250) (CRO -1250) (CRO -1270) (CRO -1265) $ $ $ 2750.00 $ 2771.00 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 12) TOTAL RECEIPTS (Add lines 5.6. 7.8, Q 10, Ila, lib, llc. lid and Ile) $ 2750.00 $ 2771.01 EXPENDITURES 13) Disbursements 13a) Operating Expenditures 13b) Contributions to Candidates/Political Committees 13c) Coordinated Party Expenditures 14) Aggregated Non -Media Expenditures 15) Loan Repayments 16) Refunds/Reimbursements From the Committee 17) In -Kind Contributions (CRO -1310) (CRD -1310) (CRO -1310) (CRO -1315) (CRO -1420) (CRO -1320) (CRO -1510) $ $ $ $ $ 1878.32 $ 1878.32 $ $ $ $ $ $ $ $ 21.01 18) TOTAL EXPENDITURES (Addiines 13a, iib, 13c, 14, 15, 16 and 17) $ 1878.32 $ 1899.33 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract Itne 18) $ 871.68 $ 871.68 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 CommitteeRO-1610) UNION COUNTP 24) Account Transfers Within the CommittMMQA1CN FINA*kO-17201 25) Administrative Support SEP 2 8 202yCRO-1710) 26) Forgiven Loans 1440) 27) 48 -Hour Notice Reports Sum RECEI 2220) � 28) Contributions to be Refunded (CRO -1215) $ $ $ $ $ $ $ $ $ $ $ $ $ CRO -1100 PIC State Board of Elections August 2008 Amendment Contributions from Individuals Pg I of 2 ❑ Yes ® No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee Full Name (and Fund if applicable) 2. ID Number Committee to Elect Angelia James GTMBDF 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Administrative Tanya Furr 1910 Waxhaw Hey Monroe, NC 28112 704-619-9878 c. Employer's Name/Specific Field The Retail Odyssey Company e. Election Sum to Date $ 1500.00 f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ check 07-05-2021 $ 1500.00 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Tech Pamela Sowell 796 Hickory Nut Circle Monroe, NC 28110 704-5624949 c. Employer's Name/Specific Field DMV e. Election Sum to Date $ 100.00 f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ check 07-26-2021 $ 100.00 ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Administrative Tanya Furr 1910 Waxhaw Hwy Monroe, NC 28112 704-6t9-9878 c. Employer's Name/Specific Field The Retail Odyssey Company e. Election Sum to Date $ 2500.00 f. Prior g. Account Code b. Form of Payment LIN j. Date (mm/dd/yyyy) k. Amount ❑ check J 08-03-2021 $ 1000.00 ❑ $ El$ OECEIVLU 4. Total only this Page 2600.00 5. Total of ALL CRO -1210 Pages $ 2750.00 (This line must he on line 6 of Detailed Summary Page CRO -1100) CRO -1210 NC State Board of Elections April 2007 Amendment Contributions from individuals Pg 2 of 2 ❑ Yes ® No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee Full Name (and Fund if applicable) 2. ID Number Committee to Elect Angelia James GTMBDF 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Senior Vendor Management Tiffany Dawson 104 Cregan Hill Ct Tyribe GA 30290 704-287-1509 c. Employer's Name/Specifie Field Guidant Global e. Election Sum to Date $ 150.00 f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount �] electronic $ 150.00 ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments c. Employer's Name/Specific Field e. Election Sum to Date f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ $ ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments UNION COUNT CAMPAIGN FINANCE SEP 2 $ 20 c. Employer's Name/Specific Field e. Election Sum to Date $ E Prior g. Account Code yment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ R $ ❑ $ ❑ $ 4. Total only this Page $ 150.00 5. Total of ALL CRO -1210 Pages $ 2750.00 (This fine must be on line 6 of Detailed Summary Page CRO -1100) CRO -1210 NC State Board of Flections April 2007 Amendment Disbursements Pg I of 2 ❑ Yes jnj No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political committees and coordinated party expenditures. 1. Committee Full Name and Fund if applicable) 2. 1D Number Committee to Elect An elia James I GJMBDF 3. Type of Disbursement Please use separate CRO -1310 arms foreach fLee n DrshursemenL ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments MRH Dezign & Photography 4219 Wolf Pond Rd Monroe, NC 28112 704-219-1739 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 80.00 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/ddlyyyy) j. Amount It. Required Remarks Electronic O 08-05-2021 $80.00 car magnet 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments Office Max 1030 W Roosevelt Blvd Monroe, NC 28110 704-226-9977 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 16.01 E Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks Electronic O 08-16-2021 $16.01 business cards $ 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments MRH Dezign & Photography 4219 Wolf Pond Rd Monroe, NC 28112 704-219-1739 UNION COUNTY c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 330.00 f. Account Code g. Form of P %e o i. Date (mm/dd/yyyy) j. Amount k. Required Remarks Electronic SERM 2021 08-16-2021 $250.00 Stand up sign Pae $ 346.01 5. To onl this 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) $ 1878.32 (This line goes in line 13b of Detailed Summary Page CRO -1100 if Contrib to Candidates/Polilical Comm) (This line goes in line 13c of Delailed Summary Page CRO -1100 if Coordinated Party Expenditures) 7. Purpose Codes (List detailed expenditure code in (h.) above) A* - Media B* - Printing C* - Fundraising D -To Another Candidate E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses 1 - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* - Other * Codes require detailed explanation in required remarks field (k) CRO -1310 NC State Board of Elections december 2009 Amendment Disbursements Pg 2 of 2 ❑ Yes No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political rnmmittPPq and rnnrr inated narty exnenditures 1. Committee Full Name and Fund if applicable) 2. ID Number Committee to Elect Angelia James GJMBDF 3. Type of Disbursement Please use separate CRO -1310 form for each age of Disbursement) ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information ❑ Add Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments Kraze Custom Prints 2115 W Roosevelt Blvd Monroe, NC 28110 704-774-1141 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ state ® Municipality: e. Election Sum to Date $ 500.30 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks Electronic O 08-16-2021 $500.30 shirts $ 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments Kraze Custom Prints 2115 W Roosevelt Blvd Monroe, NC 28110 704-774-1141 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 632.31 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/ddtyyyy) j. Amount k. Required Remarks Electronic O 08-23-2021 $132.01 shirts $ 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments MRH Dezign & Photography 4219 Wolf Pond Rd Monroe, NC 28112 704-219-1739 UNION COUNTY CAMPAIGN FINANCE c. Lever Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 1230.00 f. Account Code g. Form of4;FAtc, Aluvkpoge Code i. Date (mmlddlyyyy) j. Amount k. Required Remarks RECE VED $900.00 Pae $ 1532.31 5. Total only this 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Detailed Summary Page CRO -1100 ifCentrib to Candidates/Political Comm) $ l $7$.32 (This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party E,%pendilures) 7. Purpose Codes (List detailed expenditure code in (h.) above) A* - Media B* - Printing C* - Fundraising D -1'o Another Candidate E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses I - Postage J - Penalties K* -Office Expenses Q* - Donation to Legal Expense Fund O* - Other * Codes require detailed explanation in required remarks field (k) CRO -1310 NC State Board of Elections oeccmher 2009