Kerr, James_2021-Org-Amend-DisclosureDisclosure Report Cover nmcndment
X Yes No
Use this form for general report and committee information, must be signed and submitted along 'tailed forms.
1)n nN ucc This farm in uodalc information.
10
1. Committee Information
r. full Name
c. 11) Number
Kerr for Council
. Mailing Address (include City, State and Zip Code)
d. Date Filed
ATTN: John Kapelar
07/16/2021
114 N. Church Street
e. Phone Number
Monroe, NC 28112
704-283-8189
2. Report Year
3. Period Start Date omn/ddi)707/31/21
eriod End Date (aadddlyy)
S• Treasurer reasurer Full Nantc
2021
07/16/21
John Walter Kapelar
6. Type of Committee deck One)
9. fy pe of Report (check
only one type of report
from one carr; unci
g Candidate C:unpaigu Puny
?tuuicip,il
SlatelCaunry•
Referendum
Orgunimtionai
PAC Referendum
X
Org�nL.,uuuel
Organizational
Independent Expenditum Joint Fundraiser
Thirty-five day
Quarterly
Pre -referendum
Iweal Expense Fund
Pre-primary
First
Final
Pre-election
Pre -runoff
Semi -amoral
Second
'Third
Fourth
Supplemental Final
Annual
Special
7. Type of Fund (if applicable. check nue)
Booster Fund
Building Fund
Mid Year
Semi-annual
10. $ e�iel Reprt Nnme-
Year End
Mid Year
Other:
Final
Special
Year End
Final
8. Number of Fundraisers this Report
None
Special
11. Account Information
11. Account Information
. Financial Institution Full Name
a. Financial institution Full Name
American Bank
. Purpose
c. Account Code
b. Purpose
c. Account Code
For all campaign
JK3387
expenses
d. Period Begin Balance
d. Period Begin Balance
$ 0
$
CERTIFICATION
I certify that the Conuniuee c r Fund ism compliance withal] 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.
John W. Kapelar
W- LG 'L
Ponied Name ot'Si nee
Si nature of A44�:
d'rreusurer Dore
FOR OFFICE USE ONLY
Method
�0
Delivery
Date Received:
Employee:
Normal Mail
Registered Mail
Date Postmarked:
Employee:
Hand Delivered
Date Scanned:
Employee: Electronically Filed
Signer has not received
Date Data Entered:
Employee: mandato 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.0 ION COUNTY
You must amend the Statement of Organization (CRO-2100A-E)to make commi
CRO -1000 NC State Board of Elections August 2uus
AUG 2 b 2021
RECEIVED
Amendment
Detailed Summary Yes X No
1 . this form to summarize all disclosure re orcin form. and to total monetary information
1. Committee Full Name (an Fund a 1ca le)
12.Type of Report
13. ID Number
Kerr for Council
Organizational
Start of Election Cycle: January 1, 2021
Reporting
Total this
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
S) Contributions from Other Political Committees
9) Loan Proceeds
10) Refunds/Reimbursements to the Committee
11) Other Receipt Sources
Ila) Interest on Bank Accounts
lb) Contributions from Not-For-Prorn Organizations
Outside Sources of Income
ltd) Legal Expense Fund -Other Sources
lie) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1210)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CRO -12.50)I
(CROa240)tts
(CRO-1250)llc)
(CRO -1250)
(CRO -1270)
(CRO -1265)
$
S
$ 100
S 100
$
$
$
$
$
$
$
S
$
$
12) TOTAL RECEIPTS fAdd lines 5. 6. 7. 8, 9, 10.11 a,1 Ib,l Ic.I Id and I IC)
$
100
$ 100
EXPENDITURES
13) Disbursements
13a) Operating Expenditures
13b) Contributions to Candidates/Political Committees
13c) Coordinated Party Expenditures
4) Aggregated Non -Media Expenditures
15) Loan Repayments
16) Refunds/Reimbursements from the Committee
17) In -Kind Contributions
(CRO -1.310)
(CRO -1-110)
(CRD -1310)
(CRO -1315)
(CRO -1420)
(CRO -1320)
(CRO -1510)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c. 14. 15, I6 and 17)
$
$
19) Cash on Hand at End (Add lines 4 and 12 together. then subtract line 19
$
100$
100
ADDITIONAL INFORMATION
20) Non -Monetary Gifts Given to Other Committees
21) Outstanding Loans (incl. ones from other campaigns)
22) Debts and Obligations owed by the Committee
23) Debts and Obligations owed to the Committee
24) Account Transfers Within the Committee
25) Administrative Support
26) Forgiven Loans
7) 48 -Hour Notice Reports Sum
(CRO -1330)
(CRO -1430)
(CRO -1610)
(CRO -1620)
(CRO -1720)
(CRO -1710)
(CRO -1440)
!CRO -1220)
$
$
$
S
$
;
$
$
$
$
$
A1PAIGN RNAN E
28) Contributionsto be Refunded
(CRO -1215)
$
1 $
CRO -1100 NC Stare Board of Flections HUU I" 4+W(iIt'_oo8
RECEIVED
Amendment
Contributions from Individuals Pg I or I ❑ les ® No
Use this Corm to repos individual contributions over $50 or contributions under $ill it form CRO 12_05 is not used
1. Committee Full Name (and Fund if applicable)
Kerr for Council 7
2. ID Number
3. Contributor Information Add ❑ Remove
. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
Real Estate Broker
James M. Kerr
PO Box 783
Monroe, NC 28111-0783
a Employer's Name/Specific Field
Self -Employed
e. Election Sum to Date
$ 100
. Prior
❑to
g. Account Code
JK3387
h. Form of Payment
Cash bank account open
i, In -Kind Description
J. Date (mm/dd/yyyy)
07/30/2021
k Amount
$ 100
❑
$
❑
$
3. Contributor Information ❑ Add Remove
t. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Proression
d. Commeuts
c. Employer's Name/Specific Field
e. Election Sum to Date
$
f. Prior
g. Account Code
b. Form of Payment
I. In -Kind Description
J. Date umnidd/yyyy)
it. Amount
❑
$
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
. Full Name. Mailing Address & Phone
(include city, state, & zip)
b. Job Title/ProNssion
d. Comments
c. Employer's NametSpeciric Field
e. Election Sum to Date
$ UNION COUNTY
r. Prior
g. Account Code
b. Form of Pavment
1. In -Kind Description
J. Date (mm/dd/yyyy)
k Amount
❑
$ AUG 2 b 2021
$RECEIVE
❑
$
4. Total only this Page
$ 100
5, Total of ALL CRO -1210 Pages
(This line mull be an line 6 of Detailed Summary Page CRO -1100)
I $ 1 ��
CRO -1210 NC Sink Board of Elutions April 2007