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Kerr,James_2021-PreElect-Amend-2
N Disclosure Report Cover iAmendment L® Yes p xo___ 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 t<,ceZ �:s CAU NCtL ANION GOUN' Zed AAZVq . Melling Address (include City, State and Zip Code) _ ; r , o - d. Date Filed !}n" ' 3bmq +SaPeLAP- FEB 0 8 2022 02- 08- zozz 1\4 t4. CHuRGH STR&&T Phoae Number MDr.IRDEt 111E 2x11 2. -f Dc{ -253 - 8 I S=y 2. Report Year[!. Period Start Date (mm/dd/yy) 14. Period End Date (nurddd/ 5. Treasurer FullNamee ZOZI Dq IZZI2i I I DI 15121 \&J{}LTEK l-API:L&P 6. T e of Committee Check One 9. a of Report (che(k onk one type of reportfrom one category) ® Candidate Campaign ❑ Pany Municipal Start'/County Referendum ❑ PAC ❑ Referendum ❑ Organizational ❑ Organizational ❑ Org:mizational ❑ Independent Expenditure ❑ Joint Fundraiser ❑ Thirty-five day Quarterly ❑ pre -referendum ❑ Legal Expense Fund [3 Pre-primary E] First ❑ Final ® Pre-election [3Pre-nrnoff Semi-annual Second ❑ Third Fourth ❑ Supplemental Final ❑ Annual ❑ Special .T of Fund (if applicable, cheek one) ❑ Booster Fund ❑ Building Fund ❑ Mid Year Semi-annual ❑ Year End ❑ Mid Year 10, $ eeial Report Name ❑ Other: ❑ Final ❑ Special ❑ Year End ❑ Final ❑ Special CPt-&PAI(a Pt RepDRZrim fa Se"erm LC 8. Number of Fundraisers this Re ort — 0 - 11. Account Information 11. Account Information . Financial Institution Full Name a. Financial Institution Full Name AMC7 C -AN BANK . Purpose a Account Code b, Purpose c. Amount Code KoP- Au- CAM_PA\C31,1 JK?3B-1 OKPE 1dSE S d. Period Begin Ballance d. Period Begin Balance $ g0(p•o'7 $ 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, true and correct and that I have been Lr ' ed by'th�e State Board of Elections. INC JDKtk W. KAP 71.ARZ (,lI f` 2. i3' 2Z Printed Name of Signer Signature of Ammi Treasurer Date aiiiiiiiiiiiiia FOR OFFICE USE ONLY Date Received: a Employee:Delivery Method [3Normal Mail Registered Mail Dale Postmarked: Employee: Hand Delivered Date Scanned: a Employee: Electronically Filed Date Data Entered; Employee: [3 Signer has not receivedmandatory training Please Note: This form cannot be used to amend committee information such as the comm ttee 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. CRU -1000 NC State Board of Elections August 2008 Amendment Detailed Summary yea ON,, Use this form to summarize all disclosure renortin¢ forms and to total monetary information 1. CommitteeFull an�me,, (and Fund a licable) 2. T e of Re ort 3. ID Number -- KEhR 1 -OR 1..111,-Ihl GIL CAMPAIG-�N EP PSIR(:, sC146Dut-E ZJJNA 3V(1 Start of Election Cycle: January 1, 202 0 Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start $ $ _ 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 (CRO -1205) (CRO -1210) (CRO -1220) (CRO -1230) (CRO -1410) $ $ $ $ $ q 3 GLk -�8 $ $ 1 D c) 14. 4-5 $ $ $ 10) Refunds/Reimbursements to the Committee (CRO -1240) $ $ $ $ 11) Other Receipt Sources Ila) Interest on Bank Accounts — 11b) Contributions from Not -For -Profit Organizations lle) Outside Sources of Income 11d) Legal Expense Fund - Other Sources Ile) Exempt Purchase Price Sales (CRO -1250) (CRO -1250) (CRO -1250) (CRO -1220) (CRO -1265) $ $ $ $ $ $ $ $ 12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,1 la,l lb,l Ic,l Id and l le $ q S(A , 48 $ 10 r? I q. 48 EXPENDITURES 13) Disbursements 13a) Operating Expenditures (CRO -1310) $ 30bl, (ot $ 3. (DJ `5 ti 13b) Contributions to Candidates/Political Committees (CRO -1310) 13c) Coordinated Party Expenditures (CRo-1310) 14) Aggregated Non -Media Expenditures (CRO -131S) 15) Loan Repayments (CRO -1420) 16) Refunds/Reimbursements front the Committee (CRO -1320) 17) In -Kind Contributions (CRO -1510) $ $ $ $ $ $ $ $ $ Cj5D.00 $ 95o.oa $ 4Ogq .15 $ d pgq. IS 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $ (y $ 8154. 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18,$ ? 1 5q , -1 q $ s 15q .-i q ADDITIONAL INFORMATION 0) Non -Monetary Gifts Given to Other Committees (CRO -1330) $UNION COUN 21) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) cf %1PAl c 22) Debts and Obligations owed by the Committee (CRO -1610) 23) Debts and Obligations owed to the Committee (CRO -1620) 4) Account Transfers Within the Committee (CRO-1720)MOM - -- — --- - 5) Administrative Support (CRO -1710) 6) Forgiven Loans (CRO -1440) 7) 48 -Hoar Notice Reports Sum (CRO -2220) $ - [ (1 W $ $ $ $ $ $ 8) Contributions to be Refunded (CRO -1215) $ S elev-11VV NC state Board of Elections August 2008 Amendment Contributions from Individuals Pg I or 3 ® Nes ❑ No Use this form to report individual contributions over $50 or contributions under S50 it form CRO 1205 is not used 1. Committee Full Name and Fund if applicable) 2. ID Number Kerr for Council 2JM3V9 3. Contributor Information ® Add 0 Remove . Full Name, Mailing Address & Phone (include city, state, & zip) b, Job Title/Profession d. Comments Manager Brooks Durham 4723 Kiddle Lane Monroe, NC 28110 704-774-1463 c. Employer's Name/Spedfle Field LD Davis Monroe e, Election sum to Date $ 500.00 1'. Prior g. Account Code b. Form of Payment 1. In -Kind Description J. Date (mmlddlyyyy) k Amount 0 JK3387 Check 09/24/2021 $ 500.00 ❑ $ ❑ $ 3. Contributor Information ® Add 0 Remove - . Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Real Estate Candidate - - James Maxwell Kerr PO Box 783 Monroe, NC 28111-0783 704-283-3911 c. Employer's Name/Spedlie Field Self -Employed e. Election Sum to Date $ 3,951.52 . Prior g. Account Code It. Form of Payment 1. In -Kind Description J. Date (mm/dd/yyyy) Is. Amount ❑ JK3387 Bank Transfer 10/06/2021 $ 1,315.33 ❑ Personal credit card Signs Now 9/23/2021 $ 1,441.12 ❑ _P`6r5onal credit card KT Print Design 10/01/2021 $ 1,195.07 3. Contributor Information ® Add ❑ Remove Al . Full Name, Mailing Address & Phone (Include city, state, & zip) b. Job Tiae(Profession d. Comments Farmer Frank Howey, Jr. PO Box 429 Monroe, NC 28111-0429 a Employer's Name/Specific Field Self -Employed e. Elecdon Sum to Date $ 1,000.00 '. Prior g. Account Code h. Form of Payment i, In•Kind Description J. Date (; dd/yyyy) k Amount ❑ JK3387 Check 09R/2021 $ 1,000.00 ❑ 7 NOV f s 4. Total only this Page nr, ,�.' $ 5,451.52 5. Total of ALL CRO -1210 Pages B' (This line mast be on line 6 of Detailed Summary Page CRO -1100) j CRO -1210 NC State Board of Eleclions April 2007 Amendment Contributions from Individuals Pg 2 of 3 ® Yes ❑ No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee Hill Name and Fund if applicable) 2. ED Number Kerr for Council 2JM3V9 3. Contributor Information ED Add Q Remove . Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Tltle/Professlon d. Comments Investor Haritha Sakhamuri & Venkateswara R. Suryadevara 10010 Allyson Park Drive Charlotte, NC 28277-2932 c Employer's Name/Speciac Field Self-employed e. Election Sum to Date $ 2,000.00 f. Prior g. Account Code h. Form of Payment 1. In -Kind Description J. Date (mm/dd/yyyy) It. Amount ❑ JK3387 Check 10/05/2021 $ 2.000.00 ❑ $ ❑ $ 3. Contributor Information ® Add ❑ Remove . Full Name, Mailing Address & Phone (Include city, state, & zip) b. Job Title/Profession d. Comments Surveyor Drew Lawrence 2745 Rolling Hills Drive Monroe, NC 28110 c. Employer's NamelSpedtic Field Lawrence Associates e. Election S® to Date $ 200.00 . Prior g. Account Code h. Form of Payment i. In -Kind Description J. Date (Tann yyyy) k Amount 13 JK3387 Check 10/05/2021 $ 200.00 ❑ $ ❑ $ 3. Contributor Information ® Add ❑ Remove . Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Thle/Profession d. Comments Attorney Thomas C. Leitner, Jr, 2639 Rolling Hills Drive Monroe, NC 28110 c. Employer's Name/Specific Field Leitner, Bragg & Griffin, PLLCAttorneys e.Election San toDate $ 250.00 . Prior g. Account Code h. Form of Payment 1. In -Kind Description J. Date (mtddd/yyyy) k Amount ❑ JK3387 Check 10/05/ 21 $ 250.00 -✓ ❑ NOV Is 4. Total only this Page 2,450.00 5. Total of ALL CRO -1210 Pages (This line must be on line 6 of Detailed Summary Page CRO -1100) $ Icc '0 CRO -1210 N( stile Board of Election, April 2007 Amendment Contributions from Individuals P9 3 of 3 ® Yes ❑ No Use this form to report individual contributions over550 ur cunuibutiona under $50 II form CRO 1205 is not used 1. Committee Full Name (and Fund if applicable) 12. ID Number Kerr for Council 2JM3V9 3. Contributor Information ® Add ❑ Remove . Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Real Estate James M. Kerr PO Box 783 Monroe, NC 28111-0783 704-283-3911 c. Employer's Name/Specific Field Self -Employed e. Elmdon Sum to Date $ 1,285.50 I. Prior g. Account Code h. Form of Payment i. In -Kind Description J. Date (mmldi_y y) k Amount ❑ ersona ere it card KT Print Design 10/06/2021 $ 113.73 ❑ Personal credit card Signs Now 10/08/2021 $ 720.56 ❑ -P—ersonal credit card Brooster's 10/12/2021 $ 451.21 3. Contributor Information ® Add E3 Remove . Full Name, Mailing Address & Phone (Include city, state, & zip) b. Job Title/Profession d. Comments Real Estate James M. Kerr PO Box 783 Monroe, NC 28111-0783 704-283-3911 c. Employer's Name/Specific Field Self -Employed e. Election on Stto Date $ 177.46 . Prior g. Account Code h. Form of Payment L In -Kind Descriptloo I. Date (mmlddlyyyy) k Amount ❑ ersona cre card KT Print Design 10/15/2021 $ 177.46 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone (Include city, state, & zip) b. Job Title/Profession d. Comments a Employer's Name/Specific Field e. Eiectlon Sum to Dale $ . Prior g. Account Code It. Form of Payment 1. In -Kind Description J. Date (mm/dd/yyyy) k Amount ❑ $ ❑ ' �S ❑ �O $ 4. Total only this Page $ '1,A8 b6 5. Total of ALL CRO -1210 Pages (This line must be on line 6 of Detailed Summary Page CRO -1100) $ 9;36 CRO -1210 NC Slate Board of F.Iecliom Apnl 200' Amendment Disbursements Pg 1 of 1 © I es ❑ No Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated parry expenditures 1. Committee Ful Name (and Fund if applicable) 2.IDNumber Kerr for Council 2JM3V9 .Type of Disbursement (Please use .separate CRO -1310 forms for each tune of Disbursement.) Operating F;, en.... 111> to Cd[ldldalfa/I'nIidcil CUmIII l al`C,l U Coordinated Nana E,LendIILI: 3. Payee Information 0 Add 0 Remove i. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Cormnents Jim Hansen c. Level Registered (Specify) Lj Federal CYCounty: ❑ State © Municipality: e. Election Sum to Date $ 520.00 . Account Code 1g.FormofPsysisent h. Purpose Code It Date (®olddlyyyy) D. Amount Iii. Required Remarks JK3387 ck #1001 place signs 1 9/22/2021 $160.00 O - put out campaign signs JK3387 ck #1020 place signs 10/15/2021 $ 360.00 10 = put out campaign signs 4. Payee Information El Add U Remove . Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments Right Course Consulting, LLC 8207 Lake Providence Drive Waddington, NC 28104 G Level Registered (Specify) Lj Federal ❑ Coanty: ❑ State © Municipality: e. Election Sum to Date $ 3,172.67 . Account Code g. Form of Payment 1h.PurponCode 11. Date (mmlddlyyyy) D. Amount 1k. Required Remarks JK3387 ck #1002 O 10/01/2021 $ 911.40 O = Consulting/Campaign JK3387 ck #1010 0 10/13/2021 $ 1,630.21 management 4. Payee Information Add Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments c. Level Registered (Specify) Federal U County: ❑ State ❑ Municipality: e.Elecaon Sum to Date $ f Account Code g. Form of Payment h. Purpose Code 1. Date (mmfdd/yyyy) J. Amount it. Required Remarks $ 5. Total only this Page $ 3,061,61 6. Total of ALL CRO -1310 Pages ("This line goes in line f is of Detailed Summary Page CRO -1100 if Operating Expen,ves) h ... ,.. $ (This line goes in line lab of Detailed Summar 'v Page CRO -1100 if Cort Mb to Candidates/fldtueaalfpmrn) 3.061 61 (This line goev in line lie of Detailed Summary Pae CRO -1100 if Coordinated Party Es ndinoes) 7. Purpose Codes (List detailed expenditure code in (h.) above) -1 1/ A* - Media B* - Printing C* - Fundraising U�fof) -To Another Cdndidule E - Salaries F* - Equipment G - Political Party tilding Publi Office Expenses Q* - onalittoWLigal Expense Fund I Postage J - Penalties K* - Office Expenses � 0* Other * Codes require detailed explanation in required remarks field k CRO -1310 NC State Board of Elections December 2009 Amendment -..... _ Refunds/Reimbursements From the Committee Pg I of Yea ❑ No Use this form to report refunds/reimbursements, including contributions returned to the contributor. 1. Committee Full Name (and Fund if applicable) 12. ID Number 3. Payee Information ® Add ❑ Remove . Full Name, Mailing Address & Phone (Include city, state, & zip) d. Type of Committee h. Original Recelpt Date 1@ Candidate PAC p Referendum ❑ Party q IS�ZDZI hidHAPiD V.UtT WdUi<INSD" 3011 � AKV_RS-F �(lL %4EN(L� i�OµROE, IV.� ZS i Z Registered e. Level Reg i. Original Receipt Amount Federal County: ❑ State ® Municipality: f. Purpose Code J. Election Sum to Date L $ Z50, oo b. Job TMa(Profesdon 1c. Employer's Name/Specific Field 1g. Comments It. Account Code r�cpt_ MDe96or4 ANVAI5AL4Y JK338� . Form of Payment Im. Required Remarks in. Date (mm/dd/yyyy) lo.Amunt lo loll z.a:"t-� $2SO,OD 3. Payee Information ®Add ❑ Remove . Full Name, Mailing Address & Phone (include city, state, & zip) _ d. Type of Committee h. Original Receipt Date 1t ---1t Candidate PAC yi Referendum ❑Party �Z� IZOZ� aQ0(5 L)u (Z.H RM ',ANION - t -x'-(23 �IDDL.E �.f19, C;AMPAIGI4 FINAI`It SOC `'2511Dp t71 pAt i 0 8 2022 FEBf RECEIVE e. Level Registered I. Original Receipt Amount Federal County. nty: p State ® Municipality: ``__,^, $ Sw, oo f. Purpose Code J. Election Sam to Date - L $ Soo. Do . Job Title/Prefesdon 1c. Employer's Name/Specific Field 1g. Comments jlL Account Code M, RXbC LD W01- 1AoNPoS ,JK3387 . Form of Payment ImRequissalRemark, n. Date (mm/ddlyyyy) jo.Amount C 1 )r,? Imo, -. 'i 1 $ �j00, oU 3. Payee Information ❑ Add ❑ Remove - - . Full Name, Mailing Address & Phone (Include city, state, & zip) d. Type of Committee Candidate PAC ❑ Referendum ❑ Party h. Original Receipt Date I o l O S 17 OZ 'BREW ��,(��(� z� Y�j �Dll.lnlU YI IU -S ,Lir' (JE MOµ RO}; l L 281 b❑ e• Level Registered i. Original Receipt Amount Federal County: State ® Municipality: $ Zoo, DO P. Purpose Code J. Election Sum to Date L $ 200. 60 . Job Tiae/Profeaden 1a Employer's Nama/Specific Field Ig. Comments k Account Code 6LLP, VF_,4l7P, I LRY&1(2ENGE.&sc.ci Art'LFi,P . . Form of Paymentm. Required Remarks s. Date (mm/ddlyyyy) o. Amount '(�R mw. tMEFuND roil-C12t&.Li?1D1-1 $ 2-oo,Op 4. Total only this Page $ 9,5 0.00 5. Total of ALL CRO -1320 Pages (This line must be at line 16 of Detailed Summary Page CRO -1100) 6. Purpose Codes (List detailed disbursement code in (f) above) L - Returned to Contributor M - Overpayment for Service N - Exceeded Contribution Limit P* - Reimbursement of In -Kind O* Other * Codes re uire detailed a lanation in re aired remarks field m CRO -1320 NC State Board of Elections December 2007 Amendment In -Kind Contributions Pg _L of 1 ® Yes ❑ No Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund. Use CRO -1215 if In -Kind Contributions were or will be refunded within 7 days. 1. Committee Full Name (and Fund if applicable) Kerr for Council 12. ID Number 2JM3V9 3. Contributor Information ❑ Add U Remove . Full Name, Mailing Address & Phone (include city, state, & zip) James M. Kerr PO Box 783 Monroe, NC 28111-0783 704-283-3911 b. 7_tpe of Contributor ❑ Individual ® Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source c. Comments d. Election Sum to Date $ 4,099.15 . Description f. Date (mm/dd/yyyy) 09/23/2021 g. Fair Market Amount Personal credit card payment to Signs Now $ 1,441.12 Personal credit card payment to KT Print Design 10/01/2021 $ 1,195.07 Personal credit card payment to KT Print Design 10/06/2021 5 11373 3. Contributor Information ® Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) h. Type of Contributor c. Comments U Individual ® Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source James M. Kerr PO Box 783 Monroe, NC 28111-0783 704-283-3911 d. Election Sum to Date $ . Description E Date mon/ddlyyyy) g. Fair Market Amount Personal credit card payment to Signs Now 10/08/2021 $ 720.56 Personal credit card payment to Brooster's 10/12/2021 $ 451.21 Personal credit card payment to KT Print Design 10/15/2021 $ 17746 3. Contributor Information Ej Add Remove . Full Name, Mailing Address & Phone (include city, state, At zip) b. Type of Contributor c. Comments Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt source d. Election Sum to Date $ . Description f. Date (mmlddtyyyy) g. Fair Market Amount NOV 1 $ Union (; ; f. $ 4. Total only this Page 5 5. Total of ALL CRO -1510 Pages (This line must be online 17 of Detailed Summary Page CRO -1100) $ 4, 099.15 CRO -1510 NC State Board of Elections December 2007