Kerr,James_2021-Year-endAmendment
Disclosure Report Cover o Yes ® No
Use this form for general report and committee information, must be signed and submitted along with other detailed forms.
rlo not nae this form to nndnte infnrmntinn
1. Committee Information
a. Full Name
c. ID Number
2-Z KSV9
ICRP, F6 COLA t,ICIL
b. Mafling Address (include City, State and Vp Code)
d. Date Filed
AAn'• ;J'ONrL KAPELA(t
) t4 t l, C H u R C H ST -j2 EV_T
e. Phone Number
nor,!P'D� KC 28! 1'
7C)q- 233 --SIS
2. Report Year 3. Period Start Date (mon/dill ) 4. Period End Date m vdd/
s. Treasurer Full Name
2D71 1 IO- Irl - Zi 1 12-ZI-Z1
folV4\4L70<_ -KAPtLPLK
6. Typ&of Cotamiftee Check One
9, Type of Report
(check only one type of reportfinarn one category)
® Candidate Campaign ❑ Party
Municipal
State/County
Referendum
❑ PAC ❑ Referendum
❑ Organizational
❑ Organizational
❑Organizational
❑ Independent Expenditure ❑ Joint Fundraiser
❑ Thirty-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑ Pre-primary
❑ First
❑ Final
❑ Pre-election
❑ Pre-mnoff
Semi-annual
❑ Second
❑ Third
Fourth
❑ Supplemental Final
❑ Annual
❑ Special
7. Type of Fund (if applicable, check one)
❑ Booster Fund
❑ Building Fund
❑ Mid Year
Semi-annual
® Year End
❑ Mid Year
10. $ ecial Report Name
❑ Other:
❑ Final
❑ Special
❑ Year End
❑ Final
❑ Special
CAM PA i ci t4
P epc)A rl tJ C1
8. Number of Fundraisers this Report
IV Oh1E
lh Account Information
11. Account Information
a. Financial Institution Full Name
a. Financial Institution Full Name
AM
UNIONCOUN 'r_
b. Purpose
a Account Code
b. Pu
C. Account Code
l�bR Ru- Cprlu.Pp'lb4
J ,335-1
FEB 08 2022
1 ✓<PENSE 5
d. Period Begin Balance
d. Period Begin Balance
$z,`5q.,q
$
RECEIVED
CERTIFICATION
I 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 aro commingled with prohibited or other non -disclosed funds. I further certify that this
by the
report is complete, true and correct and that I have been trained by
NC State Board of Elections.
\ oDH9 W, KAPELAR
24
Printed Name of Si ner Signature
a A o' ted Treasurer Date
FOR OFFICE USE ONLY
Date Received: Employee:
Delivery Method
E3 Normal Mail
Registered Mail
Date Postmarked: Employee:
Hand Delivered
4mandato
Date Scanned: Employee:
Electronically Filed
[3 Signer has not received
Date Data Entered: Employee:
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 -21 00A -E) to make committee changes.
CRO -1000 NC State Board of Elections August <wo
Detailed Summary U_Yess E2 No
Use this form to summarize all disclosure reDortinR forms and to total monetary information
1. Committee Full Name (and Fund if applicable)
12, Tyrpe of Report
3. ID Number
KrRK Tae CaAi"t(AL-
vE(>,a ENT
I
23KSVq
Start of Election Cycle: January 1, _L0 2U
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
10) Refunds/Reimbursements to the Committee
11) Other Receipt Sources
Ila) Interest on Rank Accounts
11b) Contributions from Not -For -Profit Organizations
llc) Outside Sources of Income
ltd) Legal Expense Fund -Other Sources
Ile) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1210)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CRO -1240)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1270)
(CRO -1265)
$
$
$ 1 Sq D, 2-1
$
12 504. Co`'
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10,11 a, I I b, I I c, I I d and I I c)
$_-
EXPENDITURES
13) Disbursements
13a) Operating Expenditures
13b) Contributions to Candidates/Political Committees
13c) Coordinated Party Expenditures
14) Aggregated Non -Media Expenditures
5) Loan Repayments
16) Refunds/Reimbursements from the Committee
17) In -Kind Contributions
(CRO -1310)
(CRO -1310)
(CRO -1310)
(CRO -1315)
(CRO -1420)
(CRO -1320)
(CRO -1510)
$
L]•
$
$
$
$
$
$
$
$
$
$ -75 , 00
$
D Z5 DQ
$ —
$
c1 D 99 ,15
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)
$
L4O 4C -I , (n I
$
I 2 a CA.30
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 191
$
.,:59
$
, 'J
ADDITIONAL INFORMATION
0) Non -Monetary Gifts Given to Other Committees (CRO -1330)
1) Outstanding Loans (incl. ones from other campaigns) (CRO -1430)
2) Debts and Obligations owed by the Committee (CRO -1610)
3) Debts and Obligations owed to the Com[r(tt *t ,IC� (CRO -1620)
4) Account Transfers Within the Committee �q(CRO-1720)
5) Administrative Support Ln V (CRO -1710)
26) Forgiven Loans 1 V (CRO.1440)
7) 48 -Hour Notice Reports Sum ► ` (CRO -2220)
$
$
$
$
$
$ $
$ $
$ $
8) Contributions to be Refunded
(CRO -1215)
$
$
CRO -1100 NC State Board of Elections August 2008
Amendment
Contributions from Individuals Pg i of
1 �1❑ ves ®Nn
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
L Name and Fuad ii` applicable)2.
IDNumber
Committee -Full
1 ff, tL Uh1L..I
3. Contributor Information Q Add ❑ Remove
. Full Name, Mailing Address & Phone
(Include city, state, & zip)
b. Job Tide/Profession
d. Comments
REAL ESir'.ic
JRMES mpiv V4ELt- KER2
Po lox —( a3
W0ryPoE KC 28111 - O"l83
-10 -'Z-83- 39V1
c. Employer's NametSpeciac Field
JtLI•- EMPIDI(Et�,
e, Election Sum to Date
$ 5841."73
. Prior
g. Account Code
b. Form of Payment
1. In -Kind Description
J. Date (mmlddlyyyy)
k Amount
❑
JK 33B -T
17PAt1<4_E
Iti12%(7 Di.1
$ —790.21
❑
K-635-1
KTRRUSF6e—
t)'23`2>Z1
$ 1 DDD. 00
❑
1\ `z -, I
$ 1 DD , o0
3. Contributor Information ❑ Add ff Remove
. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. JobI7tle/Profession
d. Continents
UNION i;OIJ`` �NC',E
GANiPP1GN FINA
F EB $ 2122
c. Employer's Name/SpeciDc Field
e. Election Sum to Date
$
f. Prior
g.AccountCoW,
r6%W4MfNyment
1. In -Kind Description
J. Date (mm(dd/yyyy)
k Amount
o
$
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove - -
a. Full Name, Mailing Address & Phone
(include city, stale, & zip)
It. Job Titie/Profession
ments
re.Elmdon
c. Employer's Name/Specific Field
Sum to Date
f.Prior
g. Account Code
h. Form of Payment
i. In -Kind Description
J. Date (mmlddlyyyy)
It. Amount
❑
$
❑
$
❑
$
4. Total only this Page
$ 1$ 9 D G I
5. Total of ALL CRO -1210 Pages
(This line must be at line 6 of Detailed Summary Page CRO -1100)
$ 1 59 O 1 21
CRO -1210 NC State Board of Elections April 2007
!Amendment -
Disbursements Pg -I— of -Z- ❑Yes ®No
Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political
committees and coordinated partv expenditures
1. Committee Full Name (and Fund if applicable)
2. ID Number
KazP, 1-�Z3R ccu)!-1t_
I Z_�nA 2,gq
. Type of Disbursement (please use separate CRO -1310 forms for each type of Disbursement.)
Operating Expenses U Contributions to Candidates/Political Committees U Coordinated Party Expenditures
4. Payee Information M Add Remove
7.7 11 Name, Mailing Address & Phone
Include city, state, &ppzi
In Coordinated Committee Name
d. Comments
J OS Nu.A E (Z
c. Level Registered (Specify)
Federal U County:
❑ Slate ® Municipality:
e. Election St®to Date
$ 1 DD
. Accused Code Is. Form of Payment
lb.PurposeCode
It. Date (mm/dd/yyyy)
. Amount
Ik. Requited Remarks
3K33g'1 1 CK"� toll
I 0
IoI23I 207-1
Is Ioo
ISl�rds
Is
4. Payee Information ❑ Add ❑ Remove
u. Pull Name, Mailing Address & Phone
i include city, state, &zip)
h. Courdinated Committee Namr
d. Cotmnent,
gNtEL klRi(�N'i'�r,�ti"rPF.IGN
Q
�fg Q U ZO�t
CC
'Pk�c�,v�a
c. Level Registered (Specify)
Federal ❑ County:
❑ State ® Municipality:
e. ElectionSum to Date
$ 1 n0
. Account Code
g. Form of Payment
It. Purpose Code
11. Date (mm/dd/yyyy)
D. Amount
1k. Required Remarks
3K3381
C.Kt- Ip 12
I 101z3 zozl
Is IbD
IStCsns
4. Payee Information m Add ❑ Remove
. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Coordinated Committee Name
d. Comments
Jttr E�ANSE:ry
c. Level Registered (Specify)
Federal Ll County:
❑ State ® Municipality:
e. Election SSum to Date
$ LD
ount Code
g. Form of Peytneat
b. Purpose Code
i. Date (nun/dd/yyyy)
. Amount
k. Required Remarks
338-7
L)K
CI< 1013
O
l l �03
2021
$ -7--50&GAS
UP - ulollzl'5S61
Ck't 1D15
0
$ 2160
Tgt(C Si&r.15 -DovtN
5. Total only this Page `' '
$ -1 C)0
6. Total of ALL CRO -1310 Pages
(This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses)
(Thu line goes in line 131, of Detailed Sunmmry Page CRO -1100 if Contrib to Candidates/Political Conrm)
(This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures)
$
7. Purpose Codes (List detailed expenditure code in (h.) above)
T*-- Media B* - Printing C* - Fundraising D - To Another Candidate
E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses
I - Postage ] - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund
O* Other
* Codes re uire detailed explanation in re aired remarks -field W
CRO -1310 NC State Board of Elections December 2009
Amendment
Disbursements Pg 2 of Z 10 yea ® No _I
Use this form to report expenditures from the committee for operating expenses, contributions to candidatelpolitical
rnmmittees and cnnrdinated narty expenditures
1. Full Name (amp= if a licable)
2. ID Number
Committee
_
3. Type of Disbursement (Mase use separate CRO -1310 forms for each type of Disbursement.)
O eratin Ex enses U Contributions to Candidates/Political Committees Coordinated Party Expendi¢ues
4. Payee Information
Add Remove
a. Full Name, Mailing Address & Phone
(Include city, state,& zip)
b. Coordinated Committee Name
d. Comments
�t
"Pwr-reit A. Cok#LPANI I PA
%\ LA N , (' RU VX- i ST fLEr T
wDis1p-bizt K(- 2 SI12
-i CA - 233 - 5159
c. Level Registered (Specify)
Federal U County:
❑ State ® Municipality:
e.RlecdonSam toDate
$ I �I2to
. Account Code Ig. Form of Payment
It. Purpose Code
i. Date (mm/ddtyyyy) . Amount
IL Required Romantics
1K333'I CIc k4 lull
Q
II IIt12oZl Is 1-IZ0
TKEFtsi.ipe" AV-PDIaI
Is
4, Payee Information
Add Remove iq; , -
_
• . Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Coordinated Conmritlee Name
d. Cp
FEB 0 8 2022
a likel" NalkabM L: L)
CDoLUZSE CoKtsut-n 14 &i , LI -C
La KE
S W-7 (``I' odmD tsice -z*wL
KL 2-atD4
c. Level Registered (Specify)
Federal County:
❑ state ® Municipality:
$ �I 12�1,ZG
. Account Code
g. Form of Payment
h. Purpose Code
it. Date (mmlddlyyyy)
1J.Amount
Is. Required Remarks
.1K3s� i
eke MLO
D
II Zz zDZI
$ issq.w
Cott U Ph �l✓C MAI
Is
1
4. Payee Information
❑ Add ❑ Remove
. Full Name, Melling Address & Phone
(include city, state, & zip)
b. Coordinated Committee Name
d. Comments
Jarn�s MPKWEt� ICER -2
7 Q �k -183
tJ � 2511 1
MDAV-DFI
-114-253-3aII
c. Level Registered (Specify)
Federal County:
❑ state ® Municipality:
e.Electlou Sumto Date
$ —75,00
f. Account Code
Ig. Form of Payment 1h. Purpose Code
Ii. Date (mmlddlyyyy)
Ii. Amount
JIL Required Remarks
JK 3351
tIKTRAKSVCR O
1 I -L I zozl
$ 15. Co
FUNDING ?,FjNA&kWSWlAE
Is
7 Total only this
Page
$ 3 ZLtq. Co (
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 136 of Detailed Summary Page CRO -1100 if Contrib to Candidates/Political Conun)
(This line goes in line 13c of Detailed Surnmary Page CRO -1100 if Coordinated Party Expenditures)
$ 1 10(-I!1 (P I
`-'r _ 1
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
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 December 2009
air