Maynard,Wendy_2021-Org-Disclosure-ReportDisclosure Report Cover E3 v s EM No
Use this form for general report and committee information. must be signed and submitted along with other detailed forms.
Do not use this formto update information.
1. Ctmsmit(ee Informalie i
a. Full Name
c. to Number
Pending
VOTE WENDY MAYNARD COMMITTEE
b. Mailing Address (include City, State and Zip Code)
it. Date Fled
11/22/2021
6017 TREMONT DR
INDIAN TRAIL, NC 28079
e. Phone Number
(828)776-2774
2. Report Year
13. Period Start Date (mm/dd/yy)
14. PeriodEod Drte (mm/ddyy)
is. Treasurer Fou Name
2021
11/18/2021
11/21/2021
JINGER KELLEY
6. Type of Committee Check One
9.
of Re rt check only one type ore rifrom one category)
® Candidate Campaign ❑ Party
Municipal
State/County
Referendum
❑ Joint Fundraiser ❑PAC
❑
Orprtva[ional
Organizational
❑Organizational
❑ Referendum Legal Expense I mid
❑
❑
❑
Thirty-five day
Pre-primary
Pre-election
Quarterly
❑ First
❑ Second
[3 Pre -referendum
❑ Final
❑ Supplemental Final
7. of Fund (if applicable, check one)
❑ "Booster Fund"
❑ Building Fund
❑
Pre -runoff
❑ Third
❑ Annual
❑ Presidential Election Year Candidates Fond
Semi-annual
Forth
❑ Special
❑ NC Public Campaign Financing Fund
❑
Mid Year
Semi-annual
❑
Year end
❑ Mid Year
10. Special Re rt Name
❑ Other.
❑
❑
Final
Special
[3 Year End
❑ Final
❑ Special
g. Number of Fundraisers this Report
0
3. Account Information
3. Account Information
a. Financial Institution Full Name
a. Financial Institution Full Name
FIRST CITIZENS BANK
b. Purpose
c. Account Code
b. Purpose
c. Account Code
TRACK CAMPAIGN
01
CONTRIBUTIONS &
d. Period Begin Balance
all. Period Begin Balance
EXPENSES
$
0.00
$
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 trained by the NC State Board
JingerKelley
11/22/2021
Printed Name of Signer
Si me o pointed easmer Date
FOR OFFICE US E ONLY
Date Received: a
Date Postmarked:
� %
Errployee: Defivery Method❑ Normal Mail
i
Employee: ❑ Registered Mail
AHand Delivered
Date Scanned:
Employee: ❑ Electronically Filed
Date Data Entered:
❑ Signer has not received
Employee: mancJ itors,tminme
Please Note: This forth cannot be used to amend conortittee information such as the committee g JU6S. LI'CaSn1Y1.
assistant treasurer, custodian of books information, or account information.
You must amend the Statement of Organi2ation CRO -2100A- to make committee ch es. NOV 2
CRO -1000 NC State Board of Elections
�1
December 200-
Union Co. E! . ns
Detailed Summary Amen
v sm`at
® No
Use this form to summarize all disclosure revoninp forms and to total nsenetary information
1. Committee Full Name and Fund if applicable)
Report
13.1D Number
VOTE WENDY MAYNARD COMMITTEE
2021 Organizational
Pending
Start of Election Cycle: January 1, 2021
Total this
Re rtin Period
Total this
Election Cycle
4) Cash on Hand at Start
$
0.00
$
0.00
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
0) Refunds/Reimbursements to the Committee
1) Other Receipt Sources
I la) Interest on Bank Accounts
11 b) Contributions from Not -For -Profit Organizations
11c) Outside Sources of Income
11d) Legal Expense Fund- Other Sources
Ile) Exempt Purchase Price Sales
((70.1203)
(0?0-1210)
(CR0.1220)
(CR0.1230)
(OtO.1410)
(CRO -7240)
((JPO -1250)
(CRO -1250)
(CRO -1250)
(CR0.1270)
(CRO -1265)
$ 0.00
$
0.00
$ 100.00
$
100.00
$ 0.00
$
0.00
$ 0.00
$
0.00
S 0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
2) TOTAL RECEIPTS (Add Imes 5, 6,7,8,9,10,1 la,1 lbl lc,l Id and I le)
$
100.00
$
100.00
EXPENDITURES
3) Disbursements
13a) Operating Expenditures
13b) Contributions to Candidates/Political Committees
13c) Coordinated Party Expenditures
4) Aggregated Non -Media Espenditures
5) Loan Repayments
6) Refunds/Reimbursements from the Committee
7) In-iGndContributiom
(C70-1310)
(CRO -1310)
(CRO -1310)
(CRO -1315)
(CRO -1420)
(CRO -1320)
(CRa1510)
$
0.00
S
o 00
S 0.00
S
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
S 0.00
$
0.00
S 0.00
$
0.00
8) TOTAL EXPENDITURES (Add fines 13a, 13b, 13c, 14, 15, 16 and 17)
$
0.00
$
0.00
9) Cash on Hand at End (Add fines 4 and 12 together, then subtract line 18)
$
100.00
$
100.00
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 ObligationsowedtotheCommittee
4) Account Transfers Within the Committee
5) Administrative Support
6) Forgiven Loans
7) 48 -Hour Notice Reports Sum
(CRO -1330)
(CRO -1430)
(C70-1610)
(CRO -1620)
(CRO -1720)
(CRO -1710)
(CRO 1"0)
(CRO -2210)
$
$
$
$
$
$
0.00
0.00
0.00
0.00
0.00
0.00
$
0.00
$ 0.00 $
_
G
$ 0.00 $
. 0
$) Contributions to be Refunded
((80.1275)
$
0.00
S
%roes
9 2021
CRO -1100 NC State Board of Elections August 2008
Union Co. Elections
Amendment
Contributions from Individuals Pg i of I ❑ Yes ® No
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
1. Committee FLIT Name(and FLndif icable)
2.1D Number
%OTE W ENDY MAYNARD COMMITTEE
Paadrg
3. Contributor Information ❑ Add ❑ Remove
a. Full Same, Mailing Address & Phone
(include city, state, & zip) _
b. Job Title/Profession
d. Comments
BOOKKEEPER
JINGER KELLEY
3103 JULIAN GLEN CIR
WAXHAW,NC 28173
c. Employer's Name/Specific Feld
SELF
e. Election Som to Date
$
100.00
f. Prior
g. Account Code It. Form of Payment
i. [n-IGnd Description
I. Date (mm/dd/yyyy)
Is. Amount
❑
01 Check
11/18/2021
$
100.00
❑
g
4. Total only this Page
$
100.00
5. Total of ALL CRO -1210 Pages
(This One must be online 6 of Detailed Summary Page CRO -1100)
$
100.00
C Ro-12/ 0 NC State Board of Elections April 2007
ALJ
NOV 2 9 2021
Union C;c. Dcctions