Morrison-Hansley,Kim_2021-Year-endAmendment
Disclosure Report Cover o les ® No
Use this form for general report and committee information, nest be signed and submitted along with other detailed fomts.
Do not use this form to update information.
1. Committee Information
a. Full Name
c. ID Number
ELECT KIMBERLY MORRISON-HANSLEY
b. Mailing Address (include City, State and Zip Code)
d. Date tiled
4307 CROW ROAD
01/15/2022
MONROE, NC 28112
e. Phone Number
(980)239-1681
2. Re ort ]"ear
3. Period Start Date (mm/dd/yv)
4. Period Fad Date (mm/dd/yy)
5. Treasurer Full Name
2021
07 01 2021
12/31/2021
MELISSA RODGERS
6. Type of Committee Check One
9. Type
of Report check only one type o re rifrom one category)
® Candidate Campaign ❑ Party
Municipal
State/County
Referendum
❑ Joint Fundraiser ❑ PAC
❑
Organizational
❑ Organizational
❑ Organizational
❑ Referendum ❑ 1-ceal ENpense Fund
❑
❑
❑
Thirty-five day
Pre-primary
Pre-election
Quarterly
❑ First
❑ Second
❑ Pre-referendun
❑ Final
❑ Supplemental Final
7. Type of Fund (Japplicabler check one)
❑ "Booster Fwd"
❑ Building Fund
❑
Pre -runoff
❑ Third
❑ Annual
❑ Presidential Election Year Candidates Fwd
Semi-annual
❑ Fourth
❑ Special
❑ NC Public Campaign Financing Fwd
❑
Mid Year
Semi-annual
❑
Year End
❑ Mid Year
10. Special Report Name
Cl Other:
I ❑
❑
Final
Special
® Year End
❑ Final
❑ Special
8. Number of Fundraisers this Re rt
1
3. Account Information
3. Account Information
a. Financial Institution Full Name
a. Financial Institution Full Name
FIRST CITIZENS 13ANK
UN11
b. Purpose
c. Account Code
b. Purpose------ CAIUPAT7 c. Account Code
CAMPAIGN CHECKING
1785
)AN 2 ?0?',ACCOUNT
d. Period Begin Balance
d. Period Begin Balance
REC v F_
$0.0o
CERTIFICATION
I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B& 22D -22M of
Chapter 163 ofthe 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 correct and that 1 have been trained by the NC State Board
M ( LSS c 'LK.L4-'s
%and
/ l tel/ r J _ q----01/19/2022
Printed N—an�Signer
Signature of Appointed Treasurer Date
FOROFFICELGEONLY
\\�''yy,,��>>,,
Method
Date Received: I
1 I
o
Mail
Registered Mail
Date Postmarked:
j[3Normal
Employee:
nd Delivered
Electronically Filed
Date Scanned: O / 2
Employee:
❑ Signer has not received
Date Data Entered:
Employee:
mandatory training
Please Note: This formcannot be used to amend committee information such as the conirnittee address, treasurer,
assistant treasurer, custodian
ofbooks information, or account information.
You must amend the Statement of
aniation CRO -2100A -E to make committee changes.
CRO -1000 NC State Board of Elections December 2007
Amendment
Detailed Summary p Yes IN No
Use this formto summarize all disclosure renortine forms and to total monetary information
1. Committee Full Name and FStnd if applicable)
2, of Report
13. ID Number
ELECT KIMBERLY MORRISON-HANSLEY
2021 Year End Semi -Annual
Start of Election Cycle: January 1, 2021
JR:eporting
Total this
Period
Total this
Election Cycle
4) Cash on Hand at Start
$
0.00
$
0.00
RECEIPTS
5) Aggregated Contributions from IndiNiduals
'6) Contributions from Indi%iduals
7) Contributions from Political Party Committees
8) Contributions from Other Political Committees
9) Loan Proceeds
0) Refunds/Reimbursements to the Committee
I) Other Receipt Sources
1 I a) Interest on Bank Accounts
I1b) Contributions from Not -For -Profit Organizations
Ile) Outside Sources of Income
I Id) Legal Expense Fund -Other Sources
Ile) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1210)
(CRO -1120)
(CRO -1230)
(CRO -1410)
(CRO -1240)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1170)
(CRO -1265)
$ 170.44
$
170.44
$ 1,238.00
$
1,238.00
$ 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
$
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
2)TOTALRECEB'TS(Add tines 5,6,7,8,9,10,1la,llb,llc,lldand Ile)
i $
1,408.44
$
1,408.44
EXPENDITURES
3) Disbursements
13a) Operating Expenditures
13b) Contributions to Candidates/Political Committees
13c) Coordinated Party Expenditures
4) Aggregated Non -Media Expenditures
5) Loan Repayments
6) Refunds/Reimbursements from the Committee
7) In-I(indContributions
(CRO -1310)
(CRO -1310)
(CRO -1310)
(CRO -1315)
(CRO -1410)
(CRO -1320)
(CRO -1510)
$
0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 34.98
$
34.98
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 138.00
$
138.00
8) TOTAL EXPENDITURES (Add lines 13a, iib, 13c, 14, 15, 16 and 17)
$
172.98
$
172.98
9) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18)
$
1,235.46
$
1,235.46
ADDITIONAL INFORMATION
0) Non -Monetary Gifts Given to Other Committees
I) Outstanding Loans (incl, ones from other campaigns)
2) Debts and Obligations oeed by the Committee
3) Debts and Obligations ovved to the Committee
4) Account Transfers Within the Committee
5) Administrative Support
6) Forgiven Loans
7) 48 -Hour Notice Reports Sum
(CRO -1330)
(CRO -1430)
(CRO -1610)
(CRO -1620)
(CRO -1720)
(CRO -1710)
(CRO -1440)
(CRO -2220)
$
$
$
10.00-
$
$
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
8) Contributions to be Refunded
(CRO -1215)
$
0.00
$
0.00
CRO -1100 NC State Board of Elections August 2008
Amendment
Aggregated Contributions from Individuals Nage ! of ❑ Yes ® No
Optional form used to report NC Contributions From Individuals of $50 or less
1. Committee Full Name and Fund ifapplicable)
2. ID Number
ELECT KIMBERLY MORRISON-HANSLLY
3. Contributor Information
a. Amend
b. Account Code
c. Form of Payment
d. In -Kind Description
e. Date (mm/dd/yyyy)
f. Amount
ry—Add
1785
Credit Card
12/27/2021
$ 5.00
[3 Remove
Add
1785
Credit Card
12/28/2021
$ 20.22
❑ Removery—
Add
1785
Credit Card
12/23/2021
$ 5.00
❑ Remove
Add
1785
Credit Card
12/28/2021
$ 50.00
❑ Remove
Add
1785
Credit Card
12/31/2021
$ 20.00
❑ Remove
Add
1785
Credit Card
12/22/2021
$ 20.22
❑ Remove
Add
1785
Credit Card
12/28/2021
$ 50.00
❑ Remove
4. Total only this Page
$ $170.44
5. Total of ALL CRO -1205 Pages
$ $170.44
(This line mustbe me line 5 ofOrfuiled Summan, Page CRO -1100)
CRO -1205 NC State Board of Elections April 2007
Amendment
Contributions from Individuals Pg I 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 Full Name and Fund ifapplicable) ___"m72.
ID Number
ELECT KIMBERLY MORRISON-HANSLEY
3. Contributor Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
GVP Customer Success
TOYA DEL VALLE
311 Covington Crossing
Weddington, NC 28104
e. Employer's Name/Specific Field
Cornerstone
e. Election Sum to Date
$ 200.00
1'. Prior
g. Account Code
It. Form of Payment
I. In -Kind Description
j. Date (mm/dd/yyyy)
it. Amount
❑
1785
Credit Card
12/27/2021
$ 200.00
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
NO JOB TITLE
PAM DEMARIA
1108 Hunters Trail Dr
Indian Trail, NC 28079
c. Employer's Name/Specific Field
NOT EMPLOYED
e. Election Sum to Date
$ 100.00
I. Prior
g. Account Code
It. Form of Payment
I. In -Kind Description
j. Date (mm/dd/yyyy)
it. Amount
❑
1785
Credit Card
12/28/2021
$ 100.00
❑
$
❑
S
3. Contributor Information ❑ Add -❑ Remove
a. Full Name. %lailing Address & Phone
(include city, state, & zip)
b. Job Tltle/Profession
d. Comments
Accountant
ANGELIA JAMES
PO Box 2596
Monroe, NC 28111
c. Fin ployer's Name/Specific Field
Angelia's Accounting Services
Inc
e. Election Sum to Date
$ 100.00
f. Prior
g. Account Code
It. Form of Payment
i. In -Kind Description
j. Date int m/dd/yyyy)
It. Amount
❑
I785
Credit Card
12/28/2021
$ 100.00
❑
$
4. Total only this Page
S 400.00
5. Total of ALL CRO -1210 Pages
(This line must be on line 6 ojDemiled Summary Page CRO -1100)
S 1,238.00
C KU -1210 NC State Board of Elections April 2007
Contributions from Individuals
Amendment
Pg 2 of 3 ❑ Its ® No
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
t. Committee Full Name (and Fund if a icable)
ID Number -'
ELECT KIMBERLY MORRISON-HANSLEY
3. Contributor Information ❑ Add . ❑ Remove
a. Fall Name, )lalling Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
PROCESS DESIGN
CONSULTANT
JACQUELINE MIMS-MCCLENON
1831 BOTANICAL DR
CHARLOTTE, NC 28279
c. Employer's Name/Specific Field
BANK OF AMERICA
e. Election Sum to Date
$ 100.00
f. Prior
g. Account Code
Is. Form of Payment
i. In -Kind Description
I. Date (mm/ddlyyyy)
k. Amount
❑
1785
Electric Funds Tran
12/18/2021
S 100.00
❑
$
❑
S
3. Contributor Information ❑ add ❑ Remose
a. Full Name. Mailing Address & Phone
(include cit, state, & zip)
b. Job title/Profession
d. Comments
OWNER/CONSULTANT
KIMBERLY MORRISON- HANSLEY
4307 CROW ROAD
MOROE, NC 28112
c. Employer's Name/Specific Feld
TUTOR FINANCIAL
COUNSELING & LITERACY
e. Election Sum to Date
$ 238.00
f. Prior
g. Account Code
Is. Form of Payment
i. In -Kind Description
J. Date (mm/dd/yyyy)
It. Amount
❑
1785
Check
12/17/2021
$ 100.00
❑
1785
In -Kind
WIX.COM WEBSITE
12/30/2021
$ 138.00
❑
$
3. Contributor Information ❑ Add..❑ Remove
a. Full Name„Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
Director Winchester Child Deve I
Ctr
I IELEN MORRISON
4103 Doster Road
Monroe, NC 28112
c. Employer's Name/Specific Feld
Union County Dept Soc Svcs
e. Election Sum to Date
$ 100.00
L Prior
g. Accuu tit Code
h. Form of Payment
I. In -Mud Description
j. Date(mm/dd/yyyy)
k. Amount
❑
-85
Check
12/22/2021
S 100.00
❑
S
❑
S
4. Total only this Page
$ 438.00
5. Total of ALL CRO -1210 Pages
(This line must be on fine ei of Detailed Summary Page CRO -1100) $ 1'238.00
CRO -1210 NC State Board of Elections April 2007
Amendment
Contributions from Individuals Pg 3 of 3 13Yes ® No
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
h. CommitteeRullNaine andl7mdifa ka'Ne
2.IDNumber
ELECT KIMBERLY MORRISON-HANSLEY
3. Contributor Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job'itle/Profession
d. Comments
OWNER
LAPRONDASPANN
5367 Kimmerly Woods Dr
Charlotte, NC 28215
c. Employer's Name/Specific Field
LAIN CONSULTING, LLC
e. Election Sum to Date
$ 100.00
I. Prior
g. Account Code
It. Form of Payment
i. In -Kind Description
j. Date (mm/dd/yyyy)
k. Amount
❑
1785
Money Order
12/26/2021
$ 100.00
❑
$
3. Contributor Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
NO JOB TITLE
LISA WALKER
5008 laurel grove lane
Matthews, NC 28104
c. Employer's Name/Specific Field
NOT EMPLOYED
e. Election Sum to Date
$ 200.00
I. Prior
g. Account Code
h. Form of Payment
I. In -Kind Description
I. Date (mm/dd/yyyy)
k. Amount
❑
1785
Credit Card
12/27/2021
$ 200.00
❑
$
3. Contributor Information ❑ Add ❑ Remove
a. Full .Name, Dfailing Address & Phone
(include city, stale, & zip)
b. Job'Iitle/Profession
d. Comments
Specialist
NATHAN WALKER
12616 Cedar Fall Dr
Huntersville, INC 28078
c. Employer's Name/Specific Field
Duke Energy
e. Election Sum to Date
$ 100.00
I. Prior
g. Account Code
It. Form of Payment
I. In -Kind Description
j. Date (mm/dd/yyyy)
It. Amount
❑
1785
Credit Card
12/28/2021
$ 100.00
❑
$
❑
$
4. Total only this Page
$ 400.00
5. Total of ALL CRO -1210 Pages
(This fine must be on line 6 ojDetailed Summary Page CRO -1100)
$ 1,238.00
CRO -1110 NC State Board of Elections April 2007
Amendment
Aggregated Non -Media Expenditures Page i of 1 ❑ Yes ® No
Optional form used to report NC Non -Media Expenditures of $50 or less.
CRO -1315 NC State Board of Elections December 2009
ELECT KIMBERLY MORRISON-HANSLEY
3. Payee Information
a. Amend
b. Account Code
ic. Form of Payment
Id. Purpose Code
le. Date (mm/dd/yyyy) f. Amount
g. Required Remarks
Add
1783
Electric Funds Tran
C
12/31/2021
$ 13.08
SERVICE FEE
❑ Remove
=Add
1785
Electric Funds Tran
C
12/31/2021
$ 21.90
SERVICE FEE
❑ Remove
4. Total only this Page
$ 34.98
5. Total of ALL CRO -1315 Pages
$ 34.9s
(This line must be on line 14 ojDetaileA Summary Page CRO -1100)
6. Purpose Codes 'ist detailed expenditure c
B * - Printing -
D - To Another Candidate
E - Salaries F* - Equipment C Political Parh
, a _.
H*—Holiiing Pubhe )f&ce Exp�-
_- estage J - Penalties K* - Office Expenses
Q* - Donations to Legal Expense Fund
0* - Other
* Codes require detailed explanation in required remarks field
CRO -1315 NC State Board of Elections December 2009
Amendment
In -Kind Contributions Pg 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 FLIT Name andFLndifapplicable)
12. ID Number
ELECT KIMBERLY MORRISON-HANSLEY
3. Contributor Information
❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Type of Contributor
c. Comments
M Individual
❑ Candidate
❑ Party
❑ PAC
❑ Referendum
❑ Other Receipt Source
KIMBERLY MORRISON- HANSLEY
4307 CROW ROAD
MOROE, NC 28112
d. Election Sum to Date
$
238.00
e. Description
E Date (mm/dd/yyyy)
g. Fair Market Amount
WIXCOM WEBSITE
12/30/2021
$
138.00
4. Total only this Page
$
138.00
5. Total of ALL CRO -1510 Pages
(This tine must be on line 17 of Detailed Summary Page CRO -1100)
$
138.00
CRO -1510 NC tiwc Board of I_lettion, December 2007