Palacios,Maria_2022-1st-qtr-coverDisclosure Report Cover E3 yes Ml 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.
L Committee Information
a. Full Name
c. ID No to her
COMMITTEE TO ELECT MARIA PALACIOS
XXX-OJV1K89-X-XX
It. Mailing Address (include City, State and UP Code)
d. Date Fled
3903 GARRISON CT
05/07/2022
MONROE, NC 28110
e. Phone Number.
(704)207-5519
2. Report Year
3. Period Start Date (mm/du/.y)
4. Period End Date (mm/dd/yy)
15.1freasurer Fall Name
1022
01/01/2022
04/30/2022
CRISTAL ROBINSON
6. Type of Committee (Check One)
9. Type of Report check
only one type nfreporl
from one category)
® Candidate Campaign ❑ Pan\
Municipal
State/County
Referendum
❑ Joint Fundraiser ❑ PAC
❑
Organizational
❑ Organizational
❑ Organizational
❑ Referendum Legal Expense I4unl
❑
❑
Thirty-fiveday
Pre-primary
Quarterly
First
❑ Pre-referendun
❑ Final
7. Type of Fiend (ifopplicable, check one)
❑ "Booster Fund"
❑
Pre-election
❑ Second
❑ Supplemental Final
❑ Building Fund
❑
Pre -runoff
❑ Third
❑ Annual
❑ Presidential Election Year Candidates Fund
Semi-annual
❑ Fourth
❑Special
❑ NC Public Campaign Financing Find
❑
Mid Year
Semi -arcual
❑
Year End
❑ Mid Year
10. Special Report Name
❑ Other
❑
❑
Final
Spwal
❑ Yen End
❑ Final
8. Number of Fundraisers this Report
-- 1
❑ Special
3. Account Information
3. Account Information
a. Financial Institution Full Name
a. Financial Institution Full Name
FIRST CITIZENS BANK
L Purpose
a Account Code
It. Purpose
m Account Code
COMMITTEE
B01
UfdION COUNTY
CAMPAIGN FINANCE.
MAY 0 9 2022
d. Period Begin Balanced.
—_�
Period Begin Balance
S
0.00
$
CEPTIFICATION
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 arecommingled with prohibited or other non -disclosed
funds. further certify this report is complete,
true and c erect and that I have been trained by the NC State Board
that
pI
l' F -f tYIP� I��/I AISa,,
05/07/2022
41t;,:,ZApp�,�auedTreasurer
Printed Name of Ngner
Date
FOROFFICEUSEONLY
ss��II L
Date Received: Jr 09 0
Employee:Delivery Method
[3Normal Mail
[3 Registered Mail
Date Postmarked:
Employee:
e
Date Scanned: l
Employee: llectronically Filed
Date Data Entered:
Employee: 0 Signer has not received
mandatory 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 ofanimtion
CRO -2100A- to make committee changes.
CRO -1000 NC State Boar n E ec ions December 2007
Detailed Summary
Amendment
❑ Yee ® No
Use this foam to st narnrize all disclosure reporting fors and to total monetary information
1. Committee Full Name (and FLnd ifapplicable)
COMMITTEE TO ELECT MARIA PALACIOS
2. Type of Report
2022 First Quarter
3. ID Number
XXX-OJMK89-X-XX
Start of Election Cycle: January 1, 2021
"total this
Re porting Period
Total this
Election Cycle
4) Cash on Hand at Start
$
150.00
$
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
11a) kttereston Bank Accounts
11 b) Contributions fromNot-For-Profit Organizations
Ile) Outside Sources of Income
ltd) Legal EcpenseFund-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)
(0R0.1270)
(CRO -1265)
$ 252.81
$
252.81
$ 672.03
$
672.03
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
$
486.00
$ 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 lines 5, 6, 7, 8, 9, 10,1 Is, I I b, I Ic, I ld and I le)
$
924.84
$
1,410.84
EXPENDITURES
3) Disbursements
13a) Operating Expenditures
13b) Contributions to Candidates/Political Committees
13c) Coordinated Party Expenditures
4) Aggregated Non-Me(lia Expenditures
5) Loan Repayments
6) Refunds/Reimbursements from the Committee
7) In-IGnd Contributions
(CRO -1310)
(CRO -1310)
(CRO -1310)
(CRO -1315)
(CRO4420)
(CRO -1320)
(CRO -1510)
$
279.92
$
279.92
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 190.80
$
190.80
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
$
336.00
8) TOTAL EXPENDITORFS (Add lines 13a, 13b, 13c, 14, l5, 16 and 17)
$
470.72
$
806.72
9) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18)
$
604.12
$
604.12
ADDITIONAL INFORMATION
0) Non -Monetary Cifts Civen 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 )LINTY (CRO -1620)
GNFINANCE
4) Account Transfers Within the Committee (CRO -1720)
5) Administrative Support MAY 0 9 2022 (CRO- 1710)
6) Forgiven Loans C p F E I v F D(CR0.1440)
7) 48-AourNotice Reports Sum fl v (CRO -2220)
$ 0.00
$ 486.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
8) Contributions to be Refunded
(CRO -1215)
$
0.00
$
0.00
CRIT -1100 NC State Board of Elections August 2008