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Palandri,Gina_2022-1st-qtrAmendment Disclosure Report Cover ❑ Yea ® No 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 a. Full Name c. ID Number Gina For Union County Commissioner 2JM46P b. Mailing Address (include City, State and Zip Code) d. Date Filed 1023 Feather Oak Lane Stallings, NC 05/09/2022 28104 e. Phone Number 6122965356 2. Report Year 3. Period Start Date (mm/dd/yy) . Period End Date 5. Treasurer Full Name 2022 01/01/2019 04/30/2022 Gina Palandri 6. Type of Committee Check One) 9. Type of Re rt check only one type of report om one category) N Candidate Campaign ❑ Parry Municipal State/County Referendum ❑ PAC ❑ Referendum ❑ Organizational Organizational ❑ Organizational Independent ❑ Joint Fundraiser Expenditure ❑ ❑ Thirty-five da nY- Y Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ ❑ Pre-primary Pre-election N First ❑ Second ❑ Final ❑ Supplemental Final 7. Type of Fund (if applicable, check ore) ❑ 'Booster Fund' ❑ Building Fund ❑ Pre -runoff ❑ Third ❑ Annual Semi-annual ❑ Fourth ❑ Special ❑ Mid Year Semi-annual ❑ Other ❑ Year End ❑ Mid Yew 10. Special Report Name ❑ ❑ Final Special ❑ Yew End ❑ Final ❑ Special _ & Number of Fundraisers this Report 11. Account Information 11. Account Information a. Financial Institution Full Name a. Financial Institution Full Name Wells Fargo b. Purpose c. Account Code b. Purpose c. Account Code Campaign GPWF ' r UIE0 WI Acct n MAY U 9 2022 d. Period Begin Balance d. Period Begin Balance S .58 $ 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 1 have been trained by the tions. Gina Palandri y�/// 05/09/2022 Printed Name of Signer Signature of Appointed Treasurer Date FOR OFFICE USE ONLY /� Date Received: 5 a� Delivery Method l Employee: ❑ Normal Mail Date Postmarked: Employee: ® Registered Mail Hand Delivered Date Scanned: r �� Employee: F1 Electronically Filed ❑ Signer has not received Date Data Entered: Employee: 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 of Organization (CRO -2100A -E) to make committee changes. CRO -1000 NC State Board of Elections August 2009 Amendment Detailed Summary ❑ Yes ® No Use this form to summarize all disclosure reporting forms and to total monetary information. 1. Committee Full Name and Fund ifapplicable) 2. Type of Report 3. ID Number Gina for Union County Commissioner Organization/ uartl 2JM46P Start of Election Cycle: January 1, 2019 Total this Reporting Period Total this Election Cycle 4) 5) 6) 7) 8) 9) 10) 11) Cash on Hand at Start S. Aggregated Contributions from Individuals Contributions from Individuals Contributions from Political Party Committees Contributions from Other Political Committees Loan Proceeds Refunds/Reimbursements To the Committee Other Receipt Sources Ila) Interest on Bank Accounts llb) Contributions from Not -for -Profit Organizations Ile) Outside Sources of Income lld) Legal Expense Fund —Other Sources 11 e) Exempt Purchase Price Sales (CRO -1105) (CRO4210) (CRO -1220) (CRO -1230) (CRO -1410) (CRO -1140) (CRO -1150) (CRO -1150) (CRO -1150) (CRO -1170) (CRO -1265) $ .58 $ 1145.58 $ 295.00 $ 295.00 $ 600.00 $ 600.00 $ 150.00 $ 150.00 $ $ $ 100.00 $ 100.00 $ $ $ $ $ $ $ $ $ $ $ $ 12) 13) 14) 15) 16) 17) TOTAL RECEIPTS (Add lines 5, 6. 7.8. 9, 10, Ila, Ilb, l ic. Ildand Ile) &DIT[TRES Disbursements 13a) Operating Expenditures (CRO -1310) 13b) Contributions to Candidates/Political Committees (CRO -1310) 13c) Coordinated Party Expenditures (CRO -1310) Aggregated Non -Media Expenditures (CRO -1315) Loan Repayments (CRO -1420) Refunds/Reimbursements From the Committee (CRO -1320) In -Kind Contributions (CRO -1510) $ 1 1145.58 $ 1145.58 0 $ 454.26 $ 454.26 $ $ $ $ $ $ $ $ $ $ $ 87.00 $ 87.00 18) TOTAL EXPENDITURES (Add lines Iia, 13b, 13c, 14. 15. 16and 17) $ 541.26 $ 541.26 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18) ADD 20) Non -Monetary Gifts Given to Other Committees (CRO -1330) 21) Outstanding Loans (incl. ones from other campaigns) (CRO -143 22) Debts and Obligations owed By the Committee (CRO -161 23) Debts and Obligations owed To the Committee (CRO -161 24) Account Transfers Within the Committee (cR&ine Iftion 25) Administrative Support (CRO -1710) 26) Forgiven Loans (CRO -1440) 27) 48 -Hour Notice Reports Sum (CRO -2220) 28) Contributions to be Refunded (CRO -1215) $ 604.32 5 604.32 $ U $ ;7 MAY 0 9 2022 $ Co. Elections $ $ $ $ $ $ $ $ CRO -1100 NC State Board of Elections August 2008 Amendment Aggregated Contributions from Individuals Page of L21- ❑ Yes ® No Optional form used to report NC Contributions From Individuals of $50 or less 1. Committee Full Name and Fund if applicable) 2. In Number Gina for Union County Commissioner 2.1 M46P 3. Contributor Information a. Amend b. Account Code C. Form of Payment d. In -Kind Description e. Date mmtd f. Amount ❑ Add GPAB Card 03/28/2022 $ 25.00 ❑ Remove ❑ Add GPAB Card 03/27/2022 $ 25.00 F-1 Remove ❑ Add GPAB Card 03/16/2022 $ 25.00 ❑ Remove ❑ Add GPAB Card 03/15/2022 $ 25.00 ❑ Remove ❑ Add GPAB Card 03/11/2022 $ 25.00 ❑ Remove ❑ Add GPAB Card 03/07/2022 $ 25.00 ❑ Remove ❑ Add GPAB Card 03/06/2022 $ 10.00 ❑ Remove ❑ Ada GPAB Card 03/06/2022 $ 25.00 ❑ Remove ❑ Add GPAB Card 04/20/2022 $ 50.00 ❑ Remove ❑ Add GPAB Card 04/11/2022 $ 25.00 ❑ Remove ❑ Aad GPAB Card 04/07/2022 $ 25.00 ❑ Remove ❑ Add GPAB Card 04/06/2022 $ 10.00 ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove 4. Total only this Page $ 295.00 5. Total of ALL CRO -1205 Pages (This fine must be online 5 of Detailed Summary Page CRO -1100) $ 295.00 CRO -1105 NC State Board of Elections April 2007 Contributions from Individuals 3 Amendment Pg of j_� ❑ 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 if applicable) __7_21D Number Gina for Union County Commissioner 2JM46P 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Not Employed Diane Terry 1006 Serel drive Stallings, NC 28104 e. Employer's Name/Specific Field Not Employed e. Election Sum to Date $ 100.00 I. Prior g. Account Code It. Form of Payment L In -Kind Description j. Date (mm/dd/yyyy) k Amount ❑ GPAB Card 03/11/2022 $ 100.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Physician Sandeep Patel 1205 Thistledown Ct Matthews, NC 28104 c. Employer's Name/Specific Field Eventus Whole Health e. Election Sum to Date $ 100.00 L Prior g. Account Code It. Form of Payment i. In -Kind Description j. Date (mm/ddlyyyy) L Amount ❑ GPAB Card 04/02/2022 $ 100.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Not Employed MAY 0 9 2022 I Union Co. Elections Debbie Medves 6713 Loblilly Circle Waxhaw, NC 28173 c. Employer's Name/Specific Field Not Employed e. Election Sum to Date $ 100.00 L Prior g. Account Code In. Form of Payment 1. In -Kind Description j. Date (mm/ddlyyyy) L Amount ❑ GPCK Check 03/27/2022 $ 100.00 ❑ $ ❑ $ 4. Total only this Page $ 300.00 5. Total of ALL CRO -1210 Pages (This line mast be online 6 of DelailedSummary Page CR0.1100) $ 600.00 CRO -1210 NC State Board of Elections April 2007 Amendment Contributions from Individuals Pg of ❑ Yes ® No ja 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 if applicable) 2. ID Number Gina for Union County Commissioner 2JM46P 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state. & tip) b. Job Tide/Profession d.Commems Not Employed Katherine Harstad 3001 Westchester Road Lansing MI 48911 c. Employer's Name/Specific Field Not Employed e. Election Sum to Date $ 100.00 f. Prior g. Account Code It. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) b. Amount ❑ GPAB Card 03/16/2022 $ 100.00 ❑ $ ❑ $ 3. Contributor Information ® Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & tip) b. Job Title/Profession d. Comments Sales Danielle Birckbichler 1144 Dorsey Drive Ft. Mill, SC 29715 c. Employer's Name/Specific Field Zebra Technologies e. Election Sum to Date $ 100.00 f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) h. Amount ❑ GPAB Card 3/15/2022 $ 100.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) It. Job Title/Profession d Travel Agent MAY 0 9 2022 Union Co. Elections Denise Birckbichler 4921 Whitmore Pond Drive Charlotte, NC 28270 e. Employer's Name/Specific Field Dream Vacations e. Election Sum to Date $ 100.00 f. Prior g. Account Code It. Form of Payment 1. In -Kind Description j. Date (mm/dd/yyyy) It. Amount ❑ GPAB Card $ 100.00 ❑ $ ❑ $ 4. Total only this Page $ 300.00 5. Total of ALL CRO -1210 Pages $ 600.00 Amendment Contributions from Political Party Committees Pg ..r ❑ Yes ® No Use this form to report contributions from a political parry 1. Committee Full Name and Fund if applicable) 2. ID Number Gina for Union County Commissioner 2JM46P 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & tip) b. Comments Union County Democratic Party PO Box 81 Monroe, NC 29111 c. Election Sum to Date $ 150.00 d. Account Code e. Form of Payment f. In -Kind Description g. Date mm/dd/ h. Amount GPCK Check 03/30/2022 $ 150.00 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing .Address & Phone (include city, state, & tip) b. Comments c. Election Sum to Date d. Account Code e. Form of Payment I. In -Kind Description g. Date mm/dd/ h. Amount $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing .Address & Phone (include city, state, & zip) b. Comments l.= MAY 0 9 2022 • Union Co. Elections c. Election Sum to Date $ d. Account Code e. Form of Payment f. In -Find Description 9- Date mm/dd/ It. Amount $ 4. Total only this Page $ 150.00 5. Total of ALL CRO -1220 Pages (This One mast be on One 7 of DetaWdSummmy Page CRO -1100) $ 150.00 CRO -1220 NC State Board of Elections April 2007 Amendment Disbursements Pg of ❑ Yes Use this form to report expenditures from the committee for; operating expenses, c3ntributions to candidate/political committees and coordinated oartv expenditures. ❑ No 1. Committee Full Name and Fund if applicable) 2. ID Number Gina for Union County Commissioner 2JM46P 3. Type of Disbursement Please use separate CRO -1310 forms for each type of Disbursement. ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information Lj Add Lj Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments Website for campaign Campaign email Wix 40 Namal Tel Aviv Israel c. Level Registered (specify) ❑ Federal ❑ County: ❑ Stare ® Municipality: e. Elation Sum to Date $ 168.00 f. Account Code g. Form of Payment h. Purpose Code I. Date (mm/ddlyyyy) j. Amount k Required Remarks GPCD Card O 03/08/2022 $108.00 1 yr website for campaign GPCD Card O 03/08/2022 $60.00 1 yr email for campaign 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state. & ri Is. Coordinated Committee Name d. Comments Web Domain for campaign Go Daddy 14455 North Hayden Rd. Scottsdale, AZ 85260 c. Level Registered (Specify) ❑ Federal ❑ Cowry: ❑ State ® Municipality: e. Election Sum to Date $ 31.43 L Account Code g. Form of Payment h. Purpose Code I. Date (mm/dd/yyyy) I. Amount k Required Remarks GPCD Card O 12/2/21 $$1,34 Web domain campaign 4. Payee Information Lj Add ❑ Remove a. Full Name, .flailing Address & Phone b. Coordinated Committee Name include city, state, & ri Moo 4 Valley Plac ��� c. Level Registered (Specify) Lincoln OH MAY 0 9 2022 [-]Federal ❑ county: 28104 ❑ State ® Municipality: Union Co. Elections d. Comments business cards for cam aign e. Election Sum to Date $ 30.42 L Account Code g. Form of Payment h. Purpose Code I. Date (mm/ddlyyyy) J. Amount k Required Remarks GPCD Card B 03/17/2022 $30.42 Business cards printed for cam Pae 5. Total only this $ 229.76 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summarr Page CRO -1100 if Operating Expenses) (This line goes in line 136 of Detailed Summary Page CRO -1100 if Contrib to CandidatesiPoliaeal Comm) (This line goes in line Be of Detailed Summary Page CRO -1100 if Coordinated Parry Expenditures) $ 454.26 7. Pur ose Codes(List detailed expenditure code in 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 Amendment Disbursements Pg I of L ❑ Yes ® No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political committees and coordinated narty exnenditures. 1. Committee Full Name and Fund if applicable) 2. ID Number Gina for Union County Commissioner 2JM46P 3. Type of Disbursement Please use separate CRO -1310 ftm for each type of Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information Ej Add Lj Remove a. Full Name, Mailing .Address & Phone include city, state, & a b. Coordinated Committee Name d. Comments Custom Papers for campaign printing Personalized Paper Manufacturer 9004 Washington St NE Albuquerque, NM 87113 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 41.56 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount L Required Remarks GPCD Card B 03/13/2022 $41.56 printing for campaign 4. Payee Information Lj Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments _ Cards for Thank you for campaign Walmart 2101 Younts Rd Indian Trail, NC 28079 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 9.86 L Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount L Required Remarks GPCD Card K 03/31/2022 $9.86 cards thank you for campaign 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & z; Pic MonkeyM%9-RD 1505 5th Avenue Seattle, WA MAY 0 9 2022 98103 Union Co. Elections b. Coordinated Committee Name d. Comments Software for Campaign work c. Level Registered (Specify) ❑ Federal ❑ county: ❑ State ® Municipality: e. Election Sum to Date $ 25.98 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks GPCD Card K 03/01/2022 $12,99 per month campaign softwa GPCD Card K 04/01/2022 $12.99 per month campaign softwa 5. Total only this Pae $ 77.40 6. Total of ALL CRO -1310 Pages (This One goes in line 19a of Detailed Summary Page CRO-1100if Operating Expenses) (This line goes in line 13h of Detailed Summary Page CRO -1100 iiContrib m Candidates/Politfcal Car m) (This line goes in line 13c ofDetailed Summary Page CRO -1100 if Coordinated Party Expenditures) $ 454.26 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 1 - 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 Amendment Disbursements Pg of �'3 ❑ Ven ® No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political committees and coordinated party expenditures. 1. Committee Full Name and Fund if applicable) 2. ID Number Gina for Union County Commissioner 2JM46P 3. Type of Disbursement Please use separate CRO -1310 forms for each type of Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Conunittees ❑ Coordinated Party Expenditures 4. Payee Information Lj Add Lj Remove a. Full Name, Mailing .Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments Online donation platform for campaign Act Blue 366 Summer Street Somerville, MA 02144 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 8.81 L Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount E Required Remarks GPCD Card O 04/01/2022 $8.81 Online donation platform camp. 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state. & zip) b. Coordinated Committee Name d. Comments Thank you cards for donations for campaign Kids Seeds Co. 306 West Haywood St Asheville, NC 28801 a Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 29.89 E Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks GPCD Card K 03/31/2022 $29.89 TY for campaign $ 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, sate, & zip) b. Coordinated Committee Name d. Comments Filing fee for campaign Gina Palandri 1023 Feather Oak Lane 022 Stallings NC 28104 MA7CO.Elections Union c. Level Registered (Specify) E] Federal El County: ❑ State ® Municipality: e. Election Sum to Date $ 87.00 L Account Code g. Form of Payment h. Purpose Code i. Date (mm/ddlyyyy) j. Amount L Required Remarks GPCD Card O 03/012022 $87.00 filing fee for campaign 5. Total only this Pae $ 125.70 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 13b of Detailed Summ'' aPage CRO-11001(Contrib to CandidateslPondeol Comm) (This line goes in line 13e of Derailed Summa'Page CRO -1100 if Coordinated Party Expenditures) $ 454.26 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 1 - 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 Sate Board of Elections December 2009 Amendment Disbursements Pg of ❑ Yes ® No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political committees and coordinated party expenditures. 1. Committee Full Name and Fund if applicable) 1. ID Number Gina for Union County Commissioner I 2JM46P 3. Type of Disbursement Please use separate CRO -1310 forms for each type of Disbursement ® Operating Expenses ❑ ConlrlbnllOn] to CmdidatesTolitical Committees ❑ Coordinated Party Expenditures 4. Payee Information Lj Add 0 Remove a. Full Name, Mailing .Address & Phone include city, state. & zip) It. Coordinated Committee Name d. Comments 3,d party online merchant for campaign donations Stripe Online Merchant 185 Beery Street San Francisco, CA 94107 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 21.40 L Account Code g. Form of Payment It. Purpose Code i. Date (mm/dd/yyyy) j. Amount k Required Remarks GPCD Card O 03/31/2022 $5,77 online merchant for campaign GPCD Card O 4/30/2022 $15.63 online merchant for campaign 4. Payee Information ❑ Add ❑ Remove a. Full Name—Mailing Address & Phone include city, state, & a It. Coordinated Committee Name d. Comments c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: C. Election Sum to Date $ L Account Code g. Form of Payment It. Purpose Code i. Date (mm/dd/yyyy) j. Amount k Required Remarks 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & a b. Coordinated Committee Name d. Comments flug[Ro v wo MAY 0 9 2022 Union Co. Elections c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Date $ L Account Code g. Form of Payment h. Purpose Code i. Date (mm/ddlyyyy) j. Amount k Required Remarks $ 5. Total only this Pae $ 21.40 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Derailed Summary Page CRO -1100 if Operating Expenses) (This lingoes in line 136 of Detailed Sunman• Page CRO -1100 if Contrlb to Candidates/PoliNcal Comm) (This tine goes in line 13c of Detailed Sunnary Page CRO -1100 if Coordinated Party Expenditures) $ 454.26 7. Purpose Codes(List detailed ex ndittue code in (h.) above A* - Media B* - Printing C* - Fundraising D - To Another Candidate E - Salaries F* - Equipment G - Political Pany 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 Amendment In -Kind Contributions Pg I/l v of I _ ❑ 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) 2. ID Number Gina for Union County Commissioner 2JM46P 3. Contributor Information Lj Add Remove a. Full Name, Mailing Address & Phone (include city, state, & rip) b. Type of Contributor c. Comments ® Individual ❑ Candidate ❑ Parry ❑ PAC ❑ Referendum ❑ Other Receipt Source For Filing fee for BOCC Gina Palandri 1023 Feather Oak Lane Stallings, NC 28104 d. Election Sum to Date $ 87,00 e. Description E Date (mm/dd/yyyy) g. Fair Market Amount Card payment 03/01/2022 $ 87.00 3. Contributor Information Add Remove a. Full Name, Mailing .address & Phone (include city, state. & zip) b. Type of Contributor c. Comments ❑ Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source d. Election Sum to Date $ e. Description f. Date (mm/ddlyyyy) g. Fair Market Amount 3. Contributor Information ❑ Add ❑ Remove a. Full Name. %failing Address & Phone (include cin, state. & zi b. Type of Contributor e. Comments ❑ Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source g[Ro l/r-2D �l lS MAY 0 9 2022 Union Co. Elections d. Election Sum to Date $ e. Description f. Date (mm/dd/yyyy) g. Fair Market Amount 4. Total only this Pae $ 87.00 5. Total of ALL CRO -1510 Pages (This fine must be on fine 17 of Derailed Summary Page CRO -1100) $ 87.00 CRO -1510 NC State Board of Elections December 2007 Loan Proceeds Pg 1L Use this form to report proceeds from a loan and loan endorser's information A loan proceeds statement must accomnanv each loan that is from an individual Z Amendment of I _ ❑ Yes ® No 1. Committee Full Name and Fund if applicable) 2. ID Number Gina for Union County Commissioner 2JM46P 3. Lender Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Merchandiser Loan to campaign Gina Palandri 1023 Feather Oak Lane Stallings NC 28104 e. start Date (mm/dd/yyyy) c. Employer's Name/Specific Field 03/01/2022 RMS Merchandising L End Date (mm/dd/yyyy) n/a g. Rate It. Security Pledged i. Account Code j. Form of Payment L Amount 0 % C Cash $ 100.00 00 I. Full Name of Lending Institution m. Loan Number 4. Endorsers/Makers (Thepeople who guarantee the loan.) a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession c. Employer's Name/Specific Field d. Percentage e. Amount $ a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession c. Employer's Name/Specific Field d. Percentage e. Amount a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession c. Employer's Name/Specific Field G�MG�DAY 0 9 ZOZZ i tn Co. Elections r d. Percentage e. Amount % $ a. Full Name, Mailing A dress &Phone (include city, state, & zip) It. Job Titie/Profendon c. Employer's Name/Specific Field d. Percentage e. Amount $ 5. Total of ALL CRO -1410 Pages (This line mast be on line 9 ojDetailed Summon, Page CR0.1100) $ 100.00 CRO -1410 NC State Board of Elections April 2007 NORTH CAROLINA mT� STATE BOARD OF ELECTIONS Loan Proceeds Statement This Statement is used to report detailed information about a new loan and is required to accompany the Loan Proceeds Form in the report for which the loan is initially disclosed. If the loan is from an individual, the lender's signature is required on this form. This Statement is to be filed with the Election Board where the committee's reports are filed. • Name of committee to receive loan: Gina for Union County Commissioner • Person or committee to make loan: Gina Palandri • Date of loan to committee: 03/01/2022 • Name of lending institution (source): Cash • Amount of loan: 100.00 • Description (if in-kind loan): For campaign related expenses • Names of all parties responsible for payment of loan (guarantors): NA • Period of loan: NA nuo. • Rate of interest of loan: 0% Ions • Security pledged for loan: 0% Gina Palandri acknowledge that all of the information (Person lending money to committee) provided is complete, true, and accurate. I further understand I may not forgive a loan that has an standing balance to any source. SlY,� 2o22 Signature of Lender Date Signed Signat&e of Treasurer of Committee DaD to Signed CRO-6/00 Laren Proceeds Statement