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Palandri,Gina_2022-2nd-qtrAmendment Disclosure Report Cover ❑ ves ® 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. to Number Gina For Union County Commissioner CAMPAIGN FINANCE 2JM46P b. Malkag Address (include City, State and Zip Code) Jul gn7g d. Date Filed 1023 Feather Oak Lane Stallings, NC 28104 RECEIVED 07/11/2022 e. Phone Number 6122965356 2. Report Year 3. Period Start Date (mm/dd/yy) 4. Period End Date 5. Treasurer Full Name mm/dd/ 2022 05/01/2022 06/30/2022 Gina Palandri 6. Type of Committee (Check One) 9. Type of Re rt (check only one e o re ort om one category) ® Candidate Campaign ❑ Party Municipal State/County Referendum ❑ PAC ❑ ReferendumAV Organizational ❑ Organizational ❑ Organizational Independent ❑ F-1 Expenditure Joint Fundraiser ❑ Thirty-five day Quarterly E] Pre -referendum ❑ Legal Expense Fund ❑ ❑ Pre-primary Pre-election ❑ First ® Second ❑ Final ❑ Supplemental Final 7. Type of Fund (rfapplicable, check one) ❑ "Booster Fund" ❑ Building Fund ❑ Pre -runoff ❑ Third ❑ Annual Semi-annual ❑ Fourth ❑ Special ❑ Mid Year Semi-annual ❑ Other: ❑ Year End ❑ Mid Year 10. Special Report Name ❑ ❑ Final Special ❑ Year End ❑ Final ❑ Special 8. Number of Fundraisers this Report p 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 Account d. Period Begin Balsam d. Period Begin Balance S 604.32 g 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. 1 further certify that this report is complete, true and correct and that I have been trained by the NC State Board of Elections. Gina Palandri 0 07/11/2022 Printed Name of Signer Signature of Appointed Treasurer Date FOR OFFICE USE ONLY Date Received: Employee: Delivery Method ❑ Normal Mail Date Postmarked: Employee: Registered Mail Hand Delivered Date Scanned: Employee: 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 -21 00A -E) to make committee changes. CRO -1000 NC State Board of Elections August 2008 Amendment Detailed Summary p les ® ',o I Ise this form to summarize all disclosure renortine forms and to total monetary information. 1. Committee Full Name and Fund if a licable2. T of Report 3. ID Number Gina for Union County Commissioner enef Second Quarter 2JM46P Start of Election Cycle: January 1, 2019 Total this ReeortinlZ Period Total this Election Cycle 4) Cash on Hand at Start $ $ 604.32 445.00 $ $ 3665.00 740.00 ombas .09 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 Bank Accounts 11b) Contributions from Not -for -Profit Organizations Ile) Outside Sources of Income 1ld) Legal Expense Fund — Other Sources 11 e) Exempt Purchase Price Sales (CRO -1205) (CRO -1110) (CRO -1220) (CRO -1230) (CRO -1410) (CRO -1240) (CRO -1250) (CRO -1250) (CRO -1250) (CRO -1170) (CRO -1165) $ 2025.00 $ 2625.00 $ 50.00 $ 200.00 $ $ $ $ 100.00 $ $ $ $ $ $ $ $ $ $ $ $ 12) TOTAL RECEIPTS (Add lines 5, 6, 7.8.9, 10, Ila, Ilb, Ile. Ildand Ile) $ 2520.00 $ 3665.00 EXP 13) 14) 15) 16) 17) Disbursements 13a) Operating Expenditures (CRO -1310) 13b) Contributions to Candidates/PoliliWI(Vdd (CRO -1310) CAMPAIGN FINANCE 13c) Coordinated Party Expenditures (CRO -1310) Aggregated Non -Media Expenditures JUL 1 1 2022 (CRO -1315) Loan Repayments RECEIVEDcRO-1420) Refunds/Reimbursements From the Committee (CRO -1310) In -Kind Contributions (CRO -1510) $ 1710.40 $ 2164.66 $ $ $ $ $ $ $ $ $ $ $ $ 87.00 18) TOTAL EXPENDITURES (Add lines 13a, Iib, 13c, 14, 15. 16 and 17) $ 1710.40 $ 2251.66 19) 20) 21) 22) 23) 24) 25) 26) 27) 28) Cash on Hand atEnd (,iddImes 4and 12together. thensubtractfine 18) IONAL INFORMWIO Non -Monetary Gifts Given to Other Committees (CRO -1330) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) Debts and Obligations owed By the Committee (CRO -1610) Debts and Obligations owed To the Committee (CRO -1620) Account Transfers Within the Committee (CRO -1710) Administrative Support (CRO -1710) Forgiven Loans (CRO -1440) 48 -Hour Notice Reports Sum (CRO -2220) Contributions to be Refunded (CRO -1115) $ $ $ $ $ $ $ 1413.92 $ $ 1413.92 $ $ $ $ $ $ CR04100 NC State Board of Elections August Man Amendment Contributions from Individuals Pg 12- of I Is ❑ 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) 2. ID 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/Prrfession it. Comments Not Employed Sheri Avis Homer 1104 Tulip Tree Lane West Des Moines Iowa 50265 c. Employer's Name/Specific Field Not Employed e. Election Sum to Date $ 400.00 f. Prior g. Account Code It. Form of Payment i. In -Kind Description j. Date (mm/ddlyyyy) It. Amount ❑ GPCK Check 6/10/2022 $ 400.00 3. Contributor Information ® Add ❑ Remove a. Full Name. Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession it. Comments Retired Gloria Harrington Overcash 1642 Upper White Store Rd Peachland, NC c. Employer's Name/Specific Field NC UC Government e. Election Sum to Date $ 250.00 E Prior g. Account Code b. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) L Amount ❑ GPCK Check 06/13/2022 $ 250.00 ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Pho N GOUNl (include city, state,&zip) UMNFINANGE b. Job Title/Profession d. Comments Not Employed Lisa Walker 1 12022 5008 laurel grove lane JUL Matthews, NC 28104 E1` r r D REG 1 V L c. Employer's Name/Specific Field Not Employed e. Election Sum to Date $ E Prior g. Account Code h. Form of Payment i. to -Kind Description j. Date (m m/dd/yyyy) h. Amount ❑ GPAB Card 05/19/2022 $ 100.00 ❑ $ ❑ $ 4. Total only this Page $ 750.00 5. Total of ALL CRO -1210 Pages g 2025.00 (This line must be online 6 of Ddailed Summary Page CRO -1100) Amendment Contributions from Individuals Pg 13 or 15 ❑ 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) 2. ID Number Gina for Union County Commissioner 2JM46P 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing .Address & Phone (include city, state, & zip) b. Job Tide/Profession it. Comments Analyst Justin Burk 19 Pocantico River Rd PLEASANTVILLE, NY 10570 c. Employer's Name/Specific Field DSM Capital e. Election Sum to Date $ E Prior g. Account Code h. Form of Payment i. In -Kind Description I. Date (mm/dd/yyyy) It. Amount ❑ GPAB Card 05/24/2022 $ 500.00 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Tide/Profesrion it. Comments Not Employed Peter Burk 1 133 Warburton Ave , Apt 110S Yonkers, NY 10701 c. Employer's Name/Speciftc Field Not Employed e. Election Sum to Date L Prior g. Account Code h. Form of Payment L In-Kiod Description I. Date (mm/dd/yyyy) k. Amount ❑ GPAB Card 05/26/2022 $ 250.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name. )tailing Address & Pho�ION COUNTY (include city, state, & afp) CE b. Job Title/Profession d. Comments Not Employed Pamela De Maria 1108 Hunters Trail Dr JUL 2022 Indian Trail, NC 28079 RECEIVEDe. c. Employer's Name/Specific Field Not Employed Election Sum to Date $ E Prior g. Account Code h. Form of Payment 1. In -Kind Description I. Date (mm/dd/yyyy) L Amount ❑ GPAB Card 06/17/2022 $ 75.00 ❑ $ 4. Total only this Page $ 825.00 5. Total of ALL CRO -1210 Pages (This fine now be on dine 6 of Detailed Summary Page CR0.1100) $ 2025.00 CRO -1210 NC State Board of Llections April 2007 �. Amendment 'Contributions from Individuals Pg 1 `1 of I S ❑ Yes ® No Use this form to re ort individual contributions over $50 or contributions under $50 if form CRO 1205 is not used P 1. Committee Full Name and Fund ifapplicable) 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 Title/Profession d. Comments Architect Margaret O'Connor 3832 27th Ave Minneapolis, MN 55406 c. Employer's Name/Specific Field DLR Group e. Election Sum to Date $ 250.00 I. Prior g. Account Code h. Form of Payment I. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ GPAB Card 06/14/2022 $ 125.00 ❑ GPAB Card 06/15/2022 $ 125.00 ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & tip) b. Job Title/ Profession d. Comments Not Employed Renee Pardello 382 McCarron Blvd No Roseville, MN 55113 c. Employer's Name/Specifie Field Not Employed e. Election Sum to Date I. Prior g. Account Code It. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) It. Amount ❑ GPAB Card 06/10/2022 $ 100.00 ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state. & zip) b. Job Title/Profession d. Comments Cafe Owner Mary Hogan Bard UNI FINANCE 578 Ashland Ave. CAMPAIGN St. Paul, MN 55102 JUL 11 2022 RECEIVED c. Employer's Name/Specific Field Claddagh Coffee e. Election Sum to Date $ f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ GPAB Card 06/05/2022 $ 100.00 ❑ $ ❑ $ 4. Total only this Page $ 450.00 5. Total of ALL CRO -1210 Pages $ 2025.00 (This line must be on fine 6 ojIlemiled Summar} Page CRO -1100) CRO -1210 NC State Board of Elections April 2007 Amendment Contributions from Political Party Committees Pg I! or I S ❑ Yea ® No Use this form to report contributions from a political party 1. Committee Full Name and Fund if applicable) 2. ID Number Gina For Union County Commissioner 21M46P 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & rip) b. Comments Union County Senior Democrats 3714 Banyan Way Waxhaw, NC 28173 c. Election Sum to Date $ 50.00 d. Account Code e. Form of Payment I. In -Kind Description .add/ h. Amount GPCK Check 06/13/2022 $ 50.00 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Veiling Address & Phone (include cit, state. & zip) b. Comments c. Election Sum to Date d. Account Code e. Form of Payment E In -Kind Description g. Date mm/dd Is. Amount 3. Contributor Information ❑ Add ❑ Remove a. Full .Name, Vailing Address &Phoa$A COUNT r (include city, state, &zip) UNIVGN FINANC=- b. Comments 1UL � 1 2022 RFCFNE� c. Election Sum to Date $ it. Account Code e. Form of Payment f. In -Kind Description .DateIs. Amount $ 4. Total only this Page $ 50.00 5. Total of ALL CRO -1220 Pages (This line mast be on fine 7 ojDemiled Summary Page CRO -1100) $ 50.00 CRO -1110 NC State Board of Elections April 2007 DisbiAmendment llsements Pg of I ❑ Yes ® No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political committees and coordinated parry ex enditures. 1. Committee Fab Name and Fund if applicable) 2. ID Number Gina for Union Count Commissioner 2.1M46P 3. Type of Disbursement Please use separate CRO -1310 forms tor each e of Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Part% Expenditures 4. Payee Information Lj Add Lj Remove a. Full Name, Mailing Address & Phone include city, state, & ri b. Coordinated Committee Name d. Comments T shirts for Screening For Campaign Blank ones Old Navy.com 2 Folsom St San Francisco, CA 94105 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ state ® Municipality: a Election Sum to Date $ 70.46 L Account Code g. Form of Payment h. Purpose Code i. Date (mm/ddlyyyy) j. Amount L Required Remarks GPCD Card O 6/16/2022 $13,88 T shirts for campaign GPCD Card O 6/16/2022 $34.16 Tshirts For campaign 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & ri b. Coordinated Committee Name it. Comments T shirts for Screening For Campaign Blank Ones Old Navy.com 2 Folsom St. San Francisco, CA 94105 e. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 70.46 t: Account Code g. Form of Payment It. Purpose Code 1. Date (mm/ddtyyyy) j. Amount k. Required Remarks GPCD Card O 6/16/2022 $22.42 T shirts For Campaign 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phop NiON COUN include city, state, & a) CAMPAtGN FINANCE b. Coordinated Committee Name d. Comments online platform for campaign donations fees Act Blue 366 Summer Street JUL 222 Somerville, MA 02144 RECEIVED c. Level Registered (Specify) E] Federal E] County: ❑ State ® Municipality: e. Election Sum to Date $ 35.42 It, Account Code g. Form of Payment It. Purpose Code L Date (mm/dd/yyyy) j. Amount L Required Remarks GPAB Card O 6/30/2022 $26.61 Online Donation campaign fees 5. Total only this Pse $ 97.07 6. Total of ALL CRO -1310 Pages (This lingoes in line 13a of Detailed Summary Page CRO -11001f Operating Expenses) (This line goes in line 13b of Detailed Summary Page CRO -1100 if Contrib to Candidates/Political Comm) (This line goes in line Be of Detailed Summar• Page CRO -1100 if Coordinated Paro, Expenditures) $ 1710.40 7. Purpose Codes(List detailed expenditure code in above A* - Media B* - Printing C* - Fundraising D - To Mother 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 � ❑ yes ® No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political eOmmlLLeCa auu wutuutarcu paiLy"...,,.. ��• 2. ID Number 1. Committee Full Name and Fund if applicable) Gina For Union County Commissioner 2JM46P isbursemen4 3. Type of Disbursement Please use separate CRO -1310 forms for each type of 2 ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Parry Expenditures 4. Payee Information - Add Remove a. Full Name, Mailing Address & Phone b. include city, state, & zip) Coordinated Committee Name d. Comments 3rd party online merchant for campaign donations Stripe Online Merchant 185 Berry Street c. San Francisco, CA 94107 Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 65.86 E Account Code I g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount L Required Remarks GPAB Card O 06/30/2022 $44.46 3 rd party merch processing fees 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & z; b. Coordinated Committee Name d. Comments Food @public Campaign Event in Marshville e. Election Sum to Date $ 22.23 Ms. Allies Cafe 119 E Main St Marshville, NC 28103 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks GPCD Card O 06/18/2022 $22.23 Food@public Campaign Event 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments Food@Public Campaign Event Indian Trail Fun Da N GOON 14325 Plantatioi6N FINANCE Chips Dips Foor77 Charlotte, NC 2 JUL I 222 ivEo c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 19.31 f. Account Code 1 g. orm of Payment h. Purpose Code i. Date (mm/dd/yyyy) I j. Amount it. Required Remarks GPCD Card O 06/17/2022 $19.31 Food@public Campaign Event 5. Total only this Pae $ 86.00 6. Total of ALL CRO -1310 Pages (This fine goes in line 13a of Detuiled Summary Page CRO -1100 if Operating Expenses) (This Ude goes in line 13b of Detailed Summan• Page CRO -1100 if Comrib to CandidaleslPolitical Comm) (This line goes in line 13c of Detailed Summan Page CRO -1100 if Coordinated Party Expenditures) $ 1710.40 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 Part) 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) ^----`--,ate, CRO -1310 NC State Hoard 01 taecnons Amendment Disbursements Pg of L5 ❑ Yes ® No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political 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-IJ10 form or each e o Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Part}, Expenditures 4. Payee Information Add Lj Remove a. Full Name. Mailing Address & Phone b. include city, state, & a Coordinated Committee Name d. Comments Software for Campaign Work Pic Monkey 1505 5th Avenue c. Seattle, WA 98103 Level Registered (Specify) ❑ Federal ❑ County: ❑ state ® Municipality: e. Election Sum to Date $ 51.96 E Account Code g. Form of Payment h. Purpose Code i. Date (mm/ddlyyyy) j. Amount k Required Remarks GPCD Card K 05/01/2022 $12,99 per month fee CampaignWork GPCD Card K 06/012022 $12,99 per month fee Campaign Work 4. Payee Information ❑ Add ❑ Remove a. Full Name. Mailing Address & Phone include city, state, & v b. Coordinated Committee Name d. Comments Office Supply For Campaign Event Juneteenth Amazon.com c. Level Registered (Specify) ❑ Federal ❑ county: ❑ state ® Municipality: e. Election Sum to Date $ 113.08 C Account Code g. Form of Payment It. Purpose Code i. Date (mm/dd/yyyy) j. Amount k Required Remarks GPCD Card K 6/15/2022 $53.36 Office supply Campaign event 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phoneb. include city, state, & zip)OUNTY UNION CE Coordinated Committee Name d. Comments Thank you cards for donations for campaign Kids Seed Company CAN 306 West Haywood 1 i Z�ZZ Asheville, NC 28801 JUL R ECE�V Ep c. Level Registered (Specify) ❑ Federal ❑ County: El state ® Municipality: e. Election Sum to Date $ 199.11 E Account Code g. Form of Payment I It. Purpose Code i. Date (mm/dd/yyyy) I j. Amount k Required Remarks GPCD Card O 06/062022 $169.22 TY Cards for Campaign $ 5. Total only this Pee $ 248.56 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summapf Page CRO -1100 if Operating Expenses) (This line goes in line 136 of Detailed Summary Page CRO -1100 if Conlrib to CandidatesiPolifical Conan) (This fine goes in line Be of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures) $ 1710.40 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 Pana H* - Holding Public Office Expenses 1 - Postage 3 - 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 2-6 or I t ❑ ves ® No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political mittnec and r nrdinnted nnrtv emenditurec 1. Committee Full Name and Fund if applicable) 2. ID Number i Gina for Union County Commissioner 2JM46P 3. Type of Disbursement lease use separate CRO -1310 form for each fte of Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Part) Expenditures 4. Payee Information Lj Add Lj Remove a. Full Name, Mailing Address & Phone include city, sate, & zip) b. Coordinated Committee Name d. Comments Office Supplies For Campaign Michael's 8120 Providence Rd Charlotte, NC 23277 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 31.68 t Account Code g. Form of Payment h. Purpose Code t. Date (mm/dd/yyyy) J. Amount L Required Remarks GPCD Card K 06/152022 $23.98 Office Supplies For Campaign GPCD Card K 06/152022 $7.70 Office Supplies For Campaign 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, snag & zip) b. Coordinated Committee Name d. Comments T shirts for Campaign Screenprinted Everything Tall T Shirts LLC 15105-D John J. Delaney Drive Charlotte, NC 28277 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 180.00 f. Account Code I g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) J. Amount L Required Remarks GPCD Card O 05/20/2022 $180.00 T shirts For Campaign 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & P.hem COUN GE include city, state, & zip)UN N FINAN b. Coordinated Committee Name d. Comments Cost Share For Candidate Event IT Fun Da Committee to Elect Weston Burroughs JUL �) ?�22 6720 OLD MONROE RD Indian Trail, NC 28079 RECEIVED c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 168.00 E Account Code g. Form of Payment I h. Purpose Code i. Date (mm/dd/yyyy) J. Amount L Required Remarks GPCK Check O 05/262022 $168.00 Cost Share Far Candidate Event 5. Total only this Pae $ 379.68 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 Summary Page CRO -1100 if Contrib to Candidates/Political Comm) (This fine goes in line 13e of Detailed Summmy Page CRO -1100 if Coordinated Party Expenditures) $ 1710.40 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 2o(H Amendment Disbursements . Pg !I ar I ❑ Yes ® No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political committees and coordinated Darty expenditures. 1. Committee Full Name and Fund if applicable) 2. H) 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, & ri b. Coordinated Committee Name it. Comments Back up Drive Cord for Drive for Campaign info Amazon.com c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 59.72 C Account Code g. Form of Payment It. Purpose Code i. Date (mm/dd/yyyy) I. Amount L Required Remarks GPCD Card F 06/022022 $30.93 Back up drive for campaign GPCD Card F 06/022022 $28.79 Cord for drive for campaign 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments Office supplies for Campaign Target 12830 Walker Branch Drive Charlotte, NC 28273 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 24.38 E Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) I. Amount L Required Remarks GPCD Card K 6/15/2022 $19.24 Office Supplies for Campaign GPCD Card K 06/032022 $5.14 Office Supplies for Campaign 4. Pay" Information ❑ Add ❑ Remove a. Full Name, Mailing AchteW0 fl INANCr-_ include city,state, & ' MPAIGN b. Coordinated Committee Name d. Comments ' Office Supplies envelopes for campaign Dollar Tree 1 I 222 4508 Old Monroe Rd JUL Indian Trail, NC 28079 E f ED RECG V c. Level Registered (Specify) E] Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 5.34 E Account Code g. Form of Payment h. Purpose Code I. Date (mm/dd/yyyy) j. Amount L Required Remarks GPCD Card K 06/082022 $5.34 Office Supplies For Campaign 5. Total only this Pae $ 89.62 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 Summary• Page CRO -1100 if Contrib to CandidateslPofitical Comm) (This fine goes in line He of Detdled Summon• Page CRO -1100 if Coordinated Parry Expenditures) $ 1710.40 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 Geld (k CRO -1310 NC State Board of Elections December 2009 Amendment Disbursements Pg of IS ❑ Yes ® No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political rnmmifteac and rnnrd innted nartv exnenditnre. . 1. Committee Full Name and Fund ifapplicable) 2. ID Number i Gina For Union County Commissioner 2JM46P 3. Type of Disbursement Please use separate CRO -1310 form 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, sate, & zip) b. Coordinated Committee Name d. Comments Food for Campaign Team Meeting Enricos Restaurant 4815 A. Berewick Town center D Charlotte, NC 28278 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 48.72 L Account Code g. Form of Payment It. Purpose Code 1. Date (mm/dd/yyyy) j. Amount L Required Remarks GPCD Card O 0528/2022 $48,72 Food forCampaign Meet. 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, sate, & zip) b. Coordinated Committee Name d. Comments Paper Office supplies for campaign Walmart 2101 Younts RD Indian Trail, NC 28079 c. level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 2.64 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) J. Amount L Required Remarks GPCD Card K 05/312022 $2,64 Office supplies for campaign 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phong OUNT`' include city,sate,&zi UNION CC.. IwANCE Online Labels.com 2021 E. Lake Mary Blvd 1UL 1 1 ZNZ? Sanford, FL 32773 RECEIVED❑ b. Coordinated Committee Name d. Comments Office Supplies for campaign c. Level Registered (Specify) ❑ Federal ❑ County: state ® Municipality: e. Election Sum to Date $ 74.43 L Account Code g. Form of Payment It. Purpose Code i. Date (mm/ddlyyyy) j. Amount L Required Remarks GPCD Card K 05/022022 $74,43 Office Supplies for Campaign 5. Total only this Pae $ 125.79 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summary Page CRD -1100 if Operating Expenses) (This line goes in line 13b of Detailed Summaty Page CRO -1100 if Contrib to CandidateslPoliacal Comm) (This lingoes in line 13c of Detailed Summary Page CR0.1100 if Coordinated Party Expenditures) $ 1710.40 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 nn Amendment Disbursements, Pg 1 of � ❑ Yes ® No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political committees and coordinated nartv exnenditures. 1. Committee Full Name and Fund ifapplicable) 2. ID Number Gina for Union County Commissioner 2JM46P 3. Type of Disbursement Please use separate CRO -1310 fomm for each type of Disbursement ® Operating Expenses ❑ Contributions to Cmdidates/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 Stamps For Campaign Cards USPS.Com Matthews Office 28104 c. Level Registered (Specify) Ej Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 82.54 L Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks GPCD Card 1 05/25/2022 $36.20 Postage for Campaign Cards GPCD Card I 06/01/2022 $46.34 Postage for Cam ai n Cards 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address &Phone include city, state, & zip) It. Coordinated Committee Name d. Comments Printing cards for Campaign Fed Ex Office 2101 Younts Road Indian Trail, NC 28079 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 47.32 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/ddlyyyy) I. Amount L Required Remarks GPCD Card B 05/24/2022 $47.32 Printing cards for Campaign 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing AA"ttiiQ9k (\!GE include city , state, PNGN F A b. Coordinated Committee Name d. Comments Yard Signs For Campaign Victory Store 1 1 222 5200 SW 30th Street JUL Davenport, Iowa `ICD 52802 RECEI V L c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 399.00 E Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) I. Amount L Required Remarks GPCD Card B 05/26/2022 $399.00 Yard Signs For Campaign 5. Total only this Pae $ 528.86 6. Total of ALL CRO -1310 Pages (This fine goes in line Iia of Detailed Summary Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Detailed Summary Page CRO -1100 if Contrib to Candidates/Poliacal Comm) (This line goes in line 13c of Detailed Summary Page CRO4100 if Coordinated Party Expenditures) $ 1710.40 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 Amendment Disbursements Pg L of ❑ yes Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political committees and coordinated oartv 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 fonm for each type of DlsbursemenL ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Parry Expenditures 4. Payee Information LI Add Remove a. Full Name, Mailing Address & Phone include city, state, & a b. Coordinated Committee Name d. Comments Tablecloths cleaned for campaign event Ho Cleaners 3116 Weddington Rd Matthews NC 28104 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ L Account Code g. Form of Payment h. Purpose Code L Date (mm/dd/yyyy) j. Amount L Required Remarks GPCD Card O 5/2 $15.34 Cleaned TC campaign event 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments Business Cards for Campaign Moo Printing 14 Blackstone Valley Place Lincoln, RI 02865 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ 113,15 L Account Code g. Form of Payment h. Purpose Code L Date (mm/dd/yyyy) j. Amount k. Required Remarks GPCD Card B 05/19/2022 $82,73 Ming for campaign 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & a N GOUN" _ b. Coordinated Committee Name d. Comments Printing palm cards for campaign UP Printing CAMPAIG 8000 Haskell Ave 1 1 222 Van Nuys, CA 91406 JUL R EC Ew E® c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Election Sum to Date $ L Account Code g. Form of Payment h. Purpose Code 1. Date (mm/dd/yyyy) j. Amount L Required Remarks GPCD Card B 05/20/2022 $56.75 Printed cards for Campaign 5. Total only this Pae $ 154.82 6. Total of ALL CRO -1310 Pages (This fine goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Detailed Summary Page CRO -1100 if Comrib to Candidates/Political Comm) (This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures) $ 1710.40 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 Patty H* - Holding Public Office Expenses I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund 0* - Other * Codes require detailed explanation in required remarks field k CRO -1310 NC State Board of Elections December 2009 PNORTH CAROLINA STATE BOARD OF ELECTIONS Loan Proceeds Statement I 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 �JWorl coUr„I .:AM • Period of loan: NA JUL • Rate of interest of loan: 0% RECEIVED • 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 outstanding balance to any source. 07/11/2022 Signature of Lender Date Signed M, 07/11/2022 Signi(ture of Treasurer of Committee CRO -6/00 bean Proceeds Statement Date Signed