2019_DisclosureReportsAmendment
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. Fall Name
a ID Number
Committee to Re -Elect Joe Pollino
2JM5KE
b. Mailing Address (include City, State and Zip Code)
it. Date Filed
1253 Firethome Club Drivee
1/21/20
Marvin, NC 28173
e. Phone Number
(704) 292-5301
2. Report Year
3. Period Start Date (mm/dd/yy)
4. Period End Date
mm/dd/
5. Treasurer Full Name
2019
01/01/19
06/30/19
Audrev Lavelle
6. Type of Committee Check One
9. Type
of Re ort check only one tNvDe o re ort rom one cate o
® Candidate Campaign ❑ Party
Municipal
State/County
Referendum
❑ PAC ❑ Referendum
❑
Organizational
❑ Organizational
❑ Organizational
Independent ❑
Expenditure Joint Fundmiser
E]
Thirty-fiveday
Quarterly
E]Pre-referendum❑
❑ Legal Expense Fund
❑
❑
Pre-primary
Pre-election
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7. Type of Fund (f applicable, 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
11. Account Information
Il. Account Information
a. Financial Institution Full Name
a. Financial Institution Full Name
b. Purpose
c. Account Code
b.Purpo*JNION COUNTY
c. Account Code
CAMPAIGN FINANCE
d. Period Begin Balance
JAN 2 9 2020
it. Period Begin Balance
$
$ RE
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 tate Board of Elections.
�ilJp
Printed Name of Signer
Signature Of Appointed Treasurer
Date
FOR OFFICE USE ONLY9
Date Received: ��I
Employee:
live 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 -2100A -E) to make committee chanties.
Amendment
Detailed Summary ❑ Yee ® Na
Use this form to summarize all disclosure reporting forms and to tntal monatnry ;nfhr, .r;,,.,
1. Committee Full Name and Fund if applicable)
Committee to Re-elect Joe Pollino
- -
2. Typne of Re ort
Mid Year
-
------ -----
3. H) Numbe`
2JM5KE
Start of Election Cycle: January 1,
2019
Total this
Reporting Period
Total this
Election Cycle
4)
jUCEWIS
5)
Cash on Hand at Start
sAww;
Aggregated Contributions from Individuals
(CRO -1205)
$
$
0.00
$
$
6)
Contributions from Individuals
(CRO -1210)
$
$
7)
Contributions from Political Party Committees _
(CRO -1220)
$
$
8)
Contributions from Other Political Committees
(CRO -1230)
$
$
9)
Loan Proceeds
(CR&1410)
$
$
10)
11)
Refunds/Reimbursements To the Committee
Other Receipt Sources
Ila) Interest on Bank Accounts
(CRO -1240)
(CRO-12so)
$
$
$
$
11b) Contributions from Not -for -Profit Organizations (CRO -1250)
$
$
Ile) Outside Sources of Income
(CR&1250)
$
$
lid) Legal Expense Fund — Other Sources
(CR01270)
$
$
11 e) Exempt Purchase Price Sales
(CRO -1265)
$
$
12)
TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10, Ila, 11b, lie, lid and Ile)
$
$
13)
DITURES `
Disbursements
13a) Operating Expenditures
(CRO -1310)
$
$
13b) Contributions to Candidates/Political Cqgffl@k"OU-11F310)
$
$
13c) Coordinated Party Expenditures
" "' 7cR'iF1310)
$
$
14)
Aggregated Non -Media Expenditures JAN 2 9 290&1315)
$
$
15)
16)
Loan Repayments Qr( r„ j 20)
Refunds/Reimbursements From the Committee I V(CR&1320)
$
$
$
$
17)
In -Kind Contributions
(CR&1510)
$
$
18)
TOTAL EXPENDITURES (Add Imes 13a, 13b, 13c,14,15,16 and 17)
$
$
19)
Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18)
$
0.00
$
ADDI ,, • ' AL INFORMATION `
20) Non -Monetary Gifts Given to Other Committees (CR&1330)
21) Outstanding Loans (incl. ones from other campaigns) (CRO -1430)
$
$
22)
Debts and Obligations owed By the Committee
(CRO -1610)
$
23)
Debts and Obligations owed To the Committee
(CR&1620)
$
24)
Account Transfers Within the Committee
(CRO -1720)
$
25)
Administrative Support
(CR&1710)
$
$
26)
27)
28)
Forgiven Loans
48 -Hour Notice Reports Sum
Contributions to be Refunded
(CR&1440)
(CRO -2220)
(CR04215)
$
$
$
$
$
$
CRO -1100 NC State Board of Elections August 2008
Amendment
Disclosure Report Cover 10 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
Committee to Re -Elect Joe Pollino
2JM5KE
b. Mailing Address (include City, State and Zip Code)
it. Date Filed
1253 Firethome Club Drivee
1/21/20
Marvin, NC 28173
e. Phone Number
(704)292-5301
2. Report Year
3. Period Start Date (mm/dd/yy)
4. Period End Date
mm/dd/
5. Treasurer Full Name
2019
07/01/19
12/31/19
Audrey Lavelle
6. Type of Committee Check One
9. Type
of Report check only one De o re ort rom one tate o
® Candidate Campaign ❑ Party
Municipal
State/County
Referendum
❑ PAC ❑ Referendum
❑
Organizational
❑ Organizational
❑ Organizational
Independent ❑ Joint Fundraiser
❑ Expenditure
❑
Thirty-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑
❑
Pre-primary
Pre-election
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7. a of Fund (if applicable, 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
11. Account Information
11. Account Information
a. Financial Institution Full Name
a. Financial Institution Full Name
b. Purpose
c. Account Code
WIQ 9.W C,E
a Account Code
JAN 29 2020
d. Period Begin Balance
d. Period Begin Balance
$
RECEIVED
$
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 of Elections.
(-�Odrrr/ La��kl�
L��c -
�,t
Printed Name of Signer
Signature of Appointed Treasurer
Date
FOR OFFICE USE ONLY
Date Received: f
Employee:
Delive 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.
Summary
Amendment
S1111
Detailed mary ❑ Yes ® No
Use this form to summarize all disclosure renortinE forms and to total monetary information.
1.
ommittee Full Name and Fund if applicable
2. Type of Report 13.
Year End Semi Annual
ID Numbe
2JM5KE
Committee to Re-elect Joe Pollino
Start of Election Cycle: January 1, 2019
Total this
Reporting Period
Total this
Election Cycle
4)
IRECUU,S
5)
Cash on Hand at Start
Aggregated Contributions from Individuals
(CRO -1205)
$ 0.00
$
$
$
6)
Contributions from Individuals
(CR04210)
$
$
7)
Contributions from Political Party Committees
(CRO -1220)
$
$
8)
Contributions from Other Political Committees
(CRO -1230)
$
$
9)
Loan Proceeds
(CRO -1410)
$
$
10)
Refunds/Reimbursements To the Committee
(CRO -1240)
$
$
11)
Other Receipt Sources
11a) Interest on Bank Accounts
(CRO -1250)
$
$
lib) Contributions from Not -for -Profit Organizations
(CRo-1250)
$
$
Ile) Outside Sources of Income
(CRO -1250)
$
$
lid) Legal Expense Fund — Other Sources
(CRO -1270)
$
$
11 e) Exempt Purchase Price Sales
(CRO -1265)
$
$
12)
TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10, Ila, Ilb, Ile, IIdand Ile)
$
$
EXPENDITURES
13) Disbursements HIy P
13a) Operating Expenditures
(CRO -1310)
$
$
13b) Contributions to Candidates/Political Committees
(CRO -1310)
$
$
13c) Coordinated Party Expenditures
(CR01310)
$
$
14)
Aggregated Non -Media Expenditures
(CRO -1315)
$
$
15)
Loan Repayments
(CRO -1420)
$
$
16)
Refunds/Reimbursements From the Committee
(CRO -1320)
$
$
17)
In -Kind Contributions
(CRO -1510)
$
$
18)
TOTAL EXPENDITURES (Add lines 13a, 13b, 13e, 14, 15, 16 and 17)
$
$
19)
Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18)
$ 0.00
$
20)
21)
TIONAL INFORMATIO
Non -Monetary Gifts Given to Other Committees
Outstanding Loans (incl. ones from other campaigns)
(CRO -1330)
(CRO -1430)
$
$
$
$
$
$
22) Debts and Obligations owed By the Committee (CRO -1610)
$
$
23) Debts and Obligations owed To the Committee (CRO -1620)
24) Account Transfers Within the Commitie@I10N �NANGficRO-1720)
Fj{ FAVCIIJ —
25) Administrative Support j �-1020— (CRO -1710)
26) Forgiven Loans (CRO -1440)
27) 48 -Hour Notice Reports Sum RECEIV EVAO-2220)
28) Contributions to be Refunded (CRO -1215)
$
$
$
$
$
CRO -1100 NC State Board of Elections August 2008
Certification to Close Committee
This Certification is used to express the intent to close the committee after all funds have been properly
disbursed.
This Certification is tiled at the Board of Elections office where the committee's campaign reports
are filed.
FILED BY:
Committee Name:
Committee to Re -Elect Joe Pollino
Treasurer Name:
Audrey Lavelle
Treasurer Address
1000 Madinah Court
(include city, state, & zip)
Marvin, NC 28173
Treasurer Phone:
(704)705-0405
I certify that the above mentioned Committee intends to close and cease existence. Upon signing this
certification, I declare that all funds have been distributed and reported (if required). In addition, no
contributions will be accepted or disbursements made after the "Final Report" is filed or this form is
signed. If the Committee at any future time intends to accept or spend funds in support or opposition of
any candidate or ballot issue, a new political committee must be formed and registered with the Board of
Elections before such activities may commence.
Committees that have filed under the $1,000 threshold will only be required to sign this Certification. No
"Final Report" will be required for committees meeting this criterion. Any Committee that did not file
under the $1,000 threshold must submit a "Final Report" with this ca' 's report must have a
zero balance with no outstanding loans or debts.
\jtAkON G�uNp GE
a( iio CIO, MP 1GN N Udtirta a�e�
Date signed 10 2g 202 Signature
REG0\j
CRO -3400 Certification to Close Committee