JPropst-2015 Pre Elect reportAmendment
Disclosure Report Cover 1 ❑ 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
Janice G. Propst
D
SJMR33
b. Mailing Address (include City, State and Zip Code)
d. Date Filed
531 Weddington Rd.
07/062015
Matthews, NC
28104
e. Phoae Number
704 849-6759
2. Report Year
3. Period Start Date (mm/dd/y))
4. Period End Date 5. Treasurer Full Name
(mm/d
Janice G. Propst
101
09/23/2015
10/19/2015
6. Type of Committee Check One
9.
of Report (check only one iVype o re ort om one category)
® Candidate Campaign ❑ Party
Municipal
State/County
Referendum
❑ PAC ❑ Referendum
❑
Organizational
❑ Organizational
❑ Organizational
Independent ❑
El Expenditure Joint Fundraiser
❑
Thirty-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑
®
Pre-pnmary
Pre-election
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7. Type Of Fuad OfgvUeabk. died onul
❑ "Booster Fund"
❑ Building Fund
❑
Prc-nmoff
❑ 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
withdrew
Threshold 08/19
2015
8. Number of Fundraisers this Report
p
11. Account Information
11. Account Information
a. Financial Institution Full Name
a. Financial institution Foil Name
Community One Bank N.A.
b. Purpose
c. Account Code
b. Purpose
e. Account Code
Campaign
Funds
JGP
d. Period Begin Balance
d. Period Begin Balance
g
S 867.37
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 le 'ons.
Janice G. Propst
09252015
Printed Name of Signer
Signature of Appointed Tr6surer
Date
FOR OFFICE USE ONLY
Y M�
Delivery Method
Date Received:
Employee:li l
❑ Normal Mail
N/_A
❑ Registered Mail
Date Postmarked:
Employee:
Hand Delivered
G_jjr
Date Scanned: (�/`;2 j ✓
Employee: atl�t-,
K.L(.
❑ Electronically Filed
❑ Signer has not received
mandatory training
Date Data Entered:
Employee:
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.
Amendment
Detailed Summary ❑ res ❑ No
Use this form to summarize all disclosure reporting forms and to total monetary information.
1. Committee Full Name and Fund H applicable
2.
of Report
3. ID Number
Committee to Elect Janice Prospt
2015 Pre -Election
Re rt
SJMR33
Start of Election Cycle: January 1, 2011
Total this
Reporting Period
Total this
Election Cycle
4)
RMPTiSM
5)
6)
7)
8)
9)
10)
11)
Cash on Hand at Start
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
11b) Contributions from Not -for -Profit Organizations
Ile) Outside Sources of Income
11d) Legal Expense Fund — Other Sources
11 e) Exempt Purchase Price Sales
(CRO -120S)
(CRO -1210)
(CRO -1220)
(CRO -7230)
(CRO -1410)
(CRO -1240)
(CRO -1250)$
(CRO -1150)
(CRO -1250)
(CR0.1270)
(CRO -1265)
$ 867.37 '
$
0.00
$ 175.00
$
575.00
$ O p
$410
i t"
$
S
$
$
$
$
$
$
('l
$
$ d pf EkBO
S
S \�60
$
$
$
S
$
12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10, Ila, Ilb, Ilc, lldand Ile)
EXPENDI
13) Disbursements
13a) Operating Expenditures (CRO -1310)
13b) Contributions to Candidates/Political Committees (CRO.1310)
13c) Coordinated Party Expenditures (CR61310)
14) Aggregated Non -Media Expenditures (CRO -1315)
15) Loan Repayments (CRO -1420)
16) Refunds/Reimbursements From the Committee (CR0.1320)
17) In -Kind Contributions (CRO•1510)
$
$ 609.47
$
2042.10
$
S
S
$
S
$
$
$
$
$
S 70.00
$
70.00
18)
TOTAL EXPENDITURES (Add lines 13a, /3b, 13c, 14, 15, 16 and 17)
S
679.47
$
2112.10
19) Cash on Hand at End (Add loses 4 and 11 together, then subtract lire 18)
ADDITI
20) non -Monetary Gifts Given to Other Committees (CRO -1530)
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 (CRO -1620)
24) Account Transfers Within the Committee (CRO -1720)
25) Administrative Support (CRO -1710)
26) Forgiven Loans (CRO -1440)
27) 48 -Hour Notice Reports Sum (CRO -2100)
28) Contributions to be Refunded (CRO -1215)
$
$
$
S
S
2,
S
S
$
$
$
$
$
$
$
CRO -1100 NC State Board of Elections August 2008
Amendment
Aggregated Contributions from Individuals Page 1 of I ❑ ves ® No
Optional form used to report NC Contributions From Individuals of $50 or less
1. Committee Full Name sod Fund if a Ikabk
2 ID Number
Committee To Elect Janice Props[
SJMR33
3. Contributor Information
a. Amend
b. Account
Code
C. Form of Payment
d. In -Kind
Description
e. Date
mm/dd/
L Amount
❑ Ada
JGP
check
10/03/2015
$ 50.00
❑ Remove
❑ Add
JGP
check
10/03/2015
$ 50.00
❑ Remove
❑ Add
JGP
check
09/23/2015
$ 37.50
❑ Remove
❑ Add
JGP
check
09/23/2015
$ 37.50
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
2015
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ I Remove
4. Total only this Page
$ 175.00
5. Total of ALL CRO -1205 Pages
(Thb fine traasf bean llae 5 ojl>elailedsanattmy Page CRQIlOo)
$ 'I7.�►
CRO -1205 NC State Board of Elections April 2007
Ameralmen
Contributions from Individuals Pit of L p t 0 No
Use this form to report individual contributions over $50 or contribtitions under $50 if form CRO 1205 is not used
I. Committee _ 1 Name (and Fund if �a ll Ill
Yl fxj_ yo Ylecq
2. ID Number
3. Contributor Information 13 Add ❑ Remove
. Full Name, Mailing Address & Phone
(include city, state, &zip)
/ 30WAlf" t tt.1 IN I /e"
l ep 0 /rR N I SAL E ��t
M41T/JQN/ � /� �O/b �
b..lob'fitle/Profession
_
d. Comments
--
c 1 s c Field
OCT p 1 2015
e. Election Sum to Date
$ l D
I'. Prior
g. Account Cade
h. Form of Payment
i. In -Kind Description uUarf.
dd1yyyy)
1k.Arnount
$
$
❑
$
3. Contributor Information ❑ Add Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
41—h—'Q/l.i L
,t� �,,�It y C" i~
b. Job'fille/Profession
d. Comments
_
c. Employees Name/Specffk Field
e.Election SumtoDate
. Prior
g. Account Code
h. Form of Payment
i. In -Kind Descripd
J. Dale (mm/ddlyyyy)
ILAmount
❑
/►nRtl 3 ticcq
/o�t�?o/5
$
❑
$
3. Contributor Information ❑ Add ; ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip) �r
l
✓��arT/�A�� /�� ?�1Di'
b. Job Title/Profession d. Comments
c. Employer's Name/Specific Field
e. Election Sum to Date
$ 13D oID
f. Prior
g. Aceoun Code
h. Foran of Payment
i. to -Kind Description
J. Date (mnddd/yyyy)
k Amount
❑
Mull % Gntc�
/o /lv 20��
$
❑
$
❑
$
4. Total only this Page
$ fZ2 , eD
5. Total of ALL CRO -1210 Pages
(This line must be online 6 of Detailed Summary Page CRO -1100)
$ b �U
CRO -1210 NC State Board of Elections April 20(17
Amendment
Disbursements Pg I of 1 ❑ 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) 2. ID Number
Committtee to Elect Janice Propst SJMR33
Disbursement Please uses rate CRO -131 0 o each o D ursement
P3.of
Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures
4. Payee Information El Add Remove
a. Full Name, Mailing Address & Phone
include city, stat & zip)
b. Coordinated Committee Name
d. Comments
Louis Phillipi
2026 Coatsdale Lane, QED
Stallings, NC 28104 OCT 2 1 205
l" i" Co RO@rd of Elections
c. t.evel Registered (Specify)
E] Federal ❑ County:
❑ State ® Municipality:
e. Election Sum to Date
$ 609.47
L Account Code
I g. Form of Payment
K Purpose Cade
1. Date (mm/dd/yyyy)
J. Amount
L Required Remarks
JGP
check
B*
10/152015
$609.47
Mailer
$
4. Payee Information El Add ❑ Remove
a. Full Name, Mailing Address & Phone
include city, state, & zip)
b. Coordinated Committee Name
d. Comments
c. Level Registered (Specify)
❑ Federal ❑ Cowry:
❑ State ❑ Municipality:
e. Election Sum to Date
$
L Account Code
g. Form of Payment
Is. Purpose Code
1. Date (mm/ddlyyyy)
j. Amount
L Required Remarks
$
$
4. Payee Information Lj Add El Remove
a. Full Name, Mailing Address & Phone
include city, state, & A
b. Coordinated Committee Name
it. Comments
c. Level Registered (Specify)
❑ Federal ❑ County:
❑ State ❑ Municipality:
e. Election Sum to Date
$
E Account Code
g. Farm of Payment
It. Purpose Code i. Date (mm/ddlyyyy) J. Amon"t
k. Required Remarks
5. Total only this Pae
6. Total of ALL CRO -1310 Pages
(This line goes in line 13a of Detailed Summan' Page CRQ1100 (10peradng Expenses)
(This fine goes' in line 13b of Detailed Summan• Page CRO -1100 OrContrib to Candidates/Political Comm)
(This line goes in line 13c of Detailed S'umman' Page CRO -11001f Coordinated Part- Expenditures)
$ 609.47
$
7. Purpose Codes(List detailed ex nditure 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 3 - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund
O* - Other
* Codes reouire detailedaanlanation in reouired remarks field lkl
p� Contributions
In -Kind Contributions Pg t of I ❑ Yes ® No
Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund.
UDC 11111-1111W l U111110WIVU5 WCIC UI W I I I UC [UIUIIUCU WIMIR / UA D.
h Committee ' and Fund if applicable) 2. ID Number
Committee to Elect Janice Propst SJMR33
I Contributor Information Add Remove
a. Full Name Slailin-:Itddress&Phone b. Type of Contributor c. Comments
(include cib. state, & tip) ® Individual
Barbara Sinclair ❑ Candidate
1000 Heritage Acres
Matthews NC 28104
C. Description
Meet and Greet
DECEIVED
r 2 1 2015
a. Full Name, Mailing Address & Phone
(include city, slide, & rip)
Kim Perez
614 Maple Valley Court
Matthews, NC 28104
e. Description
Meet and Greet
e. Full Name, Mailing Address & Phone
(include city, state, & rip)
Lisa McCrossan
2040 Kings Manor Drive
Matthews, NC 28104
e. Description
Meet and Greet
E
09/26/2015
Move
❑
Party
®
❑
PAC
Candidate
❑
Referendum
❑
❑
Other Receipt Source
E
09/26/2015
Move
®
b. Type of Contributor
®
Individual
❑
Candidate
❑
Party
❑
PAC
❑
Referendum
❑
Other Receipt Source
f. Date (mm/di
E Date im aldt
10/14/2015
b. Type of Contributor
®
Individual
❑
Candidate
❑
Party
❑
PAC
❑
Referendum
❑
Other Receipt Source
f. Date (mm/di
10/16/2015
it. Election Sum to Date
$ 110.00
g. Fair Market Amount
$ 10.00
$
c. Comments
it. Election Sum to Dau
$ 30.00
g, Farr Market Amount
$ 30.00
$
c. Comments
it. Election Sum to Date
$ 30.00
g. Fair Market Amount
$ 30.00
4. Total only this Pae $ 70.00
5. Total of ALL CRO -1510 Pages $ 70.00
(This line mtat be online 17 of Delailed ,Summary Page CRO -1100)
-RU-1310 NC State Board of Elections December 2007