Rowell,JR_2019-Mid-yearAmenament
Disclosure Report Cover I ❑ V. ® 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
The Committee to Elect J.R. Rowell U.C. Clerk of
YSY483
Superior Court
b. Mailing Address (include City, State and Zip Code)
d. Date Filed
2708 Dellwood Dr.
0712512019
Monroe, NC 28112
e. Phone Number
704-226-8957
2. Report Year
3. Period Start Date (mm/dd/yy)
4. Period End Date
(mm/dd/yy)_
5, Treasurer Full Name
2019
01/01/2019
06/30/2019
Jammie Eubanks
6. Type of Committee (Check One)
9. Type of Re ort
check only one Vpe of report tom one category)
® Candidate Campaign ❑ Party
Municipal
Statelcounty
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. `tif Fund (if aPPlicoble, 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
0
11. Account Information
11. Account Information
a. Financial Institution Fall Name
a. Financial Instituti
D
First Citizens Bank
b. Purpose
c. Account Code
b. urpose
c. Account Code
Campaign
2
Jul:.
Checking
Elec
Union Ctions
d. Period Begin Balance
d. Period Begin Balance
$ 150.94
$
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 N
Jammie Eubanks
tate Board 9f Elections.
j 07/252019
Printed Name of Signer $
gnature of Appointed Treasurer
Date
FOR OFFICE USE ONLY
Date Received: Employee:
Delivery Method
❑ Normal Mail
Date Postmarked: Employee:
Date Scanned: Employee:
Registered Mail
Hand Delivered
4 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 -2 100A -E) to make committee changes.
CRO -1000 NC State Board of Elections August 2008
Amendment
Detailed Summary ❑ Yes ® No
Use this forth to summarize all disclosure reoortine fortes and to total monetary information.
1. Committee Full Name and Fund if applicable)
2. Type
of Report
3. ID Number '
The Committee to Elect J.R. Rowell U.C. Clerk of
Superior Court
2019
Semi
Mid Year
Annual R
rt
YSY483
Start of Election Cycle: January 1, 2019
Total this
Reporting Period
Total this
Election Cycle
4)
Cash on Hand at Start
$
$
150.94
0
$
$
150.94
0
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
II) Other Receipt Sources
11 a) Interest on Bank Accounts
llb) Contributions from Not -for -Profit Organizations
11c) Outside Sources of Income
lld) Legal Expense Fund —Other Sources
11 e) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1110)
(CRO -1120)
(CR0.1230)
(CRO -1410)
(CRO -1140)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1170)
(CRO -1265)
$
0
$
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
12)
TOTAL RECEIPTS (Add lines 5.6.7. 8.9. 10, Ila, I /b, llc. Ild and Ile)
Is
0
$
0
13)
14)
15)
16)
17)
Disbursements
13a) Operating Expenditures
13b) Contributions to Candidates/Political Committees
13c) Coordinated Party Expenditures
Aggregated Non -Media Expenditures
Loan Repayments
Refunds/Reimbursements From the Committee
In -Kind Contributions
(CRO4310)
(CRO -1310)
(CR0.1310)
(CRO -1315)
(CRO -1420)
(CRO -1320)
(CRO-lsl0)
$
0
$
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
18)
TOTAL EXPENDITURES (Add lines 13a,13b,13c,14, 15, 16 and 17)
$
0
$
0
19)
A
20)
21)
22)
23)
24)
25)
26)
27)
28)
Cash on Hand at End(Addlines 4 and 12 together, then subtract line 18)
IONALINT
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 -1610)
Account Transfers Within th eIVN Ob�� 'CRIII
Administrative Support (CRO -1710)
Forgiven Loans JUL 2 5 2019 (CRO -1440)
48 -Hour Notice Reports Sum Union Co. Elections (CRO -1100)
Contributions to be Refunded (CRO -1115)
$
$
$
$
$
$
$
150.94
0
4,763
0
0
0
0
$
$
150.94
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
CRO -1100 NC State Board of Elections August zuos
Outstanding Loans
Amendment
Pg 1 of 3 ❑ Yes ® No
Use this form to report any outstanding loans received during a previous reporting period and until the loan is paid in full.
1. Committee Full Name and Fund if applicable) 2. ID Number
The Committee to Elect J.R. Rowell U.C. YSY483
Clerk of Superior Court
3. Lender Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & rip)
b. Job Title/Profession
d. Comments
Union County Clerk
of Superior Court
Jeffery Rowell
2708 Dellwood (hive
Monroe, NC 28112
704-226-8957
e. Start Date (mm/dd/yyyy)
c. Employer's Name/Specific Field
02/31/2006
State of
North Carolina
L End Date (mm/dd/yyyy)
12/31/2019
g. Rate
b. Security Pledged
i. Original Loan Amount
j. Remaining Loan Balance
0 o/a
None
$ 950
$ 950
L Fall Name of Lending Institution
1. Loan Number
N/A
2
3. Lender Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & tip)
b. Job Title/Profession
d. Comments
Union County Clerk
of Superior Court
Jeffery Rowell
2708 Dellwood Drive
Monroe, NC 28112
704-226-8957
e. Start Date (mm/dd/yyyy)
c. Employer's Name/Specific Field
03/25/2008
State of
North Carolina
f. End Date (mm/ddtyyyy)
12/31/2019
g. Rate
h. Security Pledged
i. Original Loan Amount
j. Remaining Load Balance
0 aha
None
$ 500
$ 500
k. Full Name of Lending Institution
I. Loan Number
N/A
3
3. Lender Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
Union County Clerk
of Superior Court
Jeffery Rowell
2708 Dellwood Drive
Monroe, NC 28112 n�� cv �D
704-226-8957
JUL 2 5 2019
Union Co. Elections
e. Start Date (mm/dd/yyyy)
c. Employer's Name/Specific Field
02/09 2010
-
State of
North Carolina
f. End Date (mm/ddyyyy)
12/31/2019
g. Rate h. Security Pledged
1. Original Loan Amount
j. Remaining Loan Balance
0 % None
$ 800
$ 800
L Full Name of Lending Institution
I. Loan Number
N/A
4
4. Total only this Page
$ 2,250
5, Total of ALL CRO -1430 Pages
(This line must be on line 21 of Detailed Summary• Page CRO -1100)
$ 4,763
CRO -1430 NC State Board of Elections December 2007
Outstanding Loans
AmuWaltnt
Pg 2 of ❑ Yea ® No
Use this form to report any outstanding loans received during a previous reporting period and until the loan is paid in full.
1. Committee Full Name and Fund if applicable) 3. ID Number
The Committee to Elect J.R. Rowell U.C. YSY483
Clerk of Superior Court
3. Lender Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
It. Job Title/Profusion
d. Comments
Union County Clerk
of Superior Court
Jeffery Rowell
2708 Dellwood (hive
Monroe, NC 28112
704-226-8957
e. Start Date (mm/dd/yyyy)
c. Employer's Name/Specific Field
08/02/2010
State of
North Carolina
L End Date (mm/dd/yyyy)
12/31/2019
g. Rate
h. Security Pledged
i. Original Loan Amount
j. Remaining Loan Balance
0 °/a
None
$ 80
$ 80
L Fall Name of Lending Institution
1. Loan Number
N/A
5
3. Lender Information ❑ Add ❑ Remove
a. Full Name, Mailing .Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
Union County Clerk
of Superior Court
Jeffery Rowell
2708 Dellwood Drive
Monroe, NC 28112
704-226-8957
e. Start Date (mmldd/yyyy)
c. Employer's Name/Specific Field
02/18/2014
State of
North Carolina
L End Date (mnddd/yyyy)
12/31/2019
g. Rate
h. Security Pledged
L Original Loan Amount
j. Remaining Loan Balance
0 °/a
None
$ 1,028
$ 1,028
L Full Name of Lending Institution
L Loan Number
N/A
6
3. Lender Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
It. Job Title/Profession
d. Comments
Union County Clerk
of Superior Court
Jeffery Rowell ���[gQC(f 0
2708 Dellwood Dri
Monroe, NC 28112 JUL 2 5 2019
704-226-8957
Union Co. Elections
e. Start Date (mm/dd/yyyy)
a Employer's Name/Specific Field
08/28/2014
State of
North Carolina
LEnd Date (mm/dd/yyyy)
12/31/19
g. Rate h. Security Pledged
i. Original Loan Amount
J. Remaining Loan Balance
0 % None
$ 300
$ 300
L Full Name of Lending Institution
1. Loan Number
- -
N/A
7
4. Total only this Pae
$ 1,408
5. Total of ALL CRO -1430 Pages
(This line mat/ be on line 21 OjDetaited Satmnmy� Page CRO -1100) . $ 4,763
CRO -1430 NC State Board of Elections December 2007
Outstanding Loans
Amendment
Pg 3 of 3 ❑ Yes ® No
Use this form to report any outstanding loans received during a previous reporting period and until the loan is paid in full.
1. Committee Full Name and Fund if applicable) 2. ID Number
The Committee to Elect J.R. Rowell U.C. YSY483
Clerk of Superior Court
3. Lender Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Tide/Profession
d. Comments
Union County Clerk
of Superior Court
Jeffery Rowell
2708 Dellwood Drive
Monroe, NC 28112
704-226-8957
e. Start Date (mm/dd/yyyy)
e. Employer's Name/Specific Field
02/14/2018
_
State of
North Carolina
E End Date (mm/dd/yyyy)
12/31/2019
g. Rate
h. Security Pledged
i. Original Loan Amount
J. Remaining Loan Balance
0 aha
None
$ 1,105
$ 1,105
k. Full Name of Lending Institution
I. Loan Number
N/A
8
3. Lender Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
e. Start Date (mm/ddlyyyy)
e. Employer's Name/Specific Field
L End Date (mm/dd/yyyy)
g. Rate
h. Security Pledged
i. Original Loan Amount
J. Remaining Loan Balance
aha
None
$
$
k. Full Name of Leading Institution
1. Loan Number
N/A
3. Lender Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Tide/Profession
d. Comments
Union County Clerk
of Superior Court
`
U nlo^ Co. Veetio�s
e. Start Date (mm/ddlyyyy)
c. Employer's Name/Specific Field
f. End Date (mm/dd/yyyy)
g. Rate
h. Security Pledged
i. Original Loan Amount
j. Remaining Loan Balance
po
None
$
$
k. Full Name of Lending Institution
1. Loan Number
N/A
4. Total only this Pae
$ 1,105
5. Total of ALL CRO -1430 Pages
(This line must be on fine 21 of Detailed Summnry Page CRO -1100)
$ 4,763
CRO -1430 NC Stale Board of Elections December 2007