Rowell,JR_2019-YearEndAmendment
Disclosure Report Cover I ❑ Yes ® So
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
c
a. Full Name
c ID Number
The Committee to Elect J.R. Rowell U.C. Clerk of
JAN 3 1 2020
YSY483
Superior Court
b. Mailing Address (include City, State and Zip Code)]Union
Co. Ejectirtnz
d. Date Filed
2708 Dellwood Dr.
Monroe, NC 28112
01/31/2020
e. Phone Number
704-226-8957
2. Report Year
3. Period Start Date (mm/dd/yy)
4. Period End Date
5. Treasurer Full Name
[mm/dd/yy)
Jammie Eubanks
2019
07/01/2019
1_312019
6. Type of Committee Check One
9. Type
of Report check only
one e of re ort rom one category)
® Candidate Campaign ❑ Pavy
Municipal
State/County
Referendum
❑ PAC ❑ Referendum
❑
Organizational
❑ Organizational
❑ Organizational
Independent ❑ Joint Fundmiser
❑ Expenditure
❑
Thirty-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑
❑
Pre-primary
Pre-election
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7. Type of Fund (jappticabie, check one)
❑ 'Booster Fund"
❑ Building Fund
❑
Pre -runoff
❑ Third
❑ Annual
Semi-annual
❑ Fourth
❑ Special
❑
Mid Yew
Semi-annual
❑ Other:
❑
Year End
❑ Mid Year
10. $ ecial Report Name
❑
❑
Final
special
® Year End
❑ Final
❑ Special
8. Number of Fundraisers this Report
0
11. Account Information
11. Account Information
a. Financial Institution Full Name
a. Financial Institution Full Name
First Citizens Bank
b. Purpose
c. Account Code
b. Purpose
c. Account Code
Campaign
2
Checking
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 tate Board of EI ctio
Jammie Eubanks
r,4 01/31/2020
Printed Name of Signer
Signature of Appointed Treasurer
Date
FOR OFFICE USE ONLY
Delivery Method
Date Received:
Employee:
❑ Normal Mail
Date Postmarked:
Employee: Registered Mail
Hand Delivered
Date Scanned:
Employee: 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.
CRO -1000 NC State Board of Elections August 2008
NJ LSLJ
JAN 31 2020 Amendment
Detailed Summary ❑ Yes ® No
Use this form to summarize all disclosure reporting forms and to total me igtarKinformasion. .
1 Committee Full Name and Fund if applicable)
2. T
of
3. ID Number
The Committee to Elect J.R. Rowell U.C. Clerk of
Superior Court
2019
Semi
Year End
Annual Re
rt
YSY483
Start of Election Cycle: January 1, 2019
Total this
Reporting Period
Total this
Election Cycle
4) Cash on Hand at Start
REC ,
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
11 h) Contributions from Not -for -Profit Organizations
1 I c) Outside Sources of Income
lid) Legal Expense Fund—Other Sources
11 e) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1110)
(CRO -1110)
(CRO -1230)
(CRO -1410)
(CRO -1140)
(CRO -1250)
(CRO -1150)
(CRO -1150)
(CRO -1170)
(CRO -1265)
$
150.94
$
150.94
$ 0 $
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
Fs 0 $
0
12)
13)
14)
15)
16)
17)
TOTAL RECEIPTS (.4dd lines 5. 6, 7, 8, 9, 10, Ila, llb, Ile. Ild and Ile)
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 (CRP -1510)
$
0
$
0
$ 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)
Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18)
$
Fd
$
$
$
$
$
$
150.94
0
4,763
0
0
0
0
$
$
150.94
0
20)
21)
22)
23)
24)
25)
26)
27)
28)
RIM RPM
Non -Monetary Gifts Given to Other Committees
Outstanding Loans (incl. ones from other campaigns)
Debts and Obligations owed By the Committee
Debts and Obligations owed To the Committee
Account Transfers Within the Committee
Administrative Support
Forgiven Loans
48 -Hour Notice Reports Sum
Contributions to be Refunded
(CR04330)
(CRO -1430)
(CRO -1610)
(CRO -1610)
(CRO -1710)
(CRO -1710)
(CRO -1440)
(CRO -1100)
(CRO -1115)
$
0
$
0
$ 0 $
0
$ 0 $
0
CRO -1100 NC State Board of Elections August 2008
[ C�G�MND
Amendment
Outstanding Loans JAN 31 2020 Pg 1 of 3 ❑ Yea
Use this form to report any outstanding loans received urines a previous reporting eriod and until the loan is paid in full.
„_r
1. Committee Full Name and Fund if ap licable
z. ID Number
The Committee to Elect J.R. Rowell U.C.
Clerk of Superior Court
YSY483
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
02/31 2006
State of
North Carolina
E End Date (mm/dd/yyyy)
12/31/2020
g. Rate
h Security Pledged
i. Original Loan Amount
j. Remaining Loan Balance
0 aha
None
$ 950
$ 950
L Full Name of Lending Institution
I. Loan Number
N/A
2
3. Lender Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job I itle/Profession
d. Comments
Union County Clerk
of Superior Court
Jeffery Rowell
2708 Dellwood Drive
Monroe, NC 28112
704-226-8957
a start Date (mm/dd/yyyy)
a Employer's Name/Specific Field
03/25/2008
State of
North Carolina
E End Date (mm/dd/yyyy)
12/31/2020
g. Rate
h. Security Pledged
i.Original Loan Amount
j. Remaining Loan Balance
0 as
None
$ 500
$ 500
L Full Name of Lending Institution
1. Loan Number
N/A
3
3. Lender Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, stale, & 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 (mm/dd/yyyy)
c. Employer's Name/Specific Field
02/09/2010
State of
North Carolina
f. End Date (mm/dd/yyyy)
12/31/2020
g. Rate
h. Security Pledged
i. Original Loan Amount
j. Remaining Loan Balance
0 as
None
$ 800
$ 800
k. Full Name of Lending Institution
I. Loan Number
N'A
4
4. Total only this Pae $ 2,250
5. Total of ALL CRO -1430 Pages
$ 4,763
(This line mus! be an line 11 of Detailed Surrorean• Page CRO -1100)
CRO -14.3/1 vt vwc k",ud,a IIcal,ni, December 2007
Mim�MMuvLgu
Amendment
Outstanding Loans JAN 31 2020Pg 1 of 2 ❑ yea ® No
Use this form to report any outstanding loans received d �Id �fe7 igujgXp ting riod and until the loan is paid in full.
IOf1 l.O t-IFrt�ng
Committee Fall Name and Fund If applicable)
2. m Number
The Committee to Elect J.R. Rowell U.C.
Clerk of Superior Court
YSY483
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 (mm/dd/yyyy)
e. Employees Name/Specific Field
08/02/2010
State of
North Carolina
E End Date (mm/ddtyyyy)
12/31/2020
g. Rate
h. Security Pledged
1. Original Loan Amount
J. Remaining Loan Balance
0 ala
None
$ 80
$ 80
L Full Name of Lending Institution
I. Loan Number
N/A
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 (mm/dd/yyyy)
e. Employer's Name/Specific Field
02/18/2014
State of
North Carolina
L End Date (mm/dd/yyyy)
12/31/2020
g. Rate
h. Security Pledged
L Original Loan Amount
j. Remaining Loan Balance
0 ala
None
$ 1,028
$ 1,028
k. Full Name of Lending Institution
I. Loan Number
N/A
6
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 (mm/dd/yyyy)
c. Employer's Name/Specific Field
08/28/2014
State of
North Carolina
f. End Date (mm/dd/yyyy)
12/31/20
g. Rate
h. Security Pledged
L Original Loan Amount
j. Remaining Loan Balance
0 aha
None
$ 300
$ 300
k. Full Name of lending Institution
I. Loan Number
NA
7
4. Total only this Pae $ 1,408
5. Total of ALL CRO -1430 Pages
(This line mast be online 21 of Detailed Sumnan Page (RO-1100) $ 4,763
CRO - 1430 NC State Itn.ud,,i I Iretiom December 2007
n2�2rRn2 D Amendment
Outstanding Loans Wl5 L l S� 3 or 3 ❑ Yes ® No
Use this form to report any outstanding loans received urin�Aweaiju2wrtin period and until the loan is paid in full.
1. Committee Full Name and Fund if ap licable
2. In Number
The Committee to Elect J.R. Rowell U.C. S YSY483
Clerk of Superior Court
3. Leader Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, sate, & 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. Sart Date (mm/dd/yyyy)
e. Employer's Name/Specific Field
02/14/2018
State of
North Carolina
E End Dam (mm/dd/yyyy)
12/31/2020
g. Rate
h. Security Pledged
L Original loan Amount
J. Remaining Loan Balance
0 au
None
$ 1,105
$ 1,105
L 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/dd/yyyy)
G Employer's Name/Specific Field
E End Date (mm/dd/yyyy)
g. Rate
h. Security Pledged
i. Original Loan Amount
j. Remaining Loan Balance
"o
None
$
$
L Full Name of Lending Institution
I. Loan Number
N/A
3. Leader 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
e. Start Date (mm/dd/yyyy)
c. Employer's Name/Specific Field
E End Date (mm/dd/yyyy)
g. Rate
h. Security Pledged
L Original Loan Amount
j. Remaining Loan Balance
"a
None
$
$
L Full Name of Lending Institution
1. Loan Number
N/A
4. Total only this Pae S 1,105
5. Total of ALL CRO -1430 Pages
(This fine must be on fine 21 of Detailed Summary Page CRO -1100) $ 4,763
CRO -1430 \C State Boardof Flections December 2007