Rowell,JR_2020-Mid-yearAmendment
Disclosure Report Cover I ❑ Yes ® 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
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.
07/31/2020
Monroe, NC 28112
c. oe r
v 704- 8957
2. Report Year
3. Period Start Date (mm/ddlyy)
4. Period End Date
5. Treasurer Fu . a.
(mm/dd/yy)
Jammie Eubanks
2020
01/01/2020
06/30/2020
6. bpe of Committee (Check One)
9. Typie of Report (check only one type of report om one category)
® Candidate Campaign ❑ Parry
Municipal
State/County
Referendum
❑ PAC ❑ Referendum
❑ Organizational
❑ Organizational
❑ Organizational
Independent Joint
F]Expenditure E]int Fdr
❑ Thirty-five Y
five da
Quarterly
E] Pre -referendum
❑ Legal Expense Fund
❑ Pre-primary
❑ Pre-election
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7. Type of Fund (rdPPlimble, check one)
❑ 'BWster 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
& Number of Fundraisers this Report
p
11. Account Information
11. Account Information
a. Financial Institution Full Name
it. 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
S 150.94
$
CERTIFICATION
1 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 State Board of lec ions.
Jammie Eubanks 07/31/2020
Printed Name of Signer Signature ofAppointed Treasurer Date
FOR OFFICE USE ONLY
Delivery Method
Date Received: 7/3/ Employee:
❑ Normal Mail
Date Postmarked: Employee: ❑ Registered Mail
�j Hand Delivered
❑ Electronically Filed
Date Scanned: Employee:
❑ 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 GW8
Amendment
Detailed Summary ❑ ves ® No
Use this form to summarize all disclosure renortim 4 forms 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
2020 Mid Year
Semi Annual Report
YSY483
Start of Election Cycle: January 1, 2019
He xnor tal Imtin •Peis
Period
rote) this
Election Cycle
4)
Cash on Hand at start
S
i s094
S
150.94
Aggregated Contributions from Individuals
6) Contributions from Individuals
7) Contributions from Political Party Committees
8) Contributions from Other Political Committ l
O O
9) Loan Proceeds = ���
O
10) Refunds/Reimbursements To the Committ �O�ni
11) Other Receipt Sources
Ila) Interest on Bank Accounts
11b) Contributions from Not -for -Profit Organizations
Ile) Outside Sources of Income
lid) Legal Expense Fund — Other Sources
11 e) Exempt Purchase Price Sales
(CRO -1205)
(CRO4210)
(CRO -1120)
CRO -1230)
1410)
(� 1240)
CRO -1150)
(CRO -1250)
(CRO -1250)
(CRO -1270)
(CRO -1265)
$
0
S
1A
A_
0
$ 0
$
0
$ 0
$
0
$ 0
$
0
$ 300
$
300
$ 0
$
0
$ 0
$
0
$ 0
$
0
$ 0
$
0
$ 0
$
0
$ 0
$
0
12)
TOTAL RECEIPTS Mddlines5.6, 7, 8,9, 10, Ila, 11b, Ilc, IldandIle)
$
300
$
300
EXPENDITURES;'°
13)
14)
15)
16)
17)
Disbursements
l3a) 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
(CRO -1310)
(CRO -1310)
(CRO -1310)
(CRO -1315)
(CRO -1420)
(CRO -1320)
(CRO -1510)
$
200
$
200
$ 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)
$
200
$
200
19)
Cash on Hand at End (Add Imes 4 and 12 togedwr, then sabtractline 18)
$
250.94
$
250.94
AWITIQNALINFQ
20)
21)
22)
23)
24)
25)
26)
27)
28)
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
(CRO -1330)$
(CRO -1430)
(CRO -1610)
(CRO -1610)
(CRO -1720)
(CRO -1710)
(CRO -1440)
(CRO -2100)
(CRO -1215)
0
-
$ 5,063
$ 0;
$
0
$ 0
$ 0
$ 0
$ 0
$
0
$ 0
$
0
$ 0
$
0
CRO -1100 NC State Board of Elections August 2009
Amendment
Disbursements Pg 1 of I ❑ Yes N 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
The Committee to Elect J.R. Rowell U.C. Clerk of YSY483
3. Type of Disbursement Please use separate CRO -1310 forms for each e of Disbursement
N Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures
4. Payee Information Add El Remove
a. Full Name, Mailing Address & Phone
include city, sate, & ri
It. Coordinated Committee Name
d. Comments
N/A
N/A
Jammie L. Eubanks, CPA, P.A.
PO Box 1066
Monroe, NC 28111-1066
704-238-1679
a Level Registered (Specify)
❑ Federal ❑ County:
❑ State ❑ Municipality:
e. Election Sum to Date
N/A
$ 200
L Account Code
g. Form of Payment
h. Purpose Code
i. Date (mm/dd/yyyy)
j. Amount
L Required Remarks
I
Check
O
03/02/2020
$200
Campaign
Reporting Svcs
4. Payee Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
include city, state, & zip)
b. Coordinated Committee Name
d. Comments
u.
CSN
JP�CE\VEO N
3I, Z
O
h
V
9R0 CF E��
c. Level Registered (Specify)
E] Federal E] County:
❑ State ❑ Municipality:
e. Election Sum to Date
$
L Account Code
g. Form of Payment
h. Purpose Code
i. Date (mm/ddlyyyy)
j. Amount
L Required Remarks
S
4. Payee Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
include city, state, & zip)
b. Coordinated Committee Name
d. Comments
c. Level Registered (Specify)
❑ Federal ❑ County:
❑ State ❑ Municipality:
e. Election Sum to Date
$
L Account Code
g. Form of Payment
Is. Purpose Code
i. Date (mmlddlyyyy)
j. Amount
k Required Remarks
$
5. Total only this Pae $
6. Total of ALL CRO -1310 Pages
(This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) $ 200
(This line goes in line 13b of Detailed Summary Page CRO -1100 ifCamrib to Candidates/Polirical Camm)
(This line goes in line lac of Detailed Summary Page CRO -1100 if Coordinated Party Eapendifures)
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 field (k)
CRO -1310 NC State Board of Flections December 2009
Loan Proceeds
Amendment
Pg I of I ❑ Yes ® No
Use this form to report proceeds from a loan and loan endorser's information
A Innn nrnceeds statement mast accomnanv each loan that is from an individual
1. Committee Full Name and Fund if ap cable)
2. 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 Tine/Profession
d. Comments
Union County Clerk
of Superior Court
Jeffery Rowell
2708 Dellwood Drive
Monroe, NC 28112
704-226-8957
e. Start Date (mm/ddlyyyy)
a Employers Name/Specific Field
03/02/2020
State of
North Carolina
E End Date (mm/ddtyyyy)
12/31/2022
g. Rate
h. Security Pledged
i. Account Code
j. Form of Payment
L Amount
0 %
None
2
Check
$ 300
I. Full Name of Lending Institution
m. Loan Number
N/A
9
4. Endorsers/Makers (The people who guarantee the loan)
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
c. Employer's Name/Specific Field
RF O.
p O
Q
EC1��a�
d. Percentage
e. Amount
%
$
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
It. Job Title/Profession
c. Employer's Name/Specific Field
it. Percentage
e. Amount
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
It. Job Tide/Protession
c. Employer's Name/Specific Field
d. Percentage
e. Amount
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
c. Employer's Name/Specific Field
d. Percentage
e. Amount
$
5. Total of ALL CRO -1410 Pages
(This line must be on line 9 ofDetailedSummary Page CRO -1100)
$ 300
CRO -1410 NC State Board of Elections Apni 2
Outstanding Loans
Amendment
Pg 1 of 3 ❑ 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)
2. 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 Title/Profession
d. Comments
Union County Clerk
of Superior Court
Jeffery Rowell
2708 Dellwood Drive
Monroe, NC 28112
704-226-8957
e. Start tate (mm/dd/yyyy)
e. Employer's Name/Specific Field
02/31/2006
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 aha
None
S 950
$ 950
IL Full Name of Lending Institution
1. Loan Number
N/A
2
3. Lender Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip) 1.Union
b. Job Titie/Profession
d. Comments
County Clerk
of Superior Court
Jeffery Rowell �O v 1), �O
2708 Dellwood Drive
Monroe, NC 281 12 "' G
704-226-8957 e3z�10 <
10 14
e. Sart Date (mm/ddlyyyy)
e Employer's Name/Specific Field
03/25/2008
State of
North Carolina
E End Date (mm/ddtyyyy)
12/31/2020
g. Rate
h. Security Pledged
i. Original Loan Amount
J. Remaining Loan Balance
0 "�a
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, 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. Sart Date (mm/ddlyyyy)
a Employer's Name/Specific Field
02/09/2010
State of
North Carolina
L End Date (mm/dd/yyyy)
12/31/2020
g. Rate
h. Security Pledged
i. Original Loan Amount
J. Remaining Loan Balance
0 aha
None
$ 800
$ 800
L Full Name of Lending Institution
I. Loan Number
N/A
4
4. Total only this Pae
S 2,250
5. Total of ALL CRO -1430 Pages $ 5,063
(This line must be on fine 21 ojDelailed Summary Page CRO -1100)
CRO -1430 NC State Board of Elections Vecemoer 2UU
Outstanding Loans
Amendment
Pg 2 of 3 ❑ 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 jf applicable)
2. 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)
It. 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
08/02/2010
State of
North Carolina
L End Date (mm/dd/yyyy)
12/31/2020
g. Rate
h. Security Pledged i. Original Loan Amount
J. Remaining Loan Balance
0 %
None $ 80
$ 80
k. Fall Name of Leading Institution
I. Loan Number
N/A
5
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 p ` G
2708 Dellwood Drive r m
Monroe, NC 28112 mO
_ m Z
704-226-8957 �� m n
�A o Ory
S
e. start Date (mm/dd/yyyy)
G Employer's amepecfic Field
ElName/Specific
02/18/2014
State of
North Carolina
L End Date(mm/dd/yyyy)
12/31/2020
g. Rate
�h. Pledged i. Original Loan Amount
j. Remaining Loan Balance
0 °/a
None $ 1,028
$ 1,028
L Full Name of Lending Institution
1. Loan Number
N/A
6
3. Lender Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & rip)
b. Job Title/Prokssion
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)
a Employer's Name/Specific Field
08/28/2014
State of
North Carolina
E End Date (mm/dd/yyyy)
12/31/20
g. Rate
h. Security Pledged
i. Original Loan Amount
J. Remaining Loan Balance
0 %
I 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 $ 5,063
(This line must be on fine 2/ of Deltuled Summary• Page CRO -1100)
CRO -1430 NC State Board of Elections December 2007
Outstanding Loans
Amendment
Pg 3 of 3 ❑ 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) z. 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, & 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 (mmldd/yyyy)
c. EmployeesName/Specific Field
02/14/2018
State of
North Carolina
E End Date (mm/dd/yyyy)
12/31/2022
g. Rate
h. Security Pledged
1. Original Loan Amount
j. Remaining Loan Balance
0 %
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, & tip)
b. Job Title/Profession
d. Comments
Union County Clerk
of Superior Court
Jeffery Rowell�C, C 9
2708 Dellwood Drive
Monroe, NC 28112 rr w���
704-226-8957 _ �C Z
02 p „5r �O
S k n
e. Start Date (mm/dd/yyyy)
c. Employer's Name/Specific Field
03/02/2020
State of
North Carolina
r. End Date (mn✓aa/yyyy)
12/31/2022
g. Rate h. Security Pledged i. Original Loan Amount
J. Remaining Loan Balance
0 a/0 None $ 300
$ 300
L Full Name of Lending Institution
1. Loan Number
N/A
9
3. Lender Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job TinetProfession
d. Comments
Union County Clerk
of Superior Court
e. Start Date (mm/ddlyyyy)
c. Employer's Name/Specific Field
L End Date (mmlddlyyyy)
g. Rate h. Security Pledged
Loan Amount
j. Remaining Loan Balance
None
f0n�gglnsl
$
L Full Name of Lending Institution
1. Loan Number
N/A
4. Total only this Pae
$ 1,405
5. Total of ALL CRO -1430 Pages
(This fine must be on One 2l ojDetaded Sumnmry Page CRO -1700)
$ 5,063
CRO -1430 NC State Board of Elections December 2007
PTH CAR
STATE BOARD
ELECTIONS
fte
Loan Proceeds Statement
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: The Committee to Elect J.R. Rowell U.C. clerk of superior court
• Person or committee to make loan: Jeffery Rowell
• Date of loan to committee: 03/02/2020
• Name of lending institution and account number (source):
N/A
• Amount of loan: $300
• Description (if in-kind loan): N/A
• Names of all parties responsible for payment of loan (guarantors):
N/A
• Period of loan: 03/02/2020 through 12/31/2022
• Rate of interest of loan: 0%
• Security pledged for loan: None
Jeffery Rowell , 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 any source.
03/02/2020
Signat nde& Date Signed
'"�\ - -_ � c 1) 1. 4- 03/02/2020
Sloature of Treasurer of Committee
CRO -6100 Loan Proceeds Statement
Date Signed