Smith,Brandi_2022-MidyearDisclosure Report Cover lm N ev, em
P '❑ No
Use this form for general report and committee information, must be signed and submitted along with other defailcd forma.
Do not use this form to update information.
1. Committee Information " " •'
• . Full Name
/
< « �.
e, Ill Number
CC 1 lC� t l 1-I n ': f L/
I
. iliog Address (include City, State and Zip Code)
d. Date Filed
_ _
e. Phone Number
Re rl Year
Peri��Start Date (m rias yy)
l I i at
4._1'eri End Date;(mit adiyy)
�I �o C ��
5., Treasurer Full Name,
.
Via-
6. Type of Committee Oeck One)
9. Type of Report check
onO- one n pe of repot
from one categ'or.0
❑ Candidate Campaign ❑ Part}
Municipal
Slate/County
Referendum
❑ PAC ❑ Referendum
❑ Organizational
❑ Organizational
Organizational
❑ independent Expenditure ❑ Joint Fundraiser
❑ Thirty-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑ Pre-primary
❑ First
❑ Final
❑ Pre-election
❑ Pre -runoff
❑ Second
❑ Third
❑ Supplemental Final
❑ Annual
7. Type of Fund fifnPPliruble, ekark one)
❑
Semi -arcual
❑ Fourth
❑ Special
❑ P- d r._ li...:
❑ Mid Year
Semi-annual
❑ Year End
Mid Year
--` cial
❑ Uthcr.
❑ Final
❑ Special
Year End
Final
8. Number of Fundraisers this Report
/
❑ Special
11. Account Information
11. Account Information
. Financial Institution Full Name
a. Financial Institution Full Name
iJNii
.Purpose UC.
Account Code
b.Purpose ''--A PAIGN FiN,..
c. Account Code
(_ � �
JUL 2 8 20L
it. Period Begin Balance
d. Period Begin Balance
C
00'
CERTIFICATION
I certify that the Committee or Fund is in compliance with all applicable onsof Article 22B & 22D -22M of Chapter 163
of the NC General Statutes and that no funds are commingled anti iced r other non -disclosed funds. I further certify that this
repo/rt/t i��issj�{complete, and corrreectt�and that II l i ve tm)ned by t to Board of Elections.
,ttrrue
-
r (/
Q./1 V�.kd fl )X'4 / T � j
Printed Name of Signer i na re of A in Treasurer Date
FOR OFFICE USE ONLY
Date Received: Employee: Delivery Method
❑ Normal Mail
Date Postmarked: Employee: Registered Mail
Hand Delivered
Date Scanned: Employee: Electronically Filed
Dale Data Entered: Employee: ❑ Signer has not received
mandato 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 changes.
CRO -1000 NC State Board of Elections August 2008
Amendment
Detailed Summary ❑ ves ❑ No
I Ice this form to summarize all disclosure renortino forms and to total monetary information
1. Committee Full Name (and Fund if a p -c le)
ca
2. Type of Report _
3. H) Number _
--1-- 0"
Start of Election Cycle: January 1,
Total this
Re oriin Period
do this
Election Cycle
4) Cash on Hand at Start
$
$
RECEIPTS
5) Aggregated Contributions from Individuals (CRO -1205)
6) Contributions from Individuals (CRO -1210)
$
$
$
$
71 Contributions from Political Party Committees (CRO -1210)
8) Contributions from Other Political Committees (CRO -1130)
9) Loan Proceeds (CRO -1410)
0) Refunds/Reimbursements to the Committee (CRO -1240)
$
$
$
$
$
$
$
$
11) Other Receipt Sources
I la) Interest on flank Accounts (CRO -1250)
1lb) Contributions from Not -For -Profit Organizations (CRO -1250)
IIc) Outside Sources of Income (CRO -1250)
l Id) Legal Expense Fund - Other Sources (CRO -1270)
Ile) Exempt Purchase Price Sales (CRO -1265)
$
$
$
$
$
$
$
$
$
$
12) TOTAL RECEIPTS (Add lines 5. 0.7.8.9,10.1 la. I Ib.I IcJ id and l le]
S
5
EXPENDITURES
13) Disbursements
13a) Operating Expenditures (CRO -1310)
13b) Contributions to Candidates/Political Committees (CRO -1310)
13c) Coordinated Party Expenditures (CRO -1310)
14) Aggregated Non -Media Expenditures (CRO -1315)
15) Loan Repayments (CRO -1410)
$
$
$
$
$
$
$
$
$
$
16) Refunds/Reimbursements from the Committee (CRO.7320)
$
$
17) In -Find Contributions (CRO -1510)
$
$
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)
$
$
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18
$24
S
ADDITIONAL INFORMATION
20) Non -Monetary Gifts Given to Other Committees (CRO -1330)
1) Outstanding Loans (incl. ones from other campaigns) (CRO -1430)
2) Debts and Obligations owed by the Committee (CRO -1610)
23) Debts and Obligations owed to the Committee (CRO -1610)
24) Account Transfers Within the Committee (CRO -1720)
25) Administrative Support (CRO -1710)
6) Forgiven Loans (CRO.1440)
27)48 -Hour Notice Reports Sum (CRO -1220)
8) Contributions to be Refunded (CRO -1215)
$
$
$
$ ',
$ 1111
$ $
_ .. - f E $
_s.-!`(
$ $
$ $
CRO -1100 NC State Board of Elections August 2008
Refunds/Reimbursements From the Committee Pg _ of _
I'« this form to report refunds/reimbursements. itic ludine contributions returned to the contributor
Amendment
❑ Yes ❑ No
1 Cos applic.bl , _
i d {
771.7 If,t^-v.-1�)
3. Payee Information Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, slate, & zip)
d. Type of Committee
Candidate a_PAC
❑ Referendum ❑ Party
h. Original Receipt Date
n_'
of
2S l
e. Level Registered
Federal County:
[3 state [j}'Vunieipality:
i. Original Receipt Amount
$
Purpose Code
J. Election Sam to Date
L
$
. Job Title/Profession
e. Employer's Name/Specific Field
g. Comments
ILAccowtCode
q0,
. Form of Payment
Jan. "aired Remarksa Date mmld) jo.Amount
3. Payee Information❑Add ❑ Rcna,Fe
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
it. Type of Committee
❑ Candidate 13—PAC
❑ Referendum ❑ Party
h. Original Receipt hate
e. Level Registered
i. Original Receipt Amount
Federal County:
[3 State ❑ Municipality:
$
f. Purpose Code
J. Election Sum to Date
. Job Title/Profession
c. Employer's Name/Specific Field
g. Comments
k Account Code
1. Form of Payment
m. Required Remarks
n. Date (mm/ddlyyyy) Ia. Amount
3. Payee Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
- �CUNTY
OANIPAIGN FINANCE
JUL 2 8 2022
RECEIVEDE
d. Type of Committee
❑ Candidate ZrPAC
❑ Referendum ❑ Party
h. Original Receipt Date
e. level Registered
1. Original Receipt Amount
$
Federal County:
❑ State ❑ Municipality:
Purpose Code
J. Election Sam to Date
. Job Title/Prafession
c. Employer's Name/Specific Field
g. Comments
1k. Account Code
. Form of Payment
m. Required Remarks M Date (mm/dd/yyyy)
jo.Amount
$
4. Total only this Page '
$
5. Total of ALL CRO -1320 Pages
Tlits line mutt he online 16 of Detailed Summary Page C'RO4100)
urpose Codes (List detailed disbursement code in (r) above)
L -Returned to Contributor M - OS 01Pa� mens for Service N - Exceeded Contribution Limit
P" - Reimbursement of In -Kind O' Other L
* Codes require detailed explanation in re uired remarks field m
CRO -1320 NC State Board of Elections December 2007