Teague,Charles_2022-1st-Qtr-reportDisclosure 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. ID Number
Oommittes E/ee t e Olerk
601fAq1E
. Mailing Address (Include City, State and Zip Cod
d. Date Filed
92$ Cavneron court
5- I ZZ
e. Phone Number
m o� roe, �✓ a 8 l Z
q(q- 70�-019
2. Report Year
3. Period,StartDatedmmfda[yy)
4. Period End Date (mm ddlyy)
S.r reasur kl 1.
3-3-2Z
2c. Z
I � , L2.
1 Julfc Owens -Sf')l%LP
' Type of Committee (ee "One) , t
9 Type of Report_(che(,k
only one type of report
rom one category) r,n ,`
® Candidate Campaign ❑ Puny
Municipal
State/County
Referendum
❑ PAC ❑ Referendum
❑ Organizational
0 Organizational
❑ Organizational
❑ Independent Expenditure ❑ Joint Fundraiser
❑ Thirty-five dayr�1
Quarterly
[3 Pre -referendum
❑ Legal Expense Fund
13Pre-primary
IQ First
❑ Final
❑ Pre-election
❑ Pre -runoff
Second
❑ Third
❑ Supplemental Final
❑ Annual
7. Type of Fund (ifapplicable, eheck one) "'
❑ Booster Fund
Semi-annual
❑ Fourth
❑ Special
❑ Building Fund
❑ Mid Year
Semi-annual
[3 Year End
❑ Mid Year
10. Special Report Name
❑ Other:
❑ Final
❑ Special
[3 Year End
E3 Final
:3: Number of Fundraisers this Report
_
❑ Special
11. Account Information
11. Account Information
. Financial Institution Full Name
a. Financial Institution Full Name
Irst C t1 en > Ci
b.Purpose _
c. Account Code
b. Purpose ]P'4]L"i[UFaiVgtV(�._
c. Account Code
bee oil ni
160
Pe f Gomm t1♦re
Per
202 MAY 04 q
it. Period Begin Balance
it. Period Begin Balance
$
RECEIVE -T,.
$
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. 1 further certify that this
report is complete, true and correct and that I have been trained by the NC State Board of Elections.
t16 1 is Oulens lx'In k LP I 0. PJ S- Y202Z
Printed Name of Sicncr Si nature of A p pointed asurer Date
FOR OFFICE USE ONLY
Delivery Method
Date Received: S Employee: ❑ Normal Mail
Date Postmarked: Employee: Registered Mail
Hand Delivered
/
Date Scanned: ld� Employee: Electronically Filed
Date Data Entered: Employee: ❑ Signer has not received
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 -21 p0A-E) to make committee changes.
CRO -1000 NC State Board of Elections August 2008
Detailed Summary p Y� °`KI No
Use this form to summarize all disclosure renortino forms and to total mnnerary infnrmarinn
1. Committee Full Name (and Fund if applicable)
tF to Eled (Ia tic -f�-Cler
2. Type of Report
Or os (iaatlo G -I
3. ID Number
U 3N1 a 16
Stent of Election Cycle: January 1, �O19
Total this
Re Period
Total this
Election Cycle
4) Cash on Hand at Start
$
$
RECEIPTS
5) Aggregated Contributions from Individuals
6) Contributions from Individuals
'I) Contributions from Political Party Committees
8) Contributions from Other Political Committees
9) Loan Proceeds
0) Refunds/Reimbursements to the Committee
1) Other Receipt Sources
lla) Interest on Bank Accounts
llb) Contributions from Not -For -Profit Organizations
Ile) Outside Sources of Income
lld) Legal Expense Fund - Other Sources
Ile) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1210)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CRO -1240)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1270)
(CRO -1265)
$
$
$ 4 331. 8o
$
5 8 0 , bo
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
12) TOTAL RECEIPTS (Add fines 5,6,7,8,9,10,11 aj lb,l Ic,l Id and I le)
$
So
$
a
EXPENDITURES
13) Disbursements
13a) Operating Expenditures (CRo C p
13b) Contributions to Candidates(Political Committees (cxo-131o)
13c) Coordinated Party Expenditures (CRO -131
14) Aggregated Non -Media Expenditures (CRO-
15) Loan Repayments (CRO -I420)
16) Refunds/Reimbursements from the Committee (CRO -1320)
17) In -Kind Contributions (CRO -1510)
ID7-j77$
$
$
$ 2191.80
$
4 so
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)
$
� ^
1 q 1. 80
$
45&5, 60
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18
$
( 306 , 00
$
1.3 Q .O
DITIONAL INFORMATION
0) Non -Monetary Gifts Given to Other Committees
1) Outstanding Loans (incl. ones from other campaigns)
2) Debts and Obligations owed by the Committee
23) Debts and Obligations owed to the Committee
24) Account Transfers Within the Committee
5) Administrative Support
26) Forgiven Loans
7) 48 -Hour Notice Reports Sum
Contributions to be Refunded
(CRO -1330)
(CRO -1430)
(CRO -1610)
(CRO -1620)
(CRO -1720)
(CRO -1710)
(CRo-1440)
(CRO -2220)
(CN&1215)
$
$
$
$
$
$ $
$ $
$ $
$ $
CRO -1100 NC State Board of Elections August 2009
Amendment
Contributions from Individuals Pg —L of 3 ❑ Yes 1l No
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
1. Committee Fm0 Nano and Fund V applicable)
Ifitee 1, DILL `muck e c is fcr C le r
L ID Number
ql�
3. Contributor Information Ll Add Lj Remove
. Full Name. Mailing Address & Phone
(include city, state, & zip)
-
hQf les (ahack uck Toy U e)
qZe d o m erdn eourt
lylonfee, NO- x3112
b. Joh Title/Profession
)\sst. Clerk oiecurt
d. Comments
-
a Employer's NamdSpecillc Field
ale r k u 1 `i)u'F -t
Ur\i Ors COL4.yX+y
e_ Election Scut to Date
$ _
. Pilar
g. Account Code
b. Form of Payment
1. In -Kind Description
J• Date (mmllddtyyyy)
1k.Awount
❑
500 r.,a t
POIltiea.l SI
123-03-162
$611(350o
❑
Cam a: n St:aKtvs
02 1(0 202
$ fo6 •? 5
❑
Ca.. v\ t rd 5
0.2-Z3-AO72-
$ 4(0• q'7
3. Contributor Information Add Lj Remove
. Full Name, Mailing Address & Phone
(include sty, state, &sip)
Char 1e s (Chest k) Tea U c
°lag eot rn e r o r� Co tx r+
Monroe, A)L-aSllL
b. Job TiticTrofession
d. Comment,
A,56+• CIerK Asda rf
c Employer's NamdSpedflc Field
u„.on C eats
eget � O'l' CO Nr'�'
e. Election Sum m Uate
f. Prior
❑
g. Accomt Code
h. Form of Payment I. In -Kind Description
J. Date (mm/dd/yyyy)
03 -a3-2oz
k Amount
-
�a H.CarcQs E � .s. �s
❑
100
ect
63-1`-202-'L
S I HO, 00
❑
S
3. Contributor Information ❑ Add ❑ Remove
. Fall Name, hailing Address & Phone
(include city, state, & zip) _
Mal -k0. W0.11aG e—
15a1{ Fleic.hera$0o,t,eRd.
Mohrne, N t--
b. Job Tiae/Prefession
d. Comments
No -Sob
c. Employer's NameNpedfic Field
No+ 6-tvt0164C4
e.Election Rum to Date
$
r.Prior
g. Amount Code
h. Fount ofPaymenl
i. In -Kind Description
J. Date (mm/ddlyyyy)
It. Amount
$ 2Oo- 00
❑
oo
r✓tiec
03-12-ao2
❑
;w U 4 ' r
$
4. Total only this Page
$ 3031: $U
5. Total of ALL CRO -1210 Pages
(This fine must be on line 6 of Derailed Summary Page VRO-1100)
$ a J�
+ ✓ f �O
CRO -1210 NC State Bourd of Elections April 2007
Amendment
Contributions from Individuals Pg 1 of 3 ❑ Yea ® No
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
1. Commitim ISH Name (and Fund if applicable)
2. ID Number
&ry\cn-% j" rr— +o Elegy (t )wV, Tea u- -For Cler t 1
OTM 91 E--
3.Contributor Information ❑ Add ❑ Remove
. Full Name, Mailing Address & Place
b. Job Title/Profession
d. Comments
(Include city, date, &zip) -_
Sa l e s m ct n
Daoid Teague
y AI Art 6rose° ane
c. Employer's Name/Specific Field
7o ti Deer
Ekrtion Sum to nate
Y\ r o e N
'
.Prior
g. Ace000t Code
h. Form of Pgmst
L Iwllnd Deatrkdost
J. Date (mnJdd/yyyy)
w Amount
❑
to
Ci1ec
D3-13 -2oLZ
$ 200,00
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
Full Name, Mailing Addrem & Phone
b. Job Tine/Profession
d. Comments
porlade city, 111116e. A ZIP)
IUo fob fc�le
Bavyl Ely -tali
Name/Specific Field
lel Swallow�Foeil e,our%'
c Employer's
Employ
Li++le Rt�eY , SC ag5(aG
Nod eq
e. Election Sam to Daio
$
I.Prior
g. Account Code
h. Faro of Payment
L In -Bind Deevipaon
J. Date (mmldd/yyyy)
L A stunt
0-b-IF('2622
$ 1 OD.00
❑
1Oc)
Eite4ror.ic. Gee
❑
$
3. Contributor Information ❑ Add ❑ Remove
a. Full Nacre, Mailing Address & Phone
b. Job 75tle/Professioa
d. Comments
(intrude city, state, & zip)
Assts+an t C l e t- K
1'11
Dol l y Ra t Y i h �l o n
Employer's Name/Specific Fidel
P.o. 6oK IIS!
c.
�hgon Court+
e. Election Som to Date
Wades born G 0
,A)
Cler K o% CotAr1'
$
Prior
g. Aamtmt Code
Is. Format Paysent
L LnXlnd Dseriptim_
uwor!
1. Date (mMddlyyyy)
03 �aq a2 oz
k. Amount
$ I on ion
❑
1 0o
V,hec�
❑
MAX A 4 ?n27$
s
❑
_,
4. Total only this Page
$ f00 Oo
5. Total of ALL CRO -1210 Pages
Page CRO
p
(This Linc must be on fine 6 of Defafled Smammy -1100)
CRI) -1210 NC State Board of Elections Apn12007
Amendment
Contributions from Individuals Pg 3 of ❑ Yea ❑ No
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
1.Committx Full Name god Fund N ) _
06M al I -HCC 4011 d N1,C 7lQ ((G ur C fir' f k
2. IDNumber
3. Contributor Information Add ❑ Remove IMPER
. Fall Name, Mailing Address & Phone
(lochtde city, stabs & zip)
Mary H•Andrew
('72-1 old Pa9e.1 and MarshVI I1e-- Pel
MdrshvilleI NG 48103
b. Job TitlefProfemion
2-0 Oy C ler
d. Commmta
c.F.mployer'sNa°a ftedDcr —
Clerk of Bart
Election Sum toDat,
$
. Prior
❑
g. Account Code
iuo
h. Form of Payment
Ole C,
i. In -Kind Description
J. Dade (mmfddlyyyy)
3- I -Z2
i Amount
$ 46c" ()o
❑
s
❑
s
3. Contributor Information ❑ Add ❑ Remove
Fall Name, Mailing Address & Phone
city. Notes&aip)
If. Job Tide(Profmamn d. Comments
FinanetQ) /V10.najctncn+
A ai s's
Feopbyees Nomaspecific Fidel
Admintsteat/Va
office, ef- roart e. Hedim%=to Door
$
_(indole _
Tay me ginney
2 Sunrise Te(race,
61dckmdanl -afr)i ag'7
Prior
g. Aoomet Code
b. Form of Payment
check
LbKWd Donip0m
'. Date (miahl yyyy)
t Amomt
❑
►ao
4- ZZ
$ aa0,00
❑
$
❑
$
3. Contributor Information E3 Add ❑ Remove
. Full Name, Mailing Address & Phone
(biclude city, stale, & zip)
i
b. Job 71iWPtdasion
d. Comments
c. Employer's Name/Specific Field
e. Election Sum to Date
$
.Prior
g.Awomit Code
b.FormofPVA14WAl
pnoo
0 4 2022 —
Dole(mm/dd0m)
LAmount
s
❑
MAY
❑
s
❑
s
4. Total only this Page
s 00 • U(�
5. Total of ALL CRO -1210 Pages
(This Rae must be on line 6 of Demikd Summary Page CRO -1100)
$ A 3 r IC)
J
CRO -1210 NC SWIG EOUd of Elections April 2007
In -Kind Contributions
.Amendment
Pg of ❑ Yes
Use this forth to report non -monetary contributions, donations. goods or services provided to the committee or turd.
Use CRO -1215 if In -Kind Contributions were or will be refunded within 7 days.
13 No
1. Committee FLIT Name (and Ftmd if applicable) _
C OI rel WC, f v legit M t.lt, f; C lerk
2. ID Number
� JA G I(
3. Contributor Information Add Remove
• . Full Name, Mailing Address & Phone
(Include city, state, &zip)
8hiArleS (Chuck) realue.
429 &me-ron �/Garr
M o n �a e N C of 8 1 12,
I
b. Type of Contributor
C]India idual _
aF�date
E] PAC
❑ Referendum
❑ Other Receipt Source
c. Comments
-___—
d. Flection Sum to Date
$
C. Deselti"
f. Dale (m n/dd/yyyy)
g. Fair Market Amount
poli ieal Si s Soo -bta►
a3-63•av2)-
'a,135,60
PI If IC&I 0andidde- r:5
$ D,15
PQ 1l+i ai Calci' 16 Cards 3'1,x7`
dl -Z$ -a022
$ `i 0 q
3. Contributor Information 0 Add L1 Remove
. Full Name, Mailing Address & Phone
(include city, state, & zip)
Charles 0.%a9 ue
49p //
10 &fnera n d ozkr+
Mo n ro e , Nd Z&0112-
b. Type of Contributor
--_
lndividual
® Candidate
P
❑ an>,
❑ PAC
❑ Referendum
❑ Other Receipt Source
c. Comments
d. Election Sum to Date
$ —
. Description
f. Date (mm/dd/yyyy)
g. Fair Market Amount
I fi&tl Paj m da rd S£ ar L nb
3 -,?3-,M
$ 903.08
$
$
3. Contributor Information Add 0 Remove
. Full Name, Mailing Address & Phone
(include city, state, & zip)
UNIpN (UuU'4
CA%jPAIGN FINANCE
MAY 0 4 2022
b. Type of Contributor
Lj Individual
❑ Candidate
❑ Parry
❑ PAC
❑ Referendum
❑ Other Receipt Source
c. Comments
d. Election Sam to Date
$
. Description i
f. Date (mnddd/yyyy)
g. Fair Market Amount
S
S
S
4. Total only this Page
I.s 3 1 q I, go
5. Total of ALL CRO -1510 Pages
(Tbis line mus(be on tine 17 of Ddaded Summary Page CRO -1100)
$ I a 1 r
CRO -1510 N( Swte Beard of F.lectom, December 2007