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Thompson,Julie_2021-Disclosure Report(Amendment Disclosure Report Cover j ❑ Yes ❑. No Use this form for general report and committee information, must be signed and submitted along with other detailed forms. Tao -f,- thio fnrm to nnAate infnrmatinn 1. Committee Information a. Full Name c. ID Number E� . Mailing Address (include City, State and Zip Code) d. Dale Filed 3So3 R.— 1 D, ..c 7 -Of Mp„,e, liC ZSItJ e. Phone Number 1)90�11-9 026 3 2. Report Year 3. Period Start Date (mm/ad/ 4. Period End Date (mmtddl ) 5. Treasurer Full Name zc,tl % 2 Z 7�g -Tell 6. a of Committee Check One) 9. Type of Report (check only one type of report from one category) Candidate Campaign ❑ Party ❑ PAC ❑ Referendum M icipal StatetCounty Referendum M Organizational ❑ Organizational ❑ Organizational ❑ Independent Expenditure ❑ Joint Fundraiser ❑ Legal Expense Fund ❑ Thirty-five day ❑ Pre-primary ❑ Pre-election ❑ Pre -runoff Semi-annual Quarterly ❑ First / ❑ Second ❑ Third ❑ Fourth ❑ Pre -referendum ❑ Final / ❑ Supplemental Final ❑ Annual ❑ Special 7. Type of Fund (if applicable, check one) ❑ Booster Fund ❑ Building Fund ❑ Mid Year Semi-annual ❑ Year End ❑ Mid Year 10. Special Report Name ❑ Other: ❑ Final ❑ Special ❑ Year End ❑ Final ❑ Special 8. Number of Fundraisers this Report V 11. Account Information 11. Account Information a. Financial Institution Full Name a. Financial Institution Full Name �,frk ­JJ".j 6-L b. Purpose c. Account Code b. Purpose c. Account Code ��J ^ d. Period Begin Balance d. Period Begin Balance $Q $ 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 NC State Board of Elections. Printed Name of Signer S' n re of Appointed Treasurer Date FOR OFFICE USE ONLY Q /(�� Date Received: 7 (� Employee:v` Delivery Method ❑ Normal Mail Date Postmarked: Employee: [3 Registered Mail ,Qq Hand Delivered Date Scanned: Employee: ❑ Electronically Filed E3 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 -2100A -E) to make commie UIN fY CRO -1000 NC State Board of Elections JUL 19 2021 august zoos RECEIVED Amendment Detailed Summary 'f ❑ Yes ❑ No Il d' 1 n forms and to total monetary information Use this form to summauze a tse osure repo t 1. Committee Full Name (and Fund if applicable) 2. Type of Report 3. ID Number ' Start of Election Cycle: January 1, t�.� o Total this Reporting Period Total this Election C cle 4) Cash on Hand at Start $ U $ RECEIPTS 5) Aggregated Contributions from Individuals (CRO -1205) 6) Contributions from Individuals (CRO -1210) 7) Contributions from Political Party Committees (CRO -1220) 8) Contributions from Other Political Committees (CRO -1230) 9) Loan Proceeds (CRO -1410) 10) Refunds/Reimbursements to the Committee (CRO -1240) 11) Other Receipt Sources lla) Interest on Bank Accounts (CRO -1250) llb) Contributions from Not -For -Profit Organizations (CRO -1250) Ile) Outside Sources of Income (CR04250) lld) Legal Expense Fund - Other Sources (CRO -1270) Ile) Exempt Purchase Price Sales (CRO -1265) $ $ $ 5 5 - b $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,1 la,l lb,l lc,l Id and Ile) $ 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 (CR04315) 15) Loan Repayments (CRO -1420) 16) Refunds/Reimbursements from the Committee (CRO -1320) 17) In -Kind Contributions (CRO -1510) $ $ $ $ $ $ $ $ $ $ $ $ $ S ., v $ 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 $ Sf,, „p $ ADDITIONAL INFORMATION 20) Non -Monetary Gifts Given to Other Committees (CRO -1330) 21) Outstanding Loans (incl, ones from other campaigns) (CRO -1430) 22) Debts and Obligations owed by the Committee (CRO -1610) 23) Debts and Obligations owed to the Committee (CRO -1620) 24) Account Transfers Within the Committee (CRO -1720) 25) Administrative Support (CRO -1710) 26) Forgiven Loans (CRO -1440) 27) 48 -Hour Notice Reports Sum (CRO -2220) $ $ $ $ $ $ $ $ U VN COUNIY $ $ 28) Contributions to be Refunded (CRO -1215) $ [t 19 20 n..,.,.... arms CRO -1100 ric Stine Bv.,d Vl GIGl:U V113 RECEIVE Amendment Contributions from Individuals Pg i of 1 ® Yes ❑ No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee Full Name (and Fund if applicable) 2.'IA'Number Julie Thompson For City Council 3. Contributor Information ® Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession it. Comments Secondary Teacher Julie Thompson 3503 Romany Drive, Monroe, N.C., 28110 (980)-328-0263 c. Employer's Name/Specific Field Shining Light Baptist Academy e. Election Sum to Date $ SS-ua E Prior g. Account Code h. Form of Payment 1. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ 001 cash j -L ti.t $ 50.00 ❑ $ 3. Contributor Information ❑ Add ❑ Remove 77 �11 a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession it. Comments c. Employer's Name/Specific Field e. Election Sum to Date $ E Prior g. Account Code h. Form of Payment E In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ $ ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments c. Employer's Name/Specific Field e. Election Sum to Date $ E Prior g. Account Code h. Form of Payment E In -Kind Description j. Date (mm/dd/yyyy) It. Amount ❑ $ ❑ $ ❑ $ A. Total only this Page $ 54 00 5. Total of ALL CRO -1210 Pages line must be on line 6 ofDetafled Summary Page CRO -1100) g A00(Thu CRO -1210 NC State Board of Elections April 2007 ........... Amendment In -Kind Contributions Pg i of i ® Yes ❑ No Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund. _1 ,.-- ,:ll 11. .uith in 7 dnvs UseCRU -12 I - ­v .••• ••�. •�• --------- - 1. Commitiee-Full Name (and Fund if applicable) L, D Number Julie Thompson For City Council 3. Contributor Information ❑ Add Remove a. Full Name, Mailing Address & Phone b. Type of Contributor (include city, state, & zip) ® Individual ❑ Candidate Julie Thompson ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source c. Comments d. Election Sum to Date $ e. Description L Date (mm/ddtyyyy) g. Fair Market Amount B�need 7/12/21 $ 5.00 $ $ 3. Contributor Information '. Add 11 Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Type of Contributor c. Comments ❑ Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source d. Election Sum to Date $ e. Description L Date (mm/ddlyyyy) g. Fair Market Amount $ $ $ 3. Contributor Information ❑ Add ❑ Remove' a. Full Name, Mailing Address & Phone b. Type of Contributor (include city, state, & zip) ❑ Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source c. Comments d. Election Sum to Date $ e. Description L Date (mm/dd6,yy) g. Fair Market Amount $ $ $ 4. Total only this Page $ 5.00 5. Total of ALL CR971510 Pages (This line mast be on line 17 oiDetai/ed Summary Page CR04100) $ 5.00 CRO -1510 NC State tsoara of