Thompson,Julie_2021-PreElectionReportAmendment
ISfsclosure Report Cover ❑ ves ® 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 InformationFno
D
a. Full Name
c. ID Number
Julie Thompson For City Council
21
b. Mailing Address (Include City, State and Zip Code)
ti o n s
d. Date Filed
3503 Romeny Dr.
10252021
Monroe, NC, 28110
t. Plane Nuber
(980)-328-0263
2. Report Year
3. Period Start Date (mm/dd/yy)
. Period End Date
5. Treasurer Full Name
David Jon Beckwith
2021
09/232021
10/18/2021
6 of Committee Check One)
9. Type of Report check only one type of r
onr one cote
® Candidate Campaign ❑ Party
Municipal
State/Comity
Referendum
❑ PAC ❑ Referendum
❑ organizational
❑ Organ monal
❑ Organizational
Independent❑ Joint Fundraiser
F1 Expenditure
❑ Thirty-five day
Qumlerly
❑ Pre -referendum
Legal Expense Fund
❑ Pre-primary
® Pre-clectim
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7. Tjqpe of Fuad (fapp4wbk. check ore)
❑ "Booster 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
11. Account Information
11. Account Information
a. Financial Institution Full Name
a. Financial Institution Fall Name
Fifth Third Bank
It. Purpose
c. Account Code
b. Parpose
_
c. Ateauet Code
Campaign
001
Account
it. Period Begin Ralaare
it. Period Begin Balance
S 473.95
S
CERTIFICATION
1 certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B, & 2213-22M 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 o�and that 1 have b trained by the NC State Board of Elections.
7 - LIGG�.. iZ
-skw,t.i/� I N
6e2 `
Printed Name ofSigrer
Signatur Ppoinled Treasurer
kate
FOR OFFICE USE ONLY
Delivery Method
Date Received: a a
Employee:
❑ Normal Mail
Registered Mail
Date Postmarked:
Employee:
Hand Delivered
Date Scanned:
Employee:
Electronically FiledSigner
❑ has not received
mandatory training
Date Data Entered:
Employee:
Please Note: This fort 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.
v
OCT 2 5 2021 Amendment
Detailed Summary El1'es ® No
Use this forth to summarize all disclosure reporting forms and t t6WiCm@ u IsU
1. Committee Fob Name and Fund if applicable)
2
of Re
3. ID Number
Julie Thompson For City Council
Pre -Election Report
Start of Election Cycle: January 1,
Total this
Reporting Period
Total this
Election C de
4) Cash on Hand at Start
RECEIPTS
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
l lb) Contributions from Not -for -Profit Organizations
11c) Outside Sources of Income
lld) Legal Expense Fund—Other Sources
11 e) Exempt Purchase Price Sales
(CRO.1205)
(Oto -1210)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CRO -1240)
(CRO.1150)
(CRO -1250)
(CRO -1250)
(CRO -1270)
(CRO -1265)
$
$
473.95
$
$
2,560.00
$ 1,420.00 $
2,560.00
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
12)
13)
14)
15)
16)
17)
TOTAL RECEIPTS (Add toes 5.6. 7.8.9, 10, 11a. 11b, 11c, lldad lie)
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 -1310)
In -Kind Contributions (CRO -1510)
$
1,420.00
$
2,560.00
$ 925.79 $
1,591.84
$ $
$ $
$ $
$ $
$ $
$ $
18)
TOTAL EXPENDITURES (Add lines 13a, 13b, 13e, 14.15,16 ad 17)
$
925.79
$
1,591.84
19) Cash on Hand at End (.-Idd lim-s f and 12 logedw, 16en subtract lore 18)
ADDITIONALRMATIO
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 (CRO1710)
26) Forgiven Loans (CRO -1440)
27) 48 -Hour Notice Reports Sum (CRO -2220)
28) Contributions to be Refunded (CRO -1215) I
$
$
%8.16
$
$
$
$
$
$ $
$ $
LS $
$ $
!'R4L I lobi TIC Ctatr R..d of Flef1v,nc Aomoo ?MR
Iv sv
OCT 2 5 2021
Amendment
Contributions from Individuals Union Co. Electi(r®s � ar a ❑ Yea ❑ No
Use this form to report individual contributions ove313 or contributions un er $50 if form CRO 1205 is not used
1. Committee Fall Name (and Fuad if ap licable)
2. m Nam her
Julie Thompson For City Council
3. Contributor Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state. & zip)
b. Job Titleli'mi5mion
d. Comments
Finance Director
Misty Antman
1217 Inrongate Dr.
Monroe, N.C, 28110
(704)-776-8218
e, Employers NametSpeciae Field
Shining Light Baptist Academy
e. Election Som to Date
$ 100.00
E Prior
g. Account Code
i Form of Payment
L la -Kind Description
j. Date (mm/ddlyyyy)
h. Amount
❑
ool
Cash
923/2021
$ 100.00
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & tip)
It. Job Tide/Prcfescion
d. Comments
CEO
Jamie Horn
6410 Unionville -Brief Rd.
Monroe, N.C., 28110
(704}296-5531
e, Employers Name/Specific Field
James Michael and Company
e. Election Sam to Date
$ 100.00
E Prior
g. Account Code
Il. Form of Payment
i. In -Kind Description
j. Date (mm/dd/yyyy)
It. Amount
❑
001
Cash
9/23/2021
$ 100.00
❑
$
3. Contributor Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, stale, & tip)
b. Job TitictPmflession
d. Comments
Nurse
Hiram Boland
1060 Streamlet Way
Monroe, N.C., 28110
(980)-253-3611
e, Employers Name/Speeifie Field
Atrium Health
e. Election sum to Date
$ 70.00
L Prior
g. Account Code
K Form of Payment
i. In -Kind Description
J. Date (mm/dd/yyyy)
L Amount
❑
001
Check
9232021
$ 50.00
❑
001
Cash
10/122021
$ 20.00
❑
$
4. Total
only this Page
$ 270.00
5. Total of ALL CRO -1210 Pages
(This Gne must be on line 6 of Detailed Summary Page CRO -1100)
$ 1,420.00
CRO -1210 NC State Board of Elections April 2007
OCT 2 5 2021 Amendment
Contributions from Individuals Pg z or 4 ❑ vet ❑ No
Use this form to report individual contributions o "trWftRid0 $50 if form CRO 1205 is not used
1. Committee Fall Name and Fund if a ble
2. ID Number
Julie Thompson For City Council
3. Contributor Information ❑ Add ❑ Remove
a. Full Name. Mailing Address & Phone
(include city, state. & rip)
b. Job Tiae/Profirmioo
d. Comments
Qualm' Auditor
Retired
Wayne Thompson
3503 Romany Dr.
Monroe, N.C., 28110
(980)-229-5293
a Employer's NamelSpeefac Feld
ATI Allvac
e. Ekctioo Sam to Date
$ 200.00
L Prior
g. Account Code
h. Form of Payment
L Io -Kind Deseriptiam
j. Date (mm/dd/yyyy)
L Amount
❑
001
Check
923/2021
$ 200.00
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
a. Full Name. Mailing Address & Phone
(include city, able, & rip)
b. Job I itlNProfessiou
d. Comments
Best effort/ Couldl get info
Kerry Pierce
2015 Camden Rd.
Wingate, N.C., 28174
(704)-624-6428
c. Employer's Name/Spedfic Field
Best effort/ Could4 get info
e. Election Sam to Date
$ 100.00
L Prior
g. Aecount Code
b. Form of Payment
L Io -Kind Description
j. Date (mm/dd/yyyy)
b. Amount
❑
0ol
Check
9282021
$ 100.00
❑
$
❑
$
3. Contributor Information p Add ❑ Remove
a. Full Name. !flailing lddrem & Phone
(include city, state, & zip)
It. Job TidelProfession
d. Comments
Office Secretary
Leone Henn
3114 Woodlands Creek Dr.
Monroe, N.C., 28110
(443)-462-7403
e. Employers wmdspeelge Field
Shining Light Baptist Academy
e. Election Sum to Date
$ 200.00
L Prior
g. Aeemmf Cade
i Form of Payment
L Io-Kiad Description
j. Date (mm/tift y)
h. Amount
❑
001
Cash
9242021
$ 200.00
❑
$
❑
$
4. Total only this Page
$ 500.00
5. Total of ALL CRO -1210 Pages
(77th Ane mast be" fine 6 ojDe dfe(Smammy Page CRO -1100)
$ 1,420.00
CRO -1110 NC State Board of Elections April 2007
G3�C�CC`:?❑D
OCT 2 5 2021 Amendment
Contributions from Individua s Pg 3 of e ❑ Yes ❑ No
Use this form to report individual contribute i" under $50 if form CRO 1205 is not used
1. Committee Ftill Name and Find if applicable)
2. to Number
Julie Thompson For City Council
3. Contributor Information ❑ Add ❑ Remove
a. Fall Nameq Mailiug Address & Phone
(include city, statq & ap)
b. Job rrtlefi'mi cion
d. Comments
Pastor
Tim Cruse
2322 GoldMine Rd.
Monroe, N.C., 28110
(704)-309-3333
c. Employers Name/Specific Field
Shining Light Baptist Church
c. Election Sam to Date
$ 100.00
E Prior
g. Attoaat Cade
It. Form of Payment
i la-Kied Description
J. Date (mm/ddyyyy)
L Amount
❑
001
Cash
9/24/2021
$ 100.00
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & nip)
b. Job,11tle/Profesawn
d. Comments
Minister
Caleb Cruse
4221 Philadelphia St.
Raleigh, N.C., 27606
(704)-68911384
a Employers Name/Specific Field
The Shepherd's Church
e. Dection Sam to Date
$ 100.00
E Prior
g. Account Code
h. Form of Payment
i. Io -Kind Description
j. Date (mm/ddlyyyy)
K Amount
❑
001
Check
10/421
$ 100.00
❑
$
3. Contributor Information ❑ Add ❑ Remove
a. Full Name. Mailing .Address & Phone
(include city, stoic, & rip)
b. Job Tide/Proirmion
d. Comments
Walmart Regional Manager
Retired
Jack Blackmon
5308 Ravenglass Cf.
Waxhaw, N.C., 28173
(252)-671-1999
c. Employer's Name/Specific Field
Walmart
e. Election Sam to Date
$ 100.00
E Prior
g. Account Code
L Form of Payment
i. la -Kind Description
j. Date (mm/dd/yyyy)
It. Amount
❑
001
Check
10/122021
$ 100.00
❑
$
❑
$
4. Total only this Page $ 300.00
5. Total of ALL CRO -1210 Pages
$ 1,420.00
(Tkb Gore NOW beon line 6 of Deouled Sun nPage CRO -1100)
CRO -1210 NC State Board of Elections April 2007
LQRCfr
OCT 2 5 2021 1 Amendment
Contributions from Individuals a of 4 ❑ Its ❑ No
Use this form to report individual contributions o tfibfArw $50 if form CRO 1205 is not used
1. Committee Fb0 Name and Fund K a livable)
2 m Number
Julie Thompson For City Council
3. Contributor Information ❑ Add ❑ Remove
a. Full Name. Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profemion
d. Comments
Teacher Assistant
Leah Helms
820 Baucom Rd.
Monroe, N.C., 28110
(704)-280-6%8
c Employer's Name/Specific Field
Shining Light Baptist Academy
e. Election Sam to Date
$ 100.00
L Prior
g. Ateomt Code
It. Form of Payment
L IwKud Description
I. Date (mm/dd/yyyy)
6. Amount
❑
001
Cash
10/12/2021
$ 100.00
❑
$
3. Contributor Informatjou ❑ Add ❑ Remove
a. Full Name. Mailing .Address & Phone
(include city, suit, & zip)
b. Job Title/Profemma
d. Commend
Soltioning Manager
Carl Kelley
2614 Faircro8 Way
Monroe, N.C., 28110
(704)-221-2313
e. Employer's Name/Specific Field
Maag Reduction Inc.
e. Ueetiou Sam to Date
$ 200.00
L Prior
g. Account Code
It. Form of Payment
L lwlGnd Description
j. Date (mmlddlyyyy)
h. Amount
❑
001
Check
10/13/2021
$ 200.00
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state. & zip)
b. Job Title/Professioo
d. Comments
Best effort/ Could't get info
David Deese
216 Deese Rd.
Monroe, N.C., 28110
(954)-673-1870
a Employer's Name/Speei&e Fiiadd
Best effort/ Could't get info
t. Elation Sum to Date
$ 50.00
L Prior
g. Acconnt Code
h. Form of Payment
L In -Kind Description
I. Date (mmdid/yyyy)
b. Amount
❑
001
Cash
10/16/2021
$ 50.00
❑
$
4. Total only this Page $ 350.00
5. Total of ALL CRO -1210 Pages
$ 1,420.00
(7kis Ase amm been Arte 6 of Demkd Summary Page CRO -1100)
CRO -1210 NC State Board of Elections April 2007
��� Amendment
Disbursements °
Pg I of I Elv"® Na
Use this form to report expenditures from the mmilWfog t�t'g ex ses, contributions to candidate/political
committees and coordinated ex nditnre.
1. Committee Fall Name and Fund if ap 2. ID Number
Julie Thompson For City Council "" — t
3. Type of Disbursement use separate CRO -1310 fomn for each type of Disbursement
® Operating Capenses ❑ Contributions to Candidates/Political Committees ❑ (wilinated Parry Expenditures
4. Payee Information Add Remove
A. Full Name, Mailing Address & Phone
include city, stat & a
b. Coordinated Committee Name
d. Comments
Right Course Consulting, LLC
8207 Lake Providence Dr.
Weddington, NC, 28104
e. Led Registered (Specify)
❑ Federal ❑ county:
❑ state Municipality:
e. Election Sm to Date
S 1,542.46
E Account Code
g. Form of Payment
It. Purpose Code
i, Date (mWddlyyyy)
j. Amman
L Regmed Remarks
001
Check
F*
923/2021
$911.40
Consulting Fee
Patin Cards
$
4. Payee Information Add El Remove
a. Full Name. Mailing Address & Phone
include city, state, & a
b. Coordinated Committee Name
d. Comments
Fifth Third Bank
2402 W. Roosevelt Blvd
Monroe, N.C., 28110
e. Level Registered (Specify)
❑ Federal ❑ County:
❑ state ® Mmcatwity:
e. Election Sam to Date
$ 48.99
E Accmnt Code
g. Form of Payment
L Pnrpaee Code
i. Date (mm/ddlyyyy)
j. Amour
L Required Remarks
001
Electronic
K•
10/132021
$14.00
Service Charge
$
4. Payee Information Acid Remove
a. Full Name, Mailing Address & Phone
include city, state, & zip)
b. Coordinated Committee Name
d. Comments
Facebook
I Hacker Way, Menlo Park
CA 94025
a Leal Registered (Specify)
❑ Federal ❑ County:
El State ® Municipality:
e. neetiun Sam to Date
S .39
E Aecomi t Code
& Form of Payment
L Purpaae Code
L Date (mm/ddlyyyy)
j. Amount
L Required Remarks
001
Electronic
A*
10/182021
$.39
Facebook Ad
5. Total only this Pa
$ 925.79
6. Total of ALL CRO -1310 Pages
(This line goes in line l3a of Detailed Summan Page CRO -1100 if Operating F_rpemes)
(Thu line goes in line 13b of Derailed Sumnany Page CRO -1100 if Cnmtib a CandidmeVPalWcaf Co mr)
(This line goes in line 13c of Derailed Summiuy Page CRO -1100 if Coordinated Pany Expenditures)
$ 925.79
7. Purpose Codes(List detailed expendiatire code in above
A* - Media B* - Printing C* - Fundraising D - To Another Candidate
E - Salaries F* - Equipment C - Political Part% H* - Holding Public Office Expenses
I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund
O* - Other
* Carl" rennin defn ilwl arnlansfinn in rmnirnd romaw&* RmIA t4\