Williams,David_2022-MidyearAmendment
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. IB Number
Elect David Williams
MJMVR6
b. Mailing .Address (include City, State and Zip Code)
it. Bale Filed
P.O. Box 2276
07/28/2022
Indian Trail, NC 28079
e. Phone Number
980-328-4408
2. Report Year
3. Period Start Date (mm/dd/yy)
4. Period End Date
5. Treasurer Full
Name
(mm/ddhy)
David Williams
2022
01/01/20222
00 -1
6. Type of Committee Check One)
9. Type
of Report (check onl • one ! ' e o/'report -oin one cute gon)
® Candidate Campaign ❑ Pam
Municipal
State/Count)
Referendum
❑ PAC ❑ Referendum
❑
Organizational
❑ Organizational
❑ Organmitional
Independent ❑ Joint Fundraiser
❑ Expenditure
❑
Thirm-five day
Quarterly
❑ Pre -referendum
Legal Expense Fund
❑
❑
Pre-primary
Pre-election
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7. Type of Fund IlaVPhcable. <hecAonrl
❑ "Bx�sler Fund"
❑ Building Fund
❑
Pre -runoff
❑ Third
❑ Annual
Semi-annual
❑ Fourth
❑ Special
®
Mid Year
Seni-annual
❑ Other:
❑
Year End
❑ Mid Year
10. Special Report Name
❑
❑
Final
Special
❑ Year End
❑ Final
❑ Special
S. Number of Fundraisers this Report
None
11. Account Information
11. Account Information
a. Financial Institution Full Name
a. Financial Institution Full Name
Truist (f/k/a BB&T)
b. Purpose
c. Account Code
b. Purpose
c. Account Code
Campaign
donations an
Z
JUL 28 2022
d. Period Begin Balance
expenditures
d. Period Begin Balance
S 983.79
RECEIVED
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 St d of 61 c� ti_ ons.
^
David Williams
�p��-,,,,,�Ai:—
n z2
Printed Nana of Signer
Signature o Appointed Treamrer
Dale
FOR OFFICE USE ONLY
Delivery Method
Date Received:
Employee:
❑ Normal Mail
❑ Registered Mail
Date Postmarked:
Employee:
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.
rR/),I find Nr qtt, Rnnrd of Flrrtimw duoua INN
Amendment
Detailed Summary ❑ Nes ® No
Use this form to summarize all disclosure re ortin, forms and to total tnonetary information.
1. Committee Full Name (and Fund if a licable)
2. Type
of Report
3. ID Number
Elect David R`illiams
Mid -Year Semi-annual
MJMVR6
Start of Election Cycle: January 1, 2022
Total this
Renorting Period
Total this
Election CN Cie
4)
Cash on Hand at Start
$
983.79
$
983.79
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
1 l) Other Receipt Sources
Ila) Interest on Bank Accounts
Jib) Contributions from Not -for -Profit Organizations
tic) Outside Sources of Income
lid) Legal Expense Fund — Other Sources
11 e) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1210)
(CRO -1220)
(CRD -1230)
(CR04410)
(CRO -1240)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRD -1270)
(CRO -1265)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
12)
TOTAL RECEIPTS (.lddnnes s. a. 7 8. P. 10 na_ uh_ lie udand /lei
$
0.00
$
0.00
EXPENDITURES
13) Disbursements
13a) Operating Expenditures
13b) Contributions to Candidates/Political Committees
13c) Coordinated Party Expenditures
14) Aggregated Non -Media Expenditures
15) Loan Repayments
16) Refunds/Reimbursements From the Committee
17) In -Kind Contributions
(CRO -1310)
(CRO -1310)
(CRO -1310)
(CRO -1315)
(CRO -1420)
(CRO -1320)
(CRO -1510)
$
$
$
$
$
$
$
$
$
$
$
18)
TOTAL EXPENDITURES (Add lines 13a. 13b. 13c. 14. 15.16 and l7)
$
0.00
$
0.00
19)
Cash on Hand at End (.4dd lines 4 and l2 together, then subtract hne 181
$
983.79
$
983.79
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 Comunittee,-OUNTY (CRD -1610)
23) Debts and Obligations owed To the Committee q' FINANCECRO-1620)
24) Account Transfers Within the CommittefUL 2 8 2022 (CRO -17z0)
25) Administrative SupportRECEIVEC�R0-1710)
26) Forgiven Loans (CRO -1440)
27) 48 -Hour Notice Reports Sum (CRO -2220)
28) Contributions to be Refunded (CRO -1215)
$
$
$
$
$
$
$
$
$
$
$
$
$
CRO -1100 NC State Board of Elections Auenst 2(N)8