Wilson,Travis_2021-MidyearAm ailment
Disclosure Report Cover ❑ 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. Fall Name
r. ID Number
062321 TW
Wilson for Commissioner
b. Mailing Address (indade City, State sad Zip Code)
d. Date Fled
7925 Jaars Rd, Waxhaw, NC, 28173
07/22/2021
e. Phone Number
980-313-0132
2. Report Year
3. Period Start Dale (mm/dd/yy)
4. Period End Date
5. Treasurer Full Name
mm/dd
2021
01/01/2021
06/30/2021
Travis Wilson
6. Type of Committee Check One
9. Type
of Re rt check ontv
onme of re
m ane tate o
® Candidate Campaign ❑ Party
Municipal
Slate/County
Referendum
❑ PAC ❑ Referendum
❑
Organizational
❑ Organizational
❑ Organizational
Independent
❑ Expenditure EllJoin[ Fundraiser
❑
Frye de
Th'- Y
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑
❑
Pre-primary
Pre-election
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7. Type of Fund (iifapphicable, check one)
❑ "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
8. Number of Fundraisers this Report
0
11. Account Information
11. Account Information
i Financial Institution Full Name
a. Financial Institution Full Name
First Citizens Bank
b.Purpow
G Account Code
b. Purp6i "'
c. Account Code
01
AUG 1 9 2021
RECEIVED
d. Period Begin Balance
d. Period Begin Balance
$ 0
$
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.
Travis Wilson
_;. Tr ; , (—i 44," 07/24/2021
Printed Name of Signer
Signature of Appointed 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
❑
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 committee changes.
(. KU -1000 NC State Board of Elections August 2008
%mendment
Detailed Summary ❑ \es ® Nn
Use this form to summarize all disclosure reoortine fors and to total monetary information.
1. Committee Full Name and Fuad if a livable
2
of Report
3. ID Number
Wilson for Commissioner
Mid -Year
062321TW
Start of Election Cycle: January 1, 2022
Total this
Reporting Period
I otal this
Election Cycle
4) Cash on Hand at Start
RECEIPTS a
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
I 1 b) Contributions from Not -for -Profit Organizations
I lc) Outside Sources of Income
lid) Legal Expense Fund — Other Sources
11 e) Exempt Purchase Price Sales
(GRO-1205)
(CRO -1110)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CRO -1140)
(CRO -1250)
(CRO -1150)
(CRO -1250)
(CRO -1270)
(C1t04265)
$
0.00
S
0.00
$ 40.00 s
40.00
$ 40.00 $
40.00
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$
E
12)
TOTAL RECEIPTS (Add fines 5.6, 7.8, 9, 10, Ila, Iib, 11c, lidand Ile)
$
$
EXPENDITU
13)
14)
1$)
16)
17)
Disbursements
13a) Operating Expenditures
13b) Contributions to Candidates(Political Committees
13c) Coordinated Party Expenditures
Aggregated Non -Media Expenditures
Loan Repayments
Refunds/Reimbursements From the Committee
In -Kind Contributions
(CRO -1310)
(CRO -1310)
(CRO -1210)
(CRO -1315)
(CRO -1420)
(CRO -1320)
(CRO -1510)
$
0.00
$
0.00
$
S
$
$
$
$
$
$
$
$
$
$
18)
TOTAL EXPENDITURES (Add tinea 13a,13b,13c,14,15, 16 and 17)
$
$
19) Cash on Hand at End (Add hnes w and 12 together, then.rabnactlow 18)
ADDITIONAL INFORMATION
$
$
$
$
$
$
$
20)
21)
22)
23)
24)
25)
26)
217
28)
Non -Monetary Gifts Given to Other Committees
Outstanding Loans (incl. ones from other campaigns)
Debts and Obligations owed By the Committee
Debts and Obligations owed To the Committee
Account Transfers Within the Committee
Administrative Support
Forgiven Loans
48 -Hour Notice Reports Sam
Contributions to be Refunded
(CR41330)
(CRO -1430)
(CRO -1610)
(CRO -1620)
(CRO -1720)
(CRO.1710)
(CRO -1440)
(CRO -2220)
(CRO -1115)
$
$
$ $
$ $
$ $
CRO -1100 ',%N1PAIGN FINAPJW_State BoardofElections
AUG 19 2021
RECEIVED
RECEIVEtimt2008
AUS 18 2021
Union Cc Board of Elections
Amendment
Aggregated Contributions from Individuals Page 01 of of ❑ vee ® No
Optional form used to report NC Contributions From Individuals of $50 or less
1. Committee Fall Name and Fund if a ble
2. In Number
Wilson for Commissioner
0623211'W
3. Contributor Information
a. Amend
b. Account
Code
c. Form or Payment
d. In -Kind
Description
e. Date
mm/dd/
(Amount
Add
01
Cash
07/07/2021
$ 40.00
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44
$
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UNvl G F1n1PNGE
NlawG�1
$
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UG 19 2021
$
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�. �\JE
$
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❑ Add
$
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4. Total only this Page $ 40.00
5. Total of ALL CRO -1205 Pages
$ 40.00
(TM Une nvrrf be on fine S of Derated Summary Page CRO -1100)
CRO -1205 NC State Board of Elections April 2007