Loading...
Wilson,Travis_2021-Year-endDisclosure Report Cover Amendment ❑ Yea ® 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. m Number Wilson for Commissioner 062321tw It. Mailing Address (include City, State and Zip Code) d. Date Filed 7925 Jaars Rd Waxhaw, NC 1/30/2021 a Phone Number 28173 980-313-0132 2. Report Year 3. Period Start Date (mm/dd/yy) mored od End Date 5. Treasurer Full Name 2021 07/01/2021 12/31/2021 Travis Wilson Chk One 6. T e of Committee ec 9. Type of Report check onlyone e o re ort rom one category) Candidate Campaign Party Municipal State/County Referendum ❑ PAC ❑ Referendum Organizational El Orgatumtional Organizational ❑ Independent ❑ Joint Fundraiser Expenditure ❑ Thirty-five day Quarterly ❑ Pre -referendum EjLegal Expense Fond ❑ ❑ Pre-primary Pre-election ❑ Fust ❑ Second ❑ Final ❑ Supplemental Final 7. Typeof Fund (f applicable, check one) "Booster Fund" ❑ Building Fund ❑ Pre-runoR ❑ Thud ❑ 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 a. Financial Institution Full Name a. Financial Institution Full Name First Citizens Bank b. Purpose c. Amount Code It. Purpose , Campaign 1 Operations J d. Period Begun Balance d. erl Begin Balance $ 40.00 E `,' L- L) R E$ 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 NSC State eBBoard �of Election Travis Wilson �,�t,n i� �jl_� 01/30/2022 Printed Name of Signer ignaturc of Appointed Treasurer Date FOR OFFICE USE ONLY Date Received: 3� �-- Employee:Dehve Method Normal Mail Date Postmarked: � Date Scanned: a fQ�� Employee: Employee: Registered Mail and Delivered E] Electronically Filed ❑ Signer has not received Date Data Entered: Employee: mandatory training Pleese 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. CRO -1000 NC State Board of Elections August 2008 Detailed Summary Use this form to summarize all disclosure renortine forms and to total monetary information Ameadmeat ❑ Yea M No 1. Committee Full Name and Fund if applicable) 2. 15me of Report 3. ID Number Wilson for Commissioner Year End Annual 062321tw Start of Election Cycle: January 1, 2o2z Total this Re rdn Period Total this Election Cycle 4 Cash on Hand at Start $ 40.00 $ 40.00 RECEIPTS 5) Aggregated Contributions from Individuals (CRO -1205) 6) Contributions from Individuals (CRO -1110) 7) Contributions from Political Party Committees (CRO -1210) 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 Ila) Interest on Bank Accounts (CRO -1150) I 1 b) Contributions from Not -for -Profit Organizations (CRO -12S0) Ile) Outside Sources of Income (CRO -1150) lid) Legal Expense Fund — Other Sources (CRO -1270) 11 e) Exempt Purchase Price Sales (CRO -1265) 12) TOTAL RECEIPTS (Add Imes 5.6, 7, 8, 9, 10. Ila, 11b, 11c, udand Ile) $ $ $ 582.00 $ 622.00 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 582.00 $ 622.00 EXPENDITURES 13) Disbursements 13s) 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 Pn In -Kind Contributions (CRO -1310) (CRO -1310) (CRO -1310) (CRO -1315) (CRO -1420) (CRO -1310) (CRO -1510) $ 321.77 $ al. $ $ $ $ $ $ $ $ $ $ $ 87.00 $ 87.00 18) TOTAL EXPENDITURES (Add lines 13a, 13b. 13c, 14. I5. 16 and 17) $ 408.77 $ ,r�(7, 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18) $ 218.23 $ 218.23 ADDITIONAL INFORMATION 20) Non -Monetary Gifts Given to Other Committees 21) Outstanding Loans (incl. ones from other campaigns) 22) Debts and Obligations owed By the Committee 23) Debts and Obligations owed To the Committee 24) Account Transfers Within the Committee 25) Administrative Support 26) Forgiven Loans 27) 48 -Hour Notice Reports Sum 28) Contributions to be Refunded (CRO -1330) (CRO -1430) (CRO -1610) (CRO -1610) (CRO -1720) (CRO -1710) (CRO -1440) (CRO -1210) (CRO -1215) $ $ $ $ $ $ $ $ $ $ $ $ $ CRO -1100 NC State Board of Elections August 2009 Contributions from Individuals Pg I of 3 Amendment ❑ 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. ID Number Wilson for Commissioner 062321TW 3. Contributor Information L1 Add L1 Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title(Profesaion d. Comments Retired John Blair 5308 Camilla Ln Waxhaw, NC 28173 704-953-7787 c. Employer's Name/Specific Field e. Election Sam to Date $ 50.00 f. Prior g. Account Code h. Form of Payment L lo-Kiod Description J. Date (mm/dd/yyyy) it. Amount ❑ I Electronic 11/16/2021 $ 50.00 ❑ $ ❑ $ 3. Contributor Information LJ Add LJ Remove a. Full Name, Mailing Address & Phone (include city, state, & rip) It. Job TitlelProfesaton d. Comments Homemaker Linda Jones 9425 Hampton Oaks Ln Charlotte, NC 28270 a Employer's Name/Specific Field a Election Sum to Date $ 100.00 L Prior g. Account Code h. Form of Payment L 1n -Kind Description J. Date (mm/dd/yy") h. Amount ❑ I Electronic 11/17/2021 $ 100.00 ❑ $ ❑ $ 3. Contributor Information LJ Add Lj Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profeasion d. Comments Business Owner Kyshia Lineberger 208 Gilead Rd Huntersville, NC 28078 c. Employer's Name/Specific Field Concord Children's Academy e. Election Sam to Date $ 100.00 f. Prior g. Account Code h. Form of Payment L to -Kind Description J. Date (mm/ddlyyyy) it. Amount ❑ 1 Electronic 11/17/2021 $ 100.00 ❑ $ ❑ $ 4. Total only this Page $ 250.00 5. Total of ALL CRO -1210 Pages $ 582.00 (This line must be on rine 6 of Derailed Summary Page CR0.1700J CRO -1210 NC Slate Board of Elections April 2007 Contributions from Individuals Pg i of 3 Amendment ❑ Yea ® 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. ID Number Wilson for Commissioner 062321TW 3. Contributor Information El Add Ll Remove a. Full Name, Mailing Address & Phone (include city, sate, & rip) b. Job Title/Profasion d. Comments Grocer Travis Wilson 7925 Jaars Rd Waxhaw, NC 28173 a Employer's NamdSpeciilc Field Food Lion e. Election Sum to Date $ 262.00 L Prior g. Account Code h. Form of Payment L la -Kind Description I. Date (mm/ddlyyyy) k. Amount ❑ Deposit 9/03/021 $ 60.00 ❑ $ ❑ $ 3. Contributor Information U Add U Remove a. Full Name, Mailing Address & Phone (include city, state, & rip) b. Job Titie7Profession d. Comments Grocer Payment made for filing Travis Wilson 7925 Jaars Rd Waxhaw, NC 28173 c. Employees Name/Specific Field Food Lion e. Election Sum to Date $ 262.00 L Prior g. Account Code h. Form of Payment L In -Kind Description J. Date (mm/ddlyyyy) k. Amount ❑ Debit Filing Fee 12/06/2021 $ 87.00 ❑ $ 3. Contributor Information Add Remove a. Full Name, Mailing Address & Phone (include city, sate, & rip) b. Job Title(Profession d. Comments c. Employer's Name/Specific Field a Election Sum to Date f. Prior g. Account Code h. Form of Payment L Io-Kiod Description J. Date (mm/ddlyyyy) k. Amount ❑ $ 4. Total only this Page $ 147.00 5. Total of ALL CRO -1210 Pages $ 582.00 (This line must be on Rne 6 of Demiled Sammory Page CR0.1100) CRO -1110 NC State Board of Elections April 2007 Contributions from Individuals Pg 2 of 3 Amendment ❑ 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. ID Number Wilson for Commissioner 062321TW 3. Contributor Information LJ Add LJ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Web Designer Anthony DiPaola 2012 Galena Chase Dr. Indian Trail, NC 28079 c. Employer's Name/Specific Fleld Charlotte Interactive e. Election Sum to Date $ 10.00 E Prior g. Account Code h. Form of Payment L In -Kind Description J. Date (mm/ddlyyyy) k. Amount ❑ 1 Electronic 11/19/2021 $ 10.00 ❑ $ 3. Contributor Information TI Add Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Tine/Profesdou d. Comments Information Technology Instructor Josh Andrews 202 Morgan Cove Rd Candler, NC 28715 c. Employer's Name/Specific Field Haywood Community College e. Election Sum to Date $ 100.00 L Prior g. Account Code h. Form of Payment L In -Kind Description J. Date (mm/ddlyyyy) k. Amount ❑ 1 Electronic 12/06/2021 $ 100.00 ❑ $ ❑ $ 3. Contributor Information LJ Add LJ Remove a. Full Name, Mailing Address & Phone (include city, state, & rip) b. Job Title/Profession d. Comments Grocer Travis Wilson 7925 Jaars Rd Waxhaw, NC 28173 c. Employer's NamdSpecif c Field Food Lion e. Election Sum to Date $ 262.00 f. Prior g. Account Code b. Form of Payment L In -Kind Description J. Date (mm /ddlyyyy) it. Amount 1 Deposit 12/06/2021 $ 75.00 ❑ g 4. Total only this Page $ 185.00 5. Total of ALL CRO -1210 Pages $ 582.00 (This line must be on line 6 ofDemifed Summary Page CRO -1100) CRO -1210 NC State Board of Elections April 2007 In -Kind Contributions Pg of I Amendment ❑ Yea ® No Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund. Use URU-121) it m-&md Uontnbutlons were or will De retuned Wtmm / clays. 1. Committee Full Name and Fund if applicable) 2. ID Number Wilson for Commissioner 062321TW 3. Contributor Information U Add 1 11 move a. Full Name, Mailing Address & Phone (include city, state, & rip) b. Type of Contributor c. Comments DQ ❑ ❑ ❑ ❑ ❑ Individual Candidate Party PAC Referendum Other Receipt Source Filing fee paid as in kind contribution Travis Wilson 7925 Jaars Rd Waxhaw, NC 28173 d. Election Sum to Date $ 262.00 e. Description L Date (mm/dd/yyyy) g. Fair Market Amount Filing fee paid from personal account as in-kind 12/06/2021 $ 87.00 $ 3. Contributor Information Ll Add LL11 move a. Full Name, Mailing Address & Phone (include city, state, & rip) b. Type of Contributor c. Comments ❑ ❑ ❑ ❑ ❑ Individual Candidate Party PAC Refercndum Other Receipt Some d. Election Sum to Date $ e. Description E Date (mm/dd/yyyy) g. Fav Market Amount $ $ 3. Contributor Information Lj Add I III emove a. Full Name, Mailing Address & Phone (Include city, state, & sip) b. Type of Contributor c. Comments Lj ❑ ❑ ❑ ❑ ❑ Individual Candidate Party PAC Referendum Othcr Receipt Source d. Election Sum to Date $ e. Description L Date (mm/dd/yyyy) g. Fav Market Amount $ 15. Total of ALL CRO -1510 Pages I (This fine meet be on fine 17 of Detailed Summary Page CRO -1100) $ 87.00 ;RO-1510 NC State Board of Elections December 20( Disbursements Ps Of Amendment ❑ Yes ® No Use this form to report expenditures from the committee for, operating expenses, contributions to candidate/political committees and coordinated Darty exnenditures. 1. Committee Full Name and Fund if applicable) 2. ID Number Wilson for Commissioner I 062321TW o rseanent. 3. T e of Disbursement Please use separate CRO -1310 forms or each Dubu Operating Expenses Contributions to Candidates/Political Committees Coordinated Patty Expenditures 4. Payee Information Add Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments First Citizen Bank 111 E Jefferson St Monroe, NC 28112 1 (888) 3234732 28112 e. Level Registered (Specify) Federal County: State Municipality: a Election Som to Date $ 25.00 f. Account Code g. Farm of Payment h. Purpose Code L Date (mm/dd/yyyy) J. Amount k. Required Remarks I Electronic O 08/31/2021 $25.00 Recurring $5 Service fee I to 12/31/21 $ 4. Payee Information Add Lj Remove a. Fall Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments SG Hosting Inc 901 N. Pitt St, Suite 325 Alexandria, 22314 VA 1-800-828-9231 c. level Registered (Specify) Lj Federal 0 Comity: State Municipality: a Election Sum to Date $ 65.87 L Account Code g. Form of Payment h. Purpose Code L Date (mmlddlyyyy) J. Amount k. Required Remarks A $65.87 Web Hosting Payment 4. Payee Information I Add Remove a. Full Name, Mulling Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments Anedot 5555 HILTON AVE SUITE 106 BATON ROUGE LA 70808 225-250-1301 a Level Registered (Specify) Lj Federal M County: El State 0 Municipality: e. Election Sum to Date $ 15.90 L Account Code g. Form of Payment h. Purpose Cade i. Date (mmlddlyyyy) J. Amount k. Required Remarks 1 Electronic C 11/18/2021 $2.30 DonationProcessing Fee 1 Electronic C 11/22/2021 $8.60 DonationProcessing Fee 5. Total only this Pae $ 106.77 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summary Page CRO -1100 ifOperasing Expenses) (This line goes in line 13b ofDemiled Summary Page CRO -1100 if Contrib to Candidates/Pohrical Comm) $ 321.77 (This lfnegoes in hne 13c of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures) 7. Purpose Codes List detailed expenditure code in h. above A* - Media B* - Printing C* - Fundraising D - To Another Candidate E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* - Other * Codes require detailed explanation in required remarks field k CRO -1310 NC State Board of Elections December 2009 Disbursements Pg of Amendment ❑ Yes ® No Use this form to report expenditures from the committee for, operating expenses, contributions to candidate/political committees and coordinated party expenditures. 1. Committee Full Name and Fund if applicable) —21D Number Wilson for Commissioner 062321TW 3. T e of Disbursement Please use separate CRD -1310 forms or each of Disbursement Operating Expenses Contributions to Candidates/Political Committees Coordinated Party Expenditures 4. Payee Information Lj Add M Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments Anedot 5555 HILTON AVE SUITE 106 BATON ROUGE LA 70808 225-250-1301 c. Level Registered (Specify) Lj Federa County: State Municipality: e. Election Sum to Date $ 5.00 E Account Code g. Form of Payment h. Purpose Code L Date (mm/ddlyyyy) j. Amount it. Required Remarks I Electronic C 11/23/2021 $0.70 Donation Processing Fee I Electronic C 12/08/2021 $4.30 DonationProcessing Fee 4. Payee Information Add Lj Remove a. Full Name, Mailing Address & Phone (include city, state,& zip) b. Coordinated Committee Name d. Comments WIXE Radio 1700 Buena Vsta Road Monroe, NC 28112 (704) 289-2525 c. Level Registered (Specify) Lj Fedeml M County: State El Municipality: e. Election Sum to Date $ 210.00 f. Account Code I g. Form of Payment It. Purpose Code L Date (mmlddlyyyy) J. Amount it. Required Remarks I Debit A 12/06/2021 $210.00 Radio Ads $ 4. Payee Information Add Lj Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments c. Level Registered (Specify) Lj Federal Comty: State Municipality: e. Election Sum to Date $ L Account Code g. Form of Payment h. Purpose Code i. Date (mm/ddlyyyy) J. Amount it. Required Remarks 5. Total only this Pae $ 215.00 6. Total of ALL CRO -1310 Pages (This fine goes in line 13a of DendledSummwy Page CRO -1100 if Operating Expenses) (This line goes in line 13b of DeraikdSummmy Page CRO -1100 if Conlrib to Candidmes/PoWcal Comm) $ 321.77 (This fine goes in line 13c of DeaRed Summary Page CRO -1100 ifCmrdinmed Party Expenditures) 7. Purpose Codes List detailed expenditure code in above A* - Media B* - Printing C* - Fundraising D - To Another Candidate E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* - Other * Codes require detailed explanation in required remarks field k CRO -1310 NC State Board of Elections December 2009