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Wilson,Travis_2022-1st-qtr-amendAmendment 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. nn not ruse this form to undate information 1. Committee Information a Fob Name a ID Number Wilson for Commissioner 062321TW Is. Mailing Address (indude City, State and Zip Code) d. Date Filled 7925 Jaars Rd 03/10/2022 Waxhaw, NC e. Phone Number 28173 980-313-0132 2. Report Year 3. Period Start Date (mm/dd/yy) mPeriod End Date 5. Treasurer Full Name 2022 04/30/2022 Travis Wilson 6. of Committee Check One 9. a of Report check onlyone e of report ons one tate o ® Candidate Campaign ❑ Party Municipal state/Connty Refereodom ❑ PAC ❑ Referendum ❑ Organvatioml ❑ Organizational ❑ Organizational Indepeadent ❑ Joins Fundraiser ❑ Expenditure ❑ Thirty-five day Quarterly I ❑ Pte -referendum Legal Expense Fund U Pre-primary ❑ Pre-election — First I ❑ Second U Final I ❑ Supplemental Final 7. Type of Fund (ifapplicable, clueck one) ❑ "Booster Fund" j u 3Suild�- rued i L( I7�rww:' Li 'f:,i:d ❑ Fourth ' U ❑ Special ISemi-annual El Mid Year Semi-annual 10. Special Report Name 1__J Other. U Year End 0 Mid Year j 1 ❑ Final ❑ Special ❑ Year End Lj Final ❑ Special S. Number of Fundraisers this Report 0 r 1LAccoant Information _ _ 11. Account Information a Ffnan 1.1 Institution Fun Name a. Financial Institution Full Name ^A First Citizens Bank b. Purpose_ 0-10813 'O�_U _ 11{# not Code Q Purpose c. Account Code Campaign Account 01 ZZOZ 41 AVW d. Period Begin Balance d. P rind Begin Balance $ 213.23 ICERTIFICATION T certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 2213, & 22D -22M of Chapter 163 of the h'C tier.ert S: totes and that no tunds are commingled with prohibited or other non -disclosed ltmds, i lurthcr cc.-tity that this rcpart is compl eqt ano thgn1I (have been trained by the NC Stai�Bnea ti � II 15 /l / 11.E o�� © (g Printed Name of Signer Signature of Appointed Treasurer _ Date FOR OFFICE USE ONLY Date Received: sl /(J /a.� �-`-i— E;n !.:�,._: Delivery Method p �• m Normal Mail Date Pnefmarlrarl:Frnrinyr"r: ����1 Date Scanned: ���- 1 f n❑ Registered Mail Band Delivered 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, j custodian of books nlfbrmaiiory of account inforumuua. IYou must amend the Statement of Organization (CRO-2100A-E)to make committee changes. i r"?"- I t)OO NC State Board of Elections Ausust 2008 Amendment Detailed Summary ® Yee F1 No Use this form to summarize all disclosure reoortina forms and to total monetary information. 1. Committee Full Name and Fund if applicable) 2. Type of Report 3. H) Number Wilson for Commissioner First Quarter 062321TW Start of Election Cycle: January 1, 2022 Total Re ortin PPee riod Total this Eketion Cycle 4) Cash on Hand at Start $ 213.23 $ 213.23 RECEIPTS 5) Aggregated Contributions from Individuals (CRO -1205) 6) Contributions from Individuals (CRO.1110) 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 I L� r NCR01240) 11) Other Receipt Sources Ila) Interest on Bank Accounts ` y 4(0-1150) Unio Ilb) Contributions from Not-for-ProfitOrgiQt�dof ffl&1250) tio Ile) Outside Sources of Income (CRO-i2c50) lld) Legal Expense Fund — Other Sources (CR01270) 11 e) Exempt Purchase Price Sales (CRO -1265) S $ $ 1500 $ 2122.00 S S $ $ $ $ $ $ $ $ S $ $ $ $ $ $ $ 12) TOTAL RECEIPTS (Add lines 5, 6. 7, 8, 9, 10, Ila Ilb, Ilc, lid and Ile) $ 1500 $ 2122.00 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 (CRO -1315) 15) Loan Repayments (CRO -1420) 16) Refunds/Reimbursements From the Committee (CRO -1320) 17) In -Kind Contributions (CRO -1510) S 1138.57 S 1460.34 S $ S $ $ $ S $ S $ S 200.00 $ 287.00 18) TOTAL EXPENDITURES (Add lines 13a /3b, 13rn 14,15. l6md 17) S 1338.57 $ 1747.34 19) Cash on Hand at End (Add lines 4 wal12 together. then snbo t fine 18) $ 374.66 $ 374.66 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 -1710) 25) Administrative Support (CRO -1710) 26) Forgiven Loans (CRO -1440) 27) 48 -Hour Notice Reports Sum (CRO -2210) 28) Contributions to be Refunded (CRO -1215) $ S $ S $ $ $ $ $ $ $ $ $ CRO.1100 NC State Board of Elections Aug= 2008 Amendment Disbursements Pg 21 of Q ® 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 Fab Name and Fund if applicable) 2. ID Number Wilson for Commissioner 1 062321 TW 3. of Disbursement Please use separwitile CRO -1310 forarts for each ave of Disbursement Operating Expenses Contributions to Candidates/Political Committees Coordinated Party Expenditures 4. Payee Information El Add El Remove s. Full Name, Mailing Address & Phone include city, state & zip) b. Coordinated Committee Name d. Comments Stamps US Postal Service 100 Waxhaw Pkwy Waxhaw, NC 28173 e. I. ei Registered (Specify) ❑ Federal ❑ County: El State ❑ Municipality: e. Election Sum to Date $ E Account Code g. Form of Payment Is. Purpose Code E Date (mm/dd/yyyy) j. Amount k. Required Remarks 01 Debit 1 03/142022 $600.00 01 Debit 1 04/04/2022 $100.00 4. Payee Information Add El Remove a. Full Name, Mailing Address & Phone include city, share, & zip) b. Coordinated Committee Name d. Comments Flyers V istaPrint I�` 100 Hayden Avenue Lexington, MA ,lel ? /•`.. VnioI7 Registerca (Specify) 'I --I Federal ❑ County: 11__I State Municipality: e. Election Sum to Date E Account Code g. Form of Pay at Is. Purpose Code L Date (mm/ddlyyyy) 1• Amount Is. Required Remarks 01 Debit R 02/18/2022 $154.04 01 Debit B 03/212022 $263.33 4. Payee Information Add Remove a. Full Name, Mailing Address & Phone include city, stage, & zip) b. Coordinated Committee Name d Comments Processing Fees Anedot 5555 Milton Ave Suite 106 Baton Rouge, LA 70808 a Level Registered (Specify) ❑ Federal ❑ County: ❑ state ❑ Municipality: e. Election Sum to Date $ L Account Code b Form of Payment L Purpose Code L Date (mm/ddlyyyy) } Amount k. Regalrcd Remarks 01 Electronic C 04/042022 $4.30 Donation Processing Fee _ 01 Electronic C 03/022022 $6.60 Donation Processing Fee 5. Total only this Pae $ 1128.27 6. Total of ALL CRO -1310 Pages (This llnegoes in line 13a of Derailed Sunumry Page CRO -//00 if Operating Expenses) $ 113$.57 (This Gne goes in line 13b of Detailed Summary Page CRO -1100 ifConnib to Candidates/Pofidcal Comm) (This Rne gots in line 13c of Derailed Summwy Page CRO-II00 ifCoordinated Parry Eapendimres) 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 Once Expenses I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* - Other a Codes require detailed explanation in required remarks field k. CRO -1310 NC State Boum of Elections December 2009 Amendment Disbursements Pg s2 of 92 ® Yes ❑ No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political committees and coordinated oarty expenditures. 1. Committee Full Name and Fund if applicable) 2. m Number Wilson for Commissioner 062321TW 3. Type of Disbursement lease use separate CRO -1310 formts for each type o Disbu emenL Operating Expenses Contributions to Candidetes/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information El Add Remove a. Full Name, Maaing Address & Phone include city, sp & zip) b. Coordinated Committee Name d. Comments Anedot 5555 Hilton Ave Suite 106 Baton Rouge, LA 70$0$ a level Registered (Specify) ❑ Federal ❑ county: ❑ State Municipality: e. Election Sum to Date E Acco tat Code I g. Form of Payment h. Purpose Code L Date (mm/dd/yyyy) j. Amount L Required Remarks 01 Eletronic C 03.02/2022 $10.30 Donation Processing Fee 4. Payee Information rl Add Remove a. Full Name, Mailing Address & Phone include city, sm & zip) A Coordinated Committee Name d. Comments CEj 111 �O (/n 2 '9�r'`7 e Level Registered (Specify) ❑ Federal ❑ Coudy: State Municipality: e. Election Sam to Date $ E Account Code g. Form of Payment h. Perp. Code L Date (mm/dd/yyyy) j. Amount k. Required Remarks $ $ 4. Payee Information Add Remove a. Full Name, Mailing Address & Phone include city, ata & a b. Coordinated Committee Name d. Comments c f.evel Registered (Specify) ❑ Federal ❑ County: State ❑ Municipality: e, Election Sam to Date $ E Account Code g. Form of Payment h. Purpose Code L Date (mm/dd/yyyy) j Amount L Required Remarks $ $ S. Total only this Pse $ 10.30 6. Total of ALL CRO -1310 Paces (This ane goes in Use 13a ofDelaaed Summary Page CRO -1100 4f Operating Frpen.ver) $ 113$.57 (This ane goes in Has 13b of Derailed Summary Page CRO -1100 ifCmrrrib m CandidatevPolideal Comm) (This ane goes in fine Mc of DeWed Summary Page CBO -7100 ifCoorWamed Parry Expenditures) 7. Pu 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 d - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* - Other a Codes require detailed explanation in required remarks field k CRaI310 NC Suite Board of Elections Decemher'np9