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Wilson,Travis_2022-1st-qtrAmendment Disclosure Report Cover I ❑ ver ® , 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 n. Full Name CID Number Wilson for Commissioner 062321TW k Malting address (include City. Slate and Zip Cade) d. hate Filed _ 7925 Jam Rd —----- ------------ – 03/10/2022 W axhaw, NC e. Pbae Number 28173 980-313-0132 2. Report Year3. Period Start hate (suddatyy) 4. Period End Date 5. Treasurer Fall Name mmtdd Travis Wilson 2022 04/30/2022 6. Type of Committee Check One 9. Type of Report check on one ore rt m one Cate ® Candidate Campaign ❑ Party Maskipal StetdCouaty Referendum ❑ PAC ❑ Referendum ❑ Organizational ❑ Organirational ❑ Organizational Independent❑ Joint Fundraiser El Expenditure Thi ❑ nl'"five day Quan E]erly Pre -referendum I Legal Expense Fund U Pre-primary ❑ PretleetionI F9 First ❑ Second U Final (❑ Supplemental Final 7. Type of Fund Rlappticabk• cMck one) ❑ 'Booster Fund• U LuJj...g: :. U n -,,., n L I :::::J U as a Semn-annual ❑ Fourth I ❑ Special ❑ Mid Year Semi-annual ❑ Outer. U Year End _ U Mid Year 1 10. Special Report Name ❑ Final ❑ special ❑ Year End U Final ❑ special 8. Number of Fundraisers this Report 0 11. Accoapt Information Il. Accoaat Information a. Fimneiul Institudim Fall Name IlF'uauciul Intlmdou Full Name First Citizens Bank I LPurpose SU01MI3 '03 UO Ufr nomn Code L Purpose e. Account Code Campaign Account Account 01 ZZDZ 0 T AVIN it. Period aegis Balance d. P Had Begin Balsam 5 213.23 CERTIFICATION T I certify that the Committee or Find k in compliance with all applicahle provisions of Article 22A, 22B, & 2213-22M of Chapter 163 of L':e ":t.:iene .' Sf :tutee:.:ar1 :ef no funds are commie led with pr:hibitt: or Wier nor.-dtscicr:d Stmt. i tttY`..r rTt.� that this report is comp ect an th j have been trained by the NCS / O �� I e) l �n © /� I l Printed Name of Signer Sigmemre of Appomted Treasurer Date FOR OFFICE USE ONLY Date Received: s a Employee: Delivery Method Normal Mail I (lata pnatmg,Ved: I❑'l ❑ Registered Mail Hand Delivered Date Ccanned- Employee: T� Electronically Filed ❑ Signer has not received mandatory training Date Data Entered: Emplovee: Please Note: This form cannot be used to amend committee information such as the committee address, treasurer, assistant treasurer, custodum of boui,> iniurriaiiun, or i a ottin utiorumitun. You must amend the Statement of Organization (CRO -2100A -E) to make committee changes. I CRO -1000 NC stale Board or Elections August 2008 Amendment Detailed Summary E] Yes ® No Use this form to summarize all disclosure reporting forms and to total monetary information. 1. Committee Full Name (and Fund if aoolicable) Wilson for Commissioner 2. Type of Report First Quarter 13. m Number i 062321TW Start of Flection Cycle: January 1, 2022 1 owl tho Relmriina F'ernni I nail this fatiafun Cycle 4) Cash on Hand at Start S 213.23 $ 40.00 R VCF.IPTR 5) Aggregated Contributions from Individuals 6) Contributions: from Individusis 7) Contributions from Political Party Committees 8) Contributions from Other Political Committees 9) Loan Proceeds 10) Refaads/Reimbursements To the Committee }}) Otl:rr Rm-cipi .^Svuiv=s Ila) Interest on Bank Accounts 11 b) Contributions from Not -for -Profit Organizations Ile) Outside Sources of Income lld) Legal Expense Fund — Other Sources 11 e) Exempt Purchase Price Sales (CRO -1205) IrRr,_171e) (CRo4220) (C)?a1230) (CRO -1410) (CRO -1246) (CRO -1250) (CRO -1150) (CRO -1150) (CICO -1270) (CRa1265) $ $ I c t [m no I e 1) to),) An $ $ $ $ $ $ S S I $ j $ $ $ $ I $ $ $ I $ $ 12) TOTAL RECEIPTS (Add lims5. 6, 7, 8, 9, 10, Ila, Iib, llc, ildand tie) $ 1500.00 $ 2122.00 EXPENDITURES 13a) Operating Expenditures 13b) Contributions to Candidates/Political Committees (CRa1310) 13c) Coordinated Party Expenditures (CRO -1310) 114) Aggregated Non -Media Expenditures (CRO -1315) 15) Loan Repayments (CRa1420) 16) Refunds/Reimbursements From the Committee (CRO -1320) 171 In -Kind Contributions (CRO -1510) 1,038.57 S 1,360.34 j S Is $ S $ $ $ $ $ $ S '700.00 S 2R7.00 18) TOTAL EXPENDITURES (Add lines 13a413b,13c, 14,15, 16 and 17) $ 1,238.57 j $ 1,560.34 19) Cash on Hand at End (Add fines 4 and 12 together, then subtract fine 18) $ 474.66 $ 601.66 ADDITIONAL INFORMATION 20) Non -Monetary Gifts Given to Other Committees (CRa1330) 21) Outstanding Loans (incl. ones from other campaigns) (CRO -7430) 22) Debts and Obligations owed By the Committee (CRO -1610) 23) Debts and Obligations owed To the Committee (CRa7610) 24) Account Translers Within the Committee (CRO -1726) 25) Administrative Support (CRO -1716) 26) Forgiven Loans (CRO -1440) 27) 4a-Tlnnr Notice Rnnnrle Cnm //'Ra777a,1 28) Contributions to be Refunded (CRO -1215) S S $ S $ S $ $ $ S S S S CRO -1100 NC Slate Board of Elections August 2009 Amendment Contributions from Individuals Pg 02 of 03 ❑ 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 ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (inclode city, start, & rip) b. Job Titie/Profes+ion d. Comments Account Management Professional Erick Ray 2160 Kaybird Ln Charlotte, NC 28270 c. Employers Name/SpedBc Field John Horsfall a Election Sam to Date $ 50.00 f. Prior g. Account Code L Form of Payment L In -Kind Description J. Date (mm/ddlyyyy) L Amount ❑ 01 Online 02/27/2022 $ 50.00 ❑ $ ❑ I$ 3. Contributor Information ❑ Add ❑ Remove a. Fall Name. Mailing Address & Phone (include city, state, & rip) Is. Job Tide/Profemicas d. Comments Homtmlaker Jill Coward 4268 Merrivale Drive Lancaster SC 29720 a Employer's Name/Specific Field N/A e. Election sum to Date $ 100.00 L Prior I S. Account Code L Form of Payment L In Kind Description J. Date (mm/ddlyyyy) it. Amount ❑ 01 Online 02/28/2022 s 100.00 ❑ $ ❑ I I $ 3. Contributor Information ❑ Add ❑ Remove a. Fall Name. Mailing Address & Phone (include city, state. & tip) L Job Title/Profession d. Comments Business Development Officer Clarence Goins 1711 IONCEE DR EASTOVER, NC 28312 c.Employers Namel6peeltie Fiero Fidelity Bank e. Election Sam to Date $ 100.00 E Prior g. Acconot Code L Form of Payment L Io -Kind Description j. Dam (mmtddlyyyy) L Amount ❑ 01 03/30/2022 $ 100.00 ❑ $ ❑ I $ 4. Total only this Page $ 250.00 5. Total of ALL CRO -1210 Pages $ 1,500.00 (This Gne mast be on line 6 of Detailed Summary Page CRO -1100) CRO -1110 NC Cmte Board of Elections April 2007 Amendment Contributions from Individuals Pe _e1 _ of _ 0 ❑ Yee PJ No Use this form to report individual contributions over 850 or contributions under 850 if form CRO 1205 is not used 1. Committee Full Name and Fund ifs liable 2. ID Number Wilson for Commissioner 062321 TW 3. Contributor Information ❑ Add ❑ Remove s. Fall Name. Mailing Address & Mane (include city, state, & zip) h Job TitiNProfesdns d. Comments e. Election Sum ta Date Fem Shubert 505 S ELM ST MARSHVILLE, NC 28103 L Prior I g. Account Code h. Form of Payment i le -Kind a Employees NamdSpeciac Field Self Employed Description J. Date (-Wddlyyyy) 8 100.00 k Amount ❑ 01 Chock 02,11512022 1 8 100.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove s. Fall Name. Mailing Addresc & Phone (include city, state, & zip) b. Job TidelProfauine d. Commend Vice President Vasile Daniel Barbu 8512 ENGLISH TURN LN WAXHAW, NC 28173 c. Employer's Name/Specific Field Stylecraft Ventures LLC e. Election Sum to Date $ 400.00 E Prior g. Account Code L Form of Payment L In -Kind Description J. Date (mm/dd/yyyy) L Amount ❑ Ol Chock 01—n-512022 8 400.00 ❑ S ❑ 8 3. Contributor Information ❑ Add ❑ Remove s. Fall Name, Mailing Address & Phone (include city, state, & zip) b. Job TitldProle sion d. Commend Lawyer Cameron Scott 1902 PENSCO POND Cr WAXHAW, NC 28173 a Employer's Name/Specific Field Law Offices of Cameron D. Scott e. Election Sam to Date $ 250.00 E Prior g. Account Code L Form of Payment L In -Kind Description j. Date (mmlddlyyyy) K Amount ❑ 01 Online 226/2022 8 250.00 ❑ $ ❑ $ 4. Total only this Page S 750.00 5. Total of ALL CRO -1210 Pages $ 1,500.00 Amendment Contributions from Individuals PR 03 of uJ ❑ 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 ❑ Add ❑ Remove u. Fall Name. Mailing Address & Phone (include city, sate, & rip) L Job TidelProfmsion d. Comments Associate Landon Wilson 2534 Indian Trail Rock Hill, SC 29730 L Employees Name/Specilk Field CDR+A Structural Engineers L Election Sum to Date $ 300.00 E Prior I g. Account Code L Form of Payment L la-Kad Dacriptioa I J. Date (mmlddlyyyy) L Amount ❑ O1 Online 4/29/2022 $ 300.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove L Full Name. Mailing Address & Phone (include city, sate, & rip) L Job Tide/Profession d. Comments Grocer Additional Postage Stamps Paid for as In -Kind Travis Wilson 7925 Jasurs RdL Waxhaw, NC 28173 Employer's Name/Specific Field Food Lion e. Election Sum to Date $ 562.00 E Prior g. Aeeomet Code L Form of Payment L IwKiad Description J. Date (mmlddlyyyy) L Amount ❑ In Kind Postage Stamps 031 .3 -022 $ 200.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name. Mailing Address & Phone (include city, sate, & rlp) L Job TidelPrefeaion d. Comments L Employees NametSpeciac Field e. Election Sum to Date $ E Prior g. Account Code L Form of Payment L la -Kind Description j. Date (mdddlyyyy) L Amount ❑ $ I ❑ $ ❑ $ 4. Total only this Page $ 500.00 5. Total of ALL CRO -1210 Pages $ 1,500 d ofDeaSammry Page CRO -1 100) CM fine near be on Nue fiid inv-i1rG - trfie 3wrd of Elections April 2007 Amendment Disbursements Pg of ❑ Yea, ® No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political committees and coordinated Dam expenditures. 1. Committee Full Name and Fund if applicable) 2. ID Number Wilson for Commissioner i 062321TW 3. Tyne of Disbursement Please use separate CRO -1310 forms for each type of Disbursement Operating Expenses Contributions to Candidates/Politiral Committees Coordinated Perry Expenditures 4. Payee Information n Add Lj Remove a. Full Name, Mailing Address & Phone include city, state, & zip) 0. Coordinated Committee Name d. Comments Stamps US Postal Service 100 W axhaw Pkwy Waxhaw, NC 28173 L Account Code g. Form of Payment L Purpose Code a Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Date L Date (mm/ddlyyyy) 1• Amount $ 900.00 L Required Remarks Ol Debit 1 03/14/2022 $600.00 Ol Debit I 04/042022 $100.00 4. Payee Information El Add Remove a. Full Name, MaBing Address & Phone include city, stn & zip) 0. Coordinated Committee Name d. Comments e. Level Registered (Specify) Flyers VistaPrint 100 Hayden Avenue Lexington, MA ❑ Federal ❑ County: State Municipality: e. Election Sum to Date $ 417.37 L Required Remarks L Accoent Code I & Form ofPaymeat J L Purpose Code L Date (mmiddlyyyy) j Amount 01 Debit B 02/182022 $154.04 01 Debit B 03212022 $263.33 4. Payee Information Add Remove a. Full Namq Mailing Address & Phone nclude city, sur & d L Coordinated Committee Name d. Comments Processing Fees Anedot 5555 Hilton Ave Suite 106 Baton Rouge, LA 70808 e. Level Registered (specify) ❑ Federal ❑ County ❑ State ❑ Municipality: e. Election sem to Date $ 37.10 L Account Code g. Form of Payment Jr. Purpose Code L Date (mmlddtyyyy) 1 Amount L Required Remarks 01 Electronic C 04/042022 $430 Donation ' Processing Fee 01 Electronic C 03/022022 $6.60 Donation Processing Fee 5. Total only this Pae $ 1,028.27 6. Total of ALL CRO -1310 Pages (Tide Hae goes In Rue 13a of Detailed Summary Page CRO -1 109 IjOperadng Expenses) (This Une goes in line 13b of Detuded Summery Page CRO -11 tM tjContrib to Candidates/Polidcal Comm) $ 1,238.57 (This Une goes in Une 13c ofDdatled Summary Page CRO -1100 if Coordinated 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 it C.'Rf1-1310 NC State Board of Elections December 2009 Amendment Disbursements Pg 02 of 91 ❑ 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 Fu0 Name and Fund if applicable) 2. m Number Wilson for Commissioner i 062321TW 3. Type of Disbursement Please use se orate CRO -1310 former for each type of Disbursement Operating Expenses 0 Contributions to Candidates/Political Committees Coordinated Party Expenditures 4. Payee toformatioR n Add Remove S. Fall Name. Mailing Address & Phone include city, state & zip) b. Coordinated Committee Nue it. Commeats _ e. Level Registered (specify) Anedot 5555 Hilton Ave Suite 106 Baton Rouge, LA 70808 E Account Code g. Form of Payment 4 Purpose Code ❑ Federal ❑ County: ❑ stare Municipality: e. Election Sam a Date L Date (mm/dd/yyyy) j. Amonat $ 37.10 E Required Remarks 01 Elecronic C 03/022022 $10.30 Donation - . urut $ 4. Payee Information Add Remove e. Full Name. Mailing Address & Phone i (include city, sate, & zip) b. Coordinated Committee Name d. Comments e. Level Registered (Specify) In Kind Payment for Postage Stamps US Postal Service 100 Waxhaw Pkwy Waxhaw, NC i 28173 E Account Code it. Form of Payment h. PnrPose Code I ❑ Federal ❑ County: 1 LJ Sate ❑ Municipality: e. Election Sam to Date L Date (mm/ddlyyyy) j. Amount $ 900.00 L Required Remarks 1 $200.00 $ 4. Payee Information Add Remove a. Fua Name. Mailing Address & Phone included , sate, & zip) b. Coordinated Committee Name d. Commente 10 f. Account Code g. Form of PaymentL me ParpCode e. Level Registered (Spedly) ❑ Federal ❑ Counry: state ❑ Municipality: e. Electron Snm to Dobe L Dna (mdoddlym) j. Ammst _ - L Required Remarks t 5. Total wifly this Pae $ 210.30 6. Total of ALL CRO -1310 Pages (This Rne goy in Use 13a of Derailed Summary Page CR041/10 if Operating EApewes) (Thu line goes in Use 13b of Detailed SummarPage CRO -1100 if Conrrib to CandidarevPolideal Comm) $ 1,238.57 (This line goes in line Me of DermiledSummary Page CRO -1100 if Coordinated Party EAPenditures) 7. Purpose Codes (List detailed expenditure code in (h.) above) A* - Media H* - 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 twos" t1* - Donation to Legal Expense bund O* - Other i- Codes require detailed eipianatiou in required remarks fight (K) l CRO -1310 NC Sate Board of Elections December 2(X)9 Amendment In -Kind Contributions Pg _ of _ ❑ Yea ® No Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund. Use CRO -1215 if In -Kind Contributions were or will be refunded within 7 days. 1. Committee Full Name (and Fund if applicable) 12. to Number Wilson for Commissioner I 062321TW 3. Contributor Information Add rniRemove a. Fall Name, bulling Address & Phone b. Type of Contribamr c. Commeab (Include city, state.&rip) ® Individual ---____._ Travis Wilson ❑ Candidate (Include city, etatq & rip) 7925 Jaars Rd ❑ Party Individuals-- ❑ PAC Waxhaw, NC ❑ Referendum _ d. Eteetioa Sam to Date 28173 ❑ Other Receipt Source $ e. Deetripaou L Date (mmtddlyyyy) & Fair Market Amount Postage Stamps 3/212022 $ 200.00 PAC $ Referendum $ 3. Contributor Information Add Remove a. Full Name, Malting Address & Phone b. Type of Coat ibamr C Cammeats ❑ Individual ❑ Candidate (include city, state, & rip) $ e. Description ❑ Party L Date(nuWddlyyyy) ❑ PAC ❑ Referendum d. Eked" Sum to Date ❑ Other Receipt Source $ e. Description LDate (unaffi yyyy) g. Fair Market Amount $ $ 3. Contributor Information El Add Remove a. Full Name, Mailing Address & Phone b. Type of Contributor a Comments (Include city, etatq & rip) ❑ Individuals-- -- _ ❑ Candidate ❑ Party ❑ PAC Referendum d. Election Sum to Date ^❑ Otho Raccipl Somcc $ e. Description L Date(nuWddlyyyy) - & Fair Market Amount $ S $ 5. Total of ALL CRO -1510 Pages (Thu line muss be on Line 17 of Detailed Summon' Page CRO -11/10) CR!L 1 i 1U Nf' l'tao- R .M of FlerKnnc C -IM ." - WCfrl