Wilson,Travis_2022-2nd-qtrAmendment
Disclosure Report Cover I ❑ vee ® 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. ID Number
Wilson for Commissioner
062321 TW
IL Mailing Address (include City, State and Zip Code)
d. Date Filed
7925 Jam Rd
REeEIVED
7/28/2022
Waxhaw, NC
7
JUL 2 5 2022
Number
28173
c.Phone
980-313-0132
Union Co. Board of Eleclicn�
2. Report Year
3. Period Start Date (mmald/yy)
. Period End Date
5. Treasurer Full Name
Travis Wilson
2022
6. Type of Committee Check One
9. Type
of Report check only one ope ore ort m one category)
® Candidate Campaign ❑ Party
Municipal
stotelcounty
Referendum
❑ PAC ❑ Referendum
❑
Organiretionel
❑ Organintional
❑ Organizational
independent ❑ Joint Fundraiser
❑ Expenditure
❑
Thirty-five day
Quarterly
❑ Pre -referendum
Legal Expense Fund
❑
❑
Pre-primary
Pre-election
❑ First
® Second
❑ Final
❑ Supplemental Final
7. Type of Fund (iapplicable, check one)
❑ "Booster Fund"
❑ Building Fund
❑
Pre -runoff
❑ I hind
❑ Annual
Semi-annual
❑ Fourth
❑ Special
❑
Mid Year
Semi-annual
❑ Other.
❑
Year End
❑ Mid Year
10. Special Report Name
❑
❑
Final
Special
❑ Your End
❑ Final
❑ Special
8. Number of Fundraisers this Report
0
11. Account Information
11. Account Information
a. Financial Institution Fail Name
a. Financial Institution Full Name
First Citizen Bank
Is. Purpose
a Account Cade
b. Purpose
a Account Code
Campaign
01
Account
d. Period Begin Balance
d. Period Begin Balance
$
$ 374.66
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.
Printed Name of Signer
Signature of Appointed Treasurer
Date
FOR OFFICE USE ONLY
-7
Delivery Method
Date Received: ay
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.
CRO -1000 NC State Board of Elections August 2008
Amendment
Detailed Summary ❑ les rK No
Use this form to summarize all disclosure reporting fors and to total monetary information.
1. Committee Full Name and Fund if applicable)
2. Type
of Report
3. H) Number
Wilson for Commissioner
Second Quarter
062321TW
Start of Election Cycle: January 1, 2022
'fotalthis
Re ortiag Period
Total this
Election Cvcic
4)
Cash on Hand at Start
$
374.66
$
374.66
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
11) Other Receipt Sources
Ila) Interest on Bank Accounts
llb) Contributions from Not -for -Profit Organizations
Ile) Outside Sources of Income
11d) Legal Expense Fund — Other Sources
11 e) Exempt Purchase Price Sales
(CRO -1105)
(CRO -1210)
(CRO -1110)
(CRO -1230)
(CRO -1410)
(CRO -1240)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO.1210)
(CRO -1265)
$
$
$
$
2122.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
S
$
$
$
12)
TOTAL RECEIPTS (Add lines 5, 6. 7, 8, 9,10, Ila, 11b. llc. Ildand lie)
$
$
2122.00
EXPENDITURES
13) Disbursements
13a) Operating Expenditures u.�
13b) Contributions to CandidateWMjiV5a"j onS
13c) Coordinated Party Expenditures Ul t C(
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)
S 372.30
$
1832.64
$
$
S
$
$
$
$
$
S
$
S
$
287
18)
TOTAL EXPENDITURES (Add lines 134 l3b,13c,14.15.16and 17)
$
372.30
$
2119.64
19)
Cash on Hand at End (Add lines 4 and 11 together, then subtract line 18)
$
2.36
$
2.36
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 -1620)
(CRO -1720)
(CRO -1710)
(CRO -1440)
(CRO -2210)
(CRO -1215)
$
$
$
$
$
$
$
$
$
$
$
S
$
CRO -1100 NC State Board of Elections August 2009
Amendment
Disbursements Pg 01 of Ql ❑ Yes ® No
Use this form to report expenditures from the committee for; operating expenses, contributions to candidatelpolitical
enmmitt.p and cnnrdinated rmrty exnenditures.
1. Committee Full Name and Fund if applicable) 2. ID Number
Wilson for Commissioner I 062321TW
3. Type of Disbursement IFkae use separate CRO -1310 forma for each type of Disburse nt
Operating Expenses ❑ Contributions to Candidates/Political Committees Lj Coordinated Panay Expenditures
4. Payee Information n Add Remove
a. Full Name, Mailing Address & Phone
include city, am & zip)
b. Coordinated Committee Name
d. Comments
Anedot
5555 Hilton Ave Suite 106
Baton Rouge, La 70808
225-250-1301
e. Leal Registered (Specify)
❑ Federal ® County:
El state Municipality:
e. Election Sum to Date
$ 49.40
L Account Code
g. Form of Payment
L Purpose Code
L Date (mmtddtyyyy)
j. Amount
L Required Remarks
01
Electronic
C
04/302022
$12.30
$
4. Payee Information F1 Add El Remove
a. Full Name, Mailing Address & Phone
iodude city, em & z1
b. Coordinated Committee Name
d. Comments
-
WIRE Radio
1700 Buena Vista Road
Monroe, NC 28112 *i Z 9 �I- -
(704) 289-2525
Union Co. Board of EI
el Registered (Spedfy)
E]Federal ® County:
State Municipality:
e, Election Sam to Date
e!�_ -
$ 570.00
L Account Code
g. Form of Payment
Is. Purpose Code
L Date (mmlddlyyyy)
J. Amount
L Required Remarks
01
Debit
A
0510512022
$360.00
$
4. Payee Information F1 Add Remove
a. Full Name, Mailing Address & Phone
include city, state&zi
b. Coordinated Committee Name
d. Comments
c Level Registered (Specify)
❑ Federal ❑ County:
❑ State ❑ Municipality:
e, Election Sum to Date
$
L Account Code
it Form of Payment
Is. Purpose Code
L Date (mm/dd/yyyy)
I. Amount
Is. Required Remarks
$
$
5. Total only this Pae $ 372.30
6. Total of ALL CRO -1310 Pages
(Tkis line goes in line 13a of Detailed summary Page CRO.11001f Operating Expeasia) $ 372.30
(Oris gnegoes in cine lib of Detaikd Sunrnary Page CRO -1100 if Condib to Candidates/Poliacal Comm)
(This lingoes in line lac of Demiled Summary Page CRO -1100 ifCoonlinated Party 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 3 - 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