HomeMy WebLinkAboutDawson Mid Year Report 2013 Amendment
Disclosure Report Cover ® ye„ ❑ 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 same c.ID Number
COMMITTEE TO ELECT BETH DAWSON(COUNTY COMMISSION)
b Mailing Address(include City,State and Zip Code) ter d.Date Filed
PO BOX 420
WILMINGTON,NC 28402 08/08/2013
AU Q g (�j e.Phone Number
`}t_HC Sri of F[ect!QP
2.Report Year 3.Period Start Date(nun 4.Period End Date(mm•ddy_) 5.Ireasurer Full Name
2013 01/01/2013 06/30/2013 BETH DAWSON
h t sne.) 9.Type of Report (check onh•one rti _ reportrfom one cutego.n;s
Candidate Campaign ❑ Party Municipal State County Referendum
❑ Joint Fundraiser ❑ PAC ❑ Organizational ❑ Organizational ❑ Organizational
❑ Referendum ❑ Legal Expense Fund ❑ Thirty-five day Quarterly ❑ Pre-referreadi m
❑ Pre-primary ❑ First ❑ Final
❑ "Booster Fund" ❑ Pre-election ❑ Second ❑ Supplemental Final
❑ Building Fund ❑ Pre-runoff ❑ Third ❑ Annual
❑ Presidential Election Year Candidates Fund Seri-annual ❑ Fourth ❑ Special
❑ NC Public Campaign Financing Fund ❑ Mid Year Semi-annual
❑ Year End ' Mid Year
❑ outer, ❑ Final ❑ Year End
8.Number of Fundraisers this Report ❑ Special ❑ Final
0 ❑ ipeaal
3.Account Information 3.Account Information
a.Financial Institution Full same a.Financial Institution Full same
BB&T
b.Purpose c.Account Code b.Purpose c.Account Code
COMMITTEE CHECKING 1
ACCOUNT
d.Period Begin Balance d.Period Begin Balance
S 1,491.44 S
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
lit 08/08/2013
?rtnted Nanle cf &mature of Appointed Treasurer Date
FOR OFFICE USE ONLY
Date Received: Vbc/d-.3/1 Employee 6' Deliver.-Method
❑ Normal'Mail
Date Postmarked: Employee (] Registered Mail
and Delivered
Date Scanned: Employee
El
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-2183 A-E;to make committee changes.
CRO-1000 NC State Board of Elections Dezember 2C
Detailed Summary DB Ye utent: 0 No
Use this form to swmnarize all disclosure reporting forms and to total monetary information
1.Committee Full Name(and Fund if applicable) 2.Type of Report 3.ID Number
COMMITTEE TO ELECT BETH DAWSON 2013 Mid Year Semi-Annual
(COI INTY COMMISSION)
Total this Total this
2013
Start of Election Cycle: January 1, Reporting Period Election Cycle
4) Cash on Hand at Start 5 1,491.44 S L491.44
RECEIPTS
5)Aggregated Contributions from India iduals (CRO-i205) S 0.00 S 0.00
6) Contributions from hull\iduals (CRO-1210) 5 0.00 5 0.00
7) Contributions from Political Part-Committees (CRO-1220) S 0.00 5 0.00
Sj Contributions from Other Political Committees (CR0-1 230) 5 509.50 5 509.50
9) Loan Proceeds (0414)0) 5 0.00 S 0.00
10) Refunds Reimbursements to the Committee ) _S 0.00 5 0.00
11) Other Receipt Sources
11a) Interest on Bank Accounts 4-1e5et 13 0.00 S 0.00
11b) Contributions from Nor-For-Profit Organ .N 0-4.219 S 0.00 5 0.00
..'s oES 10iis
11c) Outside Sources of Income (CR0-1250) S 0.00 S 0.00
11d) LegalExpense Fund-Other Sources (CR412-0) 5 0.00 5 0.00
11e)Exempt Purchase Price Sales (C10.1265) 5 0.00 S 0.00
12) TOTAL RECEIPTS dd tines . 5.-.S.9,iQ11a.11b.11c,11d and lie) 5 509.50 5 509.50
EXPENDITURES
13) Disbursements
13a) Operating Expenditures (CRO.1310) 5 250.44 5 250.44
131)1 Contributions to Candidates'Political Committees (CR0-1310) S 0.00 5 0.00
13c) Coordinated Party Expenditures (C141310, 5 0.00 5 0.00
14) Aggregated Non-Media Expenditures (CR0-1315) - 128.78 S 128.78
15) Loan Repayments (CR41420) $ 0.00 S 0.00
16) Refunds/Reimbursements from the Committee (CR4i320) $ 0.00 S 0.00
17) In-Kind Contributions (CR41510) 5 0.00 S 0.00
18) TOTAL E7-PENDITL'RES(Add lines 13a,13b,13c,14,15,16 and 17) 5 379.22 5 379.22
19) Cash on Hand at End(Add lines 4 and 12 together.then subtr=_t line 18) 5 1,621.72 S 1,621.72
4DDITION L INFORMATION
;0) Non-Monetary Gifts Gil en to Other Committees (CRO-13.0) 5 0.00 -
11) Outstanding Loans(incl.ones from other campaigns) (CR0.1430) S 14.200.00
:2) Debts and Obligations owed In the Committee (CR0.1610) 5 0.00
:3) Debts and Obligations owed to the Committee (CR0.1620) S 0.00 , ,..-E.
:4) Account Transfers Within the Committee (CR0-i-20) 5 0.00
25) Administrative Support (CRO-1-10) S 0.00 5 0.00
16) Forgi■en Loans (CR0-1440) S 0.00 5 0.00
2,7) 48-Hour Notice Reports Sum (CRO-;.::Cy S 0.00 5 0.00
28) Contributions to he Refunded (CR0-1215) S 0.00 5 0.00
CRO-1100 NC State Board of Elections - -_. 2::2E
Amendment
C:olltributiolls from Other Political Committees po I of I ❑ Ye: ❑ No
Use this form to report contributions from other candidate.referendum or?AC committees
1.Committee Full Name(and Fund if applicable) :.ID Number
COMMITTEE TO ELECT BETH DAWSON(COUNTY COMMISSION)
3. Contributor Information ❑ Add ❑ Remove
a.Full Name.Mailing Address&Phone b.Type of Committee d.Comments
(include city,state,&zip) D Candidate
NC REALTORS PAC ❑ Referent=
4511 WEYBRIDGE LANE c.Level Registered(Specify)
GREENSBORO,NC 27407 ❑ Federal Cl County:
® State ❑ Municipality: e.Election Sum to Date
509.50
F.Account Code e.Form of Payment h.In-Kind Description i.Date(mmlddlyy-yy-) j.Amount
Check 01/11/2013 S 509.50
S
t
4.Total only this Pa_e $509.50
5.Total of ALL CRO-1230 Pages _ $509.50
(Tkis line plus!be on line S of Detailed Surtunc!}Page CRO-1100/
CRO-?:-G
RECEIVED
AUG 082013
NHC Bd of Elections
Amendment
Disbursements Pg I of I l 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) 2.ID Number
COMMITTEE TO ELECT BETH DAWSON(COUNTY COMMISSION)
3.Type of Disbursement (Please use separate CRO-1 310 fot»tsfor each ttpe of Disbursement.)
4.Payee Information ❑ Add ❑ Remove
a.Full Name, :ailing Address c&?hone b,Coordinated Committee Name d,Comments
(include city;state..£zip)
GODADDY.COM
14455 N HAYDEN RD STE 219 c.Level Registered(Specify)
SCOTTSDALE,AZ 85260 Cl Fe.iersl D Cc•.;nt :
❑ State ❑ :.I ni:iFalir:: e.Election Sum to Date
S 137.22
f.Account Code g.Form of Payment h.Purpose Code i.Date(mm13d:yyyy) j.Amount k.Required Remarks
1 Debit Card 0 03/11/2013 S 120.44 WEB DOMAIN RENEWAL
C
4.Payee Information ❑ Add ❑ Remove
a.Full Name,V.ailing Address &?hone b. Coordinated Committee Name d. Comments
(include city.state.&zip)
US PO OF
15 2 N FRFR ON T T ST REC I
152 ST a Level Registered(Specify)
WILMINGTON,NC 28401 Cl Fereral ❑ County:
AUG 0 8 2013 ❑ state ❑ Municipality: e.Election Sum to Date
HC ilt1 of Elections 5 13000
f Account Code g.Form of Payment h.Purpose Code i.Date(mmadd.vvt-v) j.Amount k.Required Remark.:
1 Debit Card 0 02/11/2013 S 130.00 PO BOX FEE
5, S
Total only this Page S 250.44
6.Total of ALL CRO-1 310 Pages
(Thu iin:-goes is line 1.e of D:taile d Surlrten Page CRO-1100 if Qcerennp£xpenses) 250.44
(This iine goes t' iir:e 1 b of Derailed Stt.ii tra't Pepe CR0-11 PO if Connib to Cendidezts.Potitieci Co141ts1)
(Thu?iaa goes n:une L":of De!GU.d SLwi.!'I t Page CR0-1100 if Coordinated Para £tpenduures/
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-?oliti:ai?an• H* -Holding Public Office Expenses
I - Postage I - Penalties Ii* -Office Expenses Q* -Donation to Legal Expense Fund
O* Other
*Codes require detailed explanation in required remarks field(k)
CRO-I?I 0 hate Bc3ri c.Ele lion_ ;r. ._.
Amendment
Aggregated Non-Media Expenditures Page 1 of 1 ® Yes ❑ No
Optional form used to report NC Non-Media Expenditures of$50 or less.
COMMITTEE TO ELECT BETH DAWSON(COUNTY COMMISSION)
3.Payee Information
a.Amend b.Account Code c.Form of Payment d.Purpose Code e.Date(mmvdd�yyiy) f.Amount g.Required Remarks
la .-..'..f L.................... Draft 0 01/22/2013 5 12.00 BANK SERV CHG
❑ Remove
—Add 1 Draft O _ 02/21/2013 5 2.00.BANK SERV CHG T
❑ Remove
• Add 1 Draft 0 03/21/2013 5 2.00 BANK SERV CHG
❑ Remove
• Add 1 Draft 0 04/22/2013 S 2.00 BANK SERV CHG
❑ Remove _ _
u Add m 1 Draft 0 05/21/2013 5 2.00 BANK SERV CHG
❑ Remove
• Add 1 Draft BANK SERV CHG
�1,_ �,-. 4' 06/21/2013 5 2.00
❑ Remove
• Add 1 Debit Card AUG 0 ' 2013 01/28/2013 S 15.00 ACCT FEE
❑ Remove
• Add 1 Debit Card ,e of Elec 10115 ACCT FEE
+�H 4 Bd 02/26/2013 5 15.00
❑ Remove
Add I Debit Card O 04/11/2013 5 15.00 ACCT FEE
❑ Remove
C Add 1 Debit Card O 04/26/2013 5 15.00 ACCT FEE
❑ Remove
MI Add 1 Debit Card O 05/28/2013 5 15.00 ACCT FEE
❑ Remove
rrdd 1 Debit Card O 06/26/2013 5 15.00 ACCT FEE
0^Remove
=l= 1 Debit Card 0 03/11/2013 5 16.78
u WEB DOMAIN
❑ Rn...:
4. Total only this Page S 128.78
5. Total of ALL CRO-1315 Pages
S 128.78
(Ths irate 0:,uf%s Grt.t,e Id 01 D ies S,l !sit age CR0-II00.,
6. Purpose Codes l eh a code in(d) above) -«- r
B* -Printing C" Fundraising D - To Another Candidate
- Salaries F* Equipment C= Political Parr H* -Holding Public Office Expenses
- P e : - Pr*.,_1..,:�s K* - O _ uses 4Q* - Donations to Legal Expense Fund
O" - Other
* Codes require detailed explanation in required remarks field (g)
CR0-131 S NC State Bond c:E1_ctions December 2009
Amendment
Outstanding Loans Pe 1 of 1 Ri Ye: ❑ No
Use this form to report any outstandin_loans received dutinc a previous reportin period and until the loan is paid in full
1.Committee Full Name(and Fund if applicable) 2.1D Number
COMMITTEE TO ELECT BETH DAWSON(COUNTY COMMISSION)
3.Lender Information ❑ Add ❑ Remove
a. Full Name.Mailing Addre..&&Phone b.Job Title Pro fe s a ion d.Comments
(include city,state.&@ zip) RETIRED Outstanding loans are from 2010
BETH DAWSON state campaign:
422 FOREST HILLS DRIVE e' [' 1i1(mm dd`7a-•)
WILMINGTON,NC 28403 c.Employer's Name/Specific Field 02/28/2012
RETIRED BANKER(BOA)
f.End Date(mut dd yyy
AUG 08 2O
Race h. Security Fledg . of Elections i.Original Loan Amount j.Remaining Loan Balance
c S 14,000.00 S 14,000.00
k Full Name of Lending Institution L Loan Number
3.Lender Information ❑ Add ❑ Remove
a.Full Name,Mailing.-lddre..S:Phone b.Job Title Profession d.Comments
(include city.state.&zip) RETIRED
BETH DAWSON
422 FOREST HILLS DRIVE e.Start Date(mmAd yay-r)
WILMINGTON,NC 28403 c.Employer's Name Specific Field 03/01/2012
RETIRED BANKER(BOA)
f.End Date(mm dd yy yy)
_.Race h.Security Pledged i.Original Loan Amount j.Remaining Loan Balance
200.00 c 200.00
k. Full Name of Lending Institution 1.Loan Number
4. Total only this Page 14,200.00
5. Total of ALL CRO-1430 Pages 14,200.00
(This Lint a+.ust be on Line 21 of Derailed SuMtmctu Page CRC)-1100)
CRU-I f 1.2 _tace B:at_ 2nr-