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Home My WebLink AboutHamerski 2020 First Quarter Report Amd #1 (misc)1. Commi ttee Information Full Name c. ID Number CLAYTON HAMERSKI FOR REGISTER OF DEEDS NEW-3HA82V-C-065 Meiling Address (includc , Strtc end Zi Code)Drtc Filcd 02/25/2020 c. Phonc Numbcr PO BOX 32 WILMINGTON, NC 28402 (et0) 3s2-7991 Year Period Start Date Period FadDate Treasurer Fhll Name 2020 0U0t/2020 02/15/2020 KATHLEEN ORNOWSKI of one one Municiprl Statc/County Rcfcrcndum I foint Fun&aiser Party PAC Legal Expense Fund Candidate Referendnn checkofFhnd ftf I Pre-referendnn E rinal fl Spptemental Final I Annual fl Special Organizational 10.Name "Booster Fund" BuildingFund Presidential Election Year Candidates Frmd NC Public Campaign FinancingFmd Other: Number this 0 Organizational Thirty-five day Pre-primary Pre-election Pre-nmoff Semi-annual Mid Year Year End Find $ecial Itrtrtrtr trtrutr trtrtr tr E]trtru Quarterly First Second Third Fourth Semi-annual Mid Year Year End Find Special Account 3.Information . Iinenciel Institution Full Neme e. Finencial Institution Full Neme FIRST CITIZENS BANK ACTBLUE (VANTIV LLC) b. Pu c. Account Codc b. Pu4rose c- Account Codc 1 2 d. Pcriod Balance d. Period Balrnce CAMPAIGN TRANSACTIONS 1,990.00$ ONLINE CREDIT CARD PROCESSING 0.00$ I certifr that the Connnittee orFund is in conpliance \ilith all applicable provisions ofArticle 22A,zzB &2Zp;2ZM ofChapter 163 ofthe NC Crneral Statutes and that no funds are connningled with prohibited or other non-disclosedfunds' I further certifi that this report is conplete, true and correct and that I have been trained by the NC State Board 09/24/2020 Printed Narne of Signer TION Dateof Appointed Trea$trer Date Received: Date Postrmrked: Date Scanned: Date Data Entered Enployee: Enployee: Enployee: Enployee: Deliverv Method E NornnlMail E Reglstered Mail E Hana Delvered E Ebctronically Filed OFTrcELISEONLY I Signer has not received train cannot be used to anpnd corffnittee infonrntion such as the conrnittee address, trcasurer, assistant treasurer, custodian of books infornation, or account inforrnation Please Note: This form rBke co00Anmst anrend of Disclosure Repofr Cover Use this form for general report and conanittee infornation, must be signed and submitted along Do not use this formto infornntion Amendment 4 X tP. EIo with other detailed forms CRGl )ne) 1. Committee Fhll Name (and Fhnd if apflicaUe)3. ID Number CLAYTON HAMERSKI FOR REGISTER OF DEEDS 2020 First Quarter NEW-3HA82V-C-065 Start of Election Clcle: January l, _._Y-Totnl this Reprtine Period Total this Eection Cycle 5) Aggregated Contributions from Indivi&rals 6) Contributions from Indivi&rals 7) Contributions from Political Party Committees E) Contributions from Other Political Committees 9) Iaan Procee* 0) Refun&/Reimbunsernenb to the Committce 1) Other Receipt Sources 1la) Intereston Bank Accounb llb) Contributions llom Not-For-Profit Organizations GRO-1250) 4) Cash on Ilandat Start 1,980.00 0.00$$ $ $ $ $ $ $ $ $ $ $ $ $l.4l (CRO,t20s)$ (cRo-l210)$ (cRo-r220)$ (CRo,I230)$ (cRot110)$ (cRo-r210)$ (cRo-r2s0)$ $ (cRo-t2s0)$ (cno-1270)$ (cRGl26s)$ $le) s45.00 0.00 769.69 0.00 0.00 0.00 1,070.00 0.00 3,581.41 0.00 0.00 s0.00 0.00 14.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 I lc) Oubi& Sources of Income l ld) Legal Erpense ftrnd - Other Sources 1le) kempt Purchase Price Sales $793.87 793.87$ $0.00 0.00$ $0.00 $0.00 239.89$239.89$ $$0.00 1,192.59$1,192.59$ 3) Disbursements l3a) Opereting kpenditures I 3b) Contributions to Canddetes/political Committees l3c) Coordnated Party kpenditures 4) Aggregated Non-lVbdia Dpncltures 5) I,oan Repyrents (cRo-|310) GRA|sr0) (cRo-l3r0) GRAI31s) (cRo-1420) (cRo-r320) (cRats10) 6) Refrrn&/Reimbursements from the Committee 7) In-Kind Contributions $0.00 1,406.72$ TOTAL D(PE{DITIIRES lines I I(Add 13q J I I I and6 I3b,c,4,7)2,226.35$3,633.07$ (cRGt3j0) (cRo-r430) (cRo-r6r0) GRA|520) GRAt720) (cRo-r710) (cRar110) (cRo-2220) 0.00 $I $I .34 $ 0.00 $ $ hCas on [Iand Endat lines and4 2I(Add then subtract Itogether,line 8) $ $ $ $ $ $ $ $ $ $ Non-llbnetary Gifo Giren to Other Committees ) Debas and OHigations onod to 1frs esmmittee Account Trans fers Within the Committce 4E-llour Notice Reporb Sum Contributions to be Refrrnded 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.000.00 0.00(cRot2ts) 1) Outstanding Lmns (incl. ones from other campigns) 2) Dehs and OHigations oued by the Committee 5) A&ninistratirrc Support 6) trlorgiren laans Detailed Summary ffi#,-"'ffi, to total 100 - Tvre ofl :emrt 0.00 if 2.ID Number CLAYTON HAMERSKI FORREGISTER OF DEEDS NEW-3HA82V-C-065 3. Contributor Infornration a. Amend b. Account Code c. Form ofPeyment d. In-Kind Description e. Dete (mm/dd/yyyy)f. Amount f] Add I Remove 2 Credit Card 01/1512020 25.00$ E Add f] Remove 2 Credit Card 02/08/2020 5.00$ El Add I Remove 2 Credit Card 0yt't/2020 25.00$ E Add fl Remove I Check 02/0412020 35.00$ E Add I Remove 2 Credit Card 0U2U2020 25.00$ E Add f] Remove 2 Credit Card 0t/t6/2020 25.00$ E Add f] Remove 2 Credit Card 02/03/2020 25.00$ f,l Add I Remove 2 Credit Card 01114t2020 $50.00 E Add fl Remove 2 Credit Card 01t09/2020 25.00$ E Add I Remove 2 Credit Card 01/20t2020 50.00$ EI Add I Remove 2 Credit Card 0t/17/2020 $25.00 E Add I Remove 2 Credit Card 0t/14/2020 $50.00 E Add I Remone 2 Credit Card 0Ut7/2020 10.00$ E Add f] Remove 2 Credit Card 0t/16/2020 50.00$ E Add f] Remove 2 Credit Card 0t/10/2020 50.00$ E Add I Remove I Check 0t/14t2020 25.00$ E Add I Remove I Check 02/04/2020 25.00$ 02/10/2020 cRo-r100) I Cash $tr $ $ Total this 20.00 $545.00 $545.00 (This llne must be on line 5 of Daailed Summary Total of AIIL CRO'1205 Pages Add Remove Aggregated Contributions from Individuals page I or Amendment 4-trW El no form used to NC Contributions From Indivitluals of S50 or less CRG|2O5 Board o 1 l. Committee Full Name (and Fhnd if applicaHe)2.ID Number NEW-3HA82V-C-06sCLAYTON HAMERSKI FOR REGISTER OF DEEDS Contributor Information Add Renpve b. Job TI tl e/Profc ssion d. Commentsa. Full Neme, Meiling Address & Phone (include city, stetc, & zip)CITY COUNCILWOMAN c. Ern ploye r's Nam e/SpcciIic Field e. Dectiof, Sum to Drte DIMPLE AMJERA 6528 MATLEA CT CHARLOTTE,NC 28215 CITY OF CHARLOTTE 100.00$ f. Prior g. Account Code h. Form ofPeyment i. In-Kind Description j. Drte (mm/dd/yyyy)k. Amount tr 2 Credit Card 02/13/2020 100.00$ tr $ tr $ 3. Contributor Information tl aaa E Renpve b. Job Title/Profession d. Commentsr. Full Nrme, Mailing Address & Phone (include city, stete, & zi p) s. f,'mployer's Name/Spccific Fie ld e. Dcction Sum to Date MOTT BLAIR 4IIEWESTBROOKST WALLACE, NC 28466 100.00$ f. Prior g. Account Codc h. f,'orm of Payment i. In-Kind Description j. Detc (mn/dd/yyyy)k. Amount tr I Check 01/27t2020 100.00$ tr $ tr $ 3. Contri butor In fornration EI aaa E Renpve b. Job Tltle/Profession d. Commentse. f,'ull Neme, Mailing Address & Phonc (include city, strte, &ziP)PHYSICIAN 6. tr'mployer's Neme/Specific Field e. Dection Sum to Date KEVIN CANNON 2220LIYE OAKPARKWAY WILMINGTON, NC 28403 SELF r00.00$ f. Prior g. Account Code h. Form ofPeyment i. In-Kind Description j. Date (mm/ddEyyy)k. Amount 2 Credit Card 0Ut4/2020 100.00$ $ $ 4. Total only this Page 300.00$ 5. Total of ALL CRO-1210 Pages (This line must be on Ene 6 of Detalled Sammary page CRO-I r00)769.69$ Contributions from Individuals Pg J Use this form to ort individual contributions over $50 or contributions under $50 if form CRO 1205 lot F.v.Yo is not used Amendment 4 El xo 210 o 10ns u tr tr 2. ID Number CLAYTON HAMERSKI FOR REGISTER OF DEEDS 3. Contributor Information E aaa EI Renpve b. Job Tltle/Profession d. Commentse. Full Name, Meiling Address & Phone (include city, stetc, & zip)ADMIN c. Flployer's Neme/Specific Field e. flectiotr Sum to l)etc TROY COLEMAN 180 JACKSON ST NE APT 24IO ATLANTA, GA 30312 BOSTON CONSULTING GROUP $69.69 f. Prior g. Account Code h. Form ofPryment i. In-Kind Description j. Date (mm/dd|yyy)k. Amount tr I Electric Funds Tran 0U10t2020 69.69$ $ $ 3. Contri butor Information E aaa E Renpve b. Job Titlc/Profession d. Comme ntsa. Full Neme, Mailing Address & Phonc (include city, state, & zip) c. Errployerrs Name/Specific Field e. Election Sum to Drte VASSILOS A SAFFO 1974 HILLSBORO RD WILMINGTON, NC 28403 200.00$ f. Prior g. Account Codc h. Form ofPayment i. In-Kind Description j. Dete (mm/ddfyyy)k. Amount I Check 0t/28/2020 200.00$ $ Comments field $tr e. Fbll Ne me, Mailing Address & Phone (include ci strtc, & zip) Add Rermve e. Dection Sum to Drtc Contri butor Information b. Job Ti tle/Profession PLANNER RETIRED fmployerts Nam $100.00 AL SHARPE 613 CHESNUT ST WILMINGTON, NC 2840I f. Prior g. Account Codc h. Form ofPeyment i. In-Kind Description j. Date (mm/dd/yyyy)k. Amount tr 2 Credit Card 0u09/2020 100.00$ tr $ $ $ $ Total this line mul be on Ene 6 of Deailed Summory Page CRO-I100) 369.69 769.69 Total of ALL CRO-f210 Pages Contributions from Individuals J Use this formto individual contributions over $50 or contributions under $50 if form CRO 1205 is not used Pg -L of Ame.ndment/- E kt] E. *o 210 NEW-3HA82V-C-065 tr tr tr tr Contributions from Individuals Pg3or Amenfun E ite ,ot !- J Use this form to report individual contnlbutions over $50 or contributions under $50 if form CRO 1205 is not used CRG|2 0 tr No NEW-3HA82V-C-06s Commctrtr e. Dectiotr Sum to Drtc CLAYTON TIAMERSKI FOR REGISTER OF DEEDS b. Job IitIc/Profcuion SOR 6. Iln ployc r's Neme/SpeciIic trIeld RETIRED ANNE YORK 305 S. LUMINA AVE WRIGHTSVILLE, NC 28480 fbll Nrme, Mriling Addrcss & Phonc (includc city, stetc, & zip) 100.00$ [. Prior g. Account Codc h. Form ofPryment i. In-Kind Dcscripion j. Drte (nm/dd/yyyy)k. Amount tr 2 Credit Card 0t/1212020 100.00$ $trl ! E,|tl 1=:-F,IIFEE+.E1? $ 100.00$ 769.69$ ,rE"i-,'-'_1'iffiffifl trI ,,lti:,1.t::t.i.i..,;:';..i, ...i;i'r,,,,,'. E] ffi Disbursements Pglof Use this formto report eryenditures fromthe conrnittee for operating eryenses, contributions to candidate/political conmittees and coordinated Amendm2Yw,ot { DI xo CLAYTON HAMERSKI FOR REGISTER OF DEEDS Contrihrions to b. Coordineted Committce Nrme ommcnts C PRINT um to Drtc 286.76 C-oordinated e.otr $ udc ci strtc &zi FullNanr, Mailing Address & Phone [ $ate c. I-cvel Federal I Urmicipatity d (Speci County: f. Account Codc g. Form ofPeymcnt h. Purporc Codc l. Drte (mm/ddyyyy)j. A0outrt k. Requircd RemerLs I Check B 0Ur6t2020 g 286.76 PALM CARDS AND ated Committee Nrmc& Phone d. Comments $ b. NC udc ci strtc &zi FullNanrc, Mailing INC. [ $ate c. l*vcl Federal Q Urmiclpality d (Speci Cormty: e. Eection Sum to Drtc $100.00 f. Account Code g. Form ofPeymcnt h. Purposc Codc i. Datc (mm/ddyyyy)i. ADortrt k. Reqnircd Rcmerks I Debit Card CO 0t/10/2020 $ 100.00 TICKETS TO2O2O -ttFt il!!#HEFF $IVTTLEDIT'NtrD UI-lAruI Y b. Coordinetcd Commiftee Nrmc d. CoEmcnts L.vcl Rcgistered (S Federal I state I tvtunicipality e. Eection Sum to Detc MLK CELEBRATION COMMITTEE NC & PhoneFullNanrc, Mailing ncludc & 150.00$ f. Account Code g. Form ofPryment h. Purpose Code i. Date (mm/ddlyyyy)j. Amount k. Required Remerks I Debit Card CO 0U07t2020 $ r s0.00 TICKETS TO MLK -E.#!!! i!:!1+_-!t+!r!G $rrAN(2U_E l 536.76$ 13a of Detatled Summary Page CRO-|100 tloperudng Experca) CRGIl00 trConilb to Candtdatcdpoltdcal bmm) CRO- I 1 0 0 f Coo rdinated Pany Expendtauzs) (Tfis Ane pes in llae (Thh line goes in llne 13b olDaalled Summary page (This line goa in line 13c of Daoiled Summary 793.87$ -ll&dia Salaries Postage Other B* - Printing tr* -Equiment J - Penalties C* -Firn&aising G - Political Party K* - Office fucnses D - To Another C.andidate H* -Ilddng PuHic Ofice kpenses Q* -Donation tokgat kpense trhnd * FS-;---- , .-l t*":T'1 *lffiS8 NtsW-JtIAUZV-U-UO: ft lH3r-*"r:'f iFjsqi Amendment 4Disbursements Pg 2 or 2 p ves iD DI x, Use this formto report e>ipenditures fromthe corrrnittee for operating eryenses, contributions to candidate/political conmittees and coordinated o CLAYTON HAMERSKI FOR REGISTER OF DEEDS to CandidateVPoliticaling Expenses b. Coordinrtcd Committec Nemc d. CommGtrtsa. FullNanp, Mailing Address & Phone (include city, strtc, & zip) c. kvel Rcgirtered (Spccify) trtr County Municipality: I rederal E sate e. Ecction Sum to Drtc NEW HANOVER COUNTY NAACP NC 80.00$ g. f,'orm of Pryment h. Purpose Code i. Dete (mm/dd/yyyy)j. Amouot k. Required Rcmerlsf. Account Code I Check AO 0Ut6/2020 $ 80.00 ADVERTISMENT & d. CommctrtsFullNanr,b.e& ude USPS $ ttec strte &zi I rruoicipatlty:e, Ecction Sum to Drtc 27.50 c. l-cvrl Rcgirtered (Spccify) Federal County I sate f. Account Codc g. Form ofPaymcnt h. Purpose Code i. Drtc (mm/ddWyv)i. Amount k. Rcquircd Rcnerks I Debit Card I 0U16D020 $ 27.s0 $rffi b. Coordlneted Committcc Nrme d. Commentsa. Full Nanrc, Mailing Address & Phonc (includc city, stete, & zip) c. [rvel Registered (Spccify) trtr County: Municipality I Fe&ral E s"t"c. Eection Sum to Drte ZAZZLE NC 149.61$ f. Account Codc g. Form ofPeyment h. Purpose Code i. Dete (mm/dilyyyy)j. Amount k. Required Remrrks I Debit Card B 0U0912020 $ 149.61 BUSINESS CARDS $ :'1:i ; l; ,:: : fi,:.r''il+'.257.tt$ (Thls line goes in line I3a of Detailed Summary Page CRO-|100 f OperutingExperces) (Thls Ane goes in Erc 13b of Daalled Summary Page CRO-1100 tJContlb to CandidatdPolittcal bmm)793.87$ (Thls llne goes in line 13c of Detatled CRO-II00 f Coordlnalcd Party Expendturcs) *D - To AnotherCandidate H* -Ibldng PuHic Ofice kpenses Q* - I)onation to Irgal kpense trhnd B* - Printing tr* -Egipent J - Penahies C* - Fhndreising G- Political Parfy K* - Office Erpcnses -ll&dr Salaries Postage Other CRGI3lO -l Pege I of I AmendmenGP[i Yes tr NoAggregate d Non-Media Expe nditures form used to NC Non-Media of $50 or less. NEW-3HA82V-C-065CLAYTON HAMERSKI FORREGISTER OF DEEDS lrnrss 16.530t/0812020IDraftC f] Remove Add TO EVENTlrrcrrr$ 25.000U1412020IDebit Card CDO I Remove Add TO EVENTlrrcrrrs$ 50.00CO0U27/2020IDebit CardE Add I Remove TOEVENT lrrcrrrs$ 50.000211s12020IDebit Card oEI Add I Remove * sooolffiffSnqc0v2712020Debit Card COEI Add f] Remove I INTING) FORPARADEg 19.740U08/2020BDebit CardI Remove Add fouts 28.620U09/2020C Remove EE Add DraftI 239.89$ 239.89 B*_- To Another Candilate E - Salaries G - PoliticalP $ Q* - Donations to Legal Expense Fund * codes rcqujre detailed explanation in required remarhs field (g) , .,.. ffi#;€i1 ;,lffi&ffi I I J - Penalties Refunds/Reimburcements From the Committee rg 1 or 2 "rt 27. Bxo AmendmB#f Use this form to rt refirnd s /reimb urs ements includ contributions retumed to the contributor ffi r". :,: -:rtr, 1, t!,,,,;,'\i:i.il NEW-3HA82V-C-065CLAYTON HAMERSKI FOR REGISTER OF DEEDS d. IVpe of Committcc g. Commcntsa. fbll Namc, Mailing Addrcss & Phone (includc city, statc, & zip)E PAC E p-tyI Candidate f] Referendm e. Lcvel Rcgistcrcd (Specify)h. Originel Rcccipt Drte trtr Comty Municipality: I reaera El $ate t2/02/2019 i. Original Rcccipt Amount 962.00$ CLAYTON HAMERSKI I53 YORKTOWN DR. WILMINGTON,NC 2E4OI s. f,hr ploycr's Nrm clSpecilic field f. Purpoce Codc j. trlection Srn to Dttcb. Job Iltle/Profcssion 0.00$REALTOR KELLER MLLIAMS P l. Form ofPayment m. Rcquired Remrrks n. Dete (nn/ddlyyyy)o. AmouDtk. Account Code Debit Card 962.00 Commcnts I 02/04/2020 $ 'Lry of Com mittcc (include ci strtc, & h.o rl Rcccipt Drtc PACCandidate c. kvcl Rcgistcrcd Cormty I Uunicipality: fbll Name, Mriling Address & Phonc i. Originrl Rcccipt Amount tt/29/2019 $92.00 FILING FEE IN KIND REIMBI.JRSEMENT I Referen&nn E] P.tty Fe&ral $ate CLAYTONHAMERSKI I53 YORKTOWN DR. WILMINGTON, NC 2840I f. Purpose Codc j. Dcction Sum to Datei. f,in ploycr's Neme/Speci Iic trIeldb. Job Iltle/Profcssion P 0.00$REALTOR KELLERWILLI,AMS n. Drte (nm/ddlyyyy)o. Amountl. Form ofPayment m. Rcquired Rcmrrksk. Account Code PO BOX IN KIND REIMBI.]RSMENT 02/0412020 92.00$ ffi,i,,!lffi I - &r'a'*ffifi*#* Debit Card d. I}pc of Committee g. Commentsr. trbll Name, Meiling Addrcas & Phonc (include city, strtc, & zip)I candioate fl neferendm E PAC El pu'ty e. Level Rcgistered (Specify)h. Originel Rcccipt Dttc trtr County: Municipality I re&rat I sate tt/2912019 i. Originrl Reccipt Amouot 102.00$ CLAYTON HAMERSKI I53 YORKTOWN DR. WILMINGTON,NC 2840I j. Eection Sun to Ihtcf. Purporc Codeb. Job Iltlc/Profesrion s. Fnr ploye r's Nrm c/Specilic trIe ld P 0.00$REALTOR KELLERWILLIAMS D. Drte (mm/dd/yyyy)o. AEouotk. Account Codc l. Form ofPaynent m. Rcquircd Rcmrrks 0210412020 102.00$I Debit Card WEBSITE INKIND REIMBURSEMENT 1,156.00$ 1,192.59$ L - Returned to C-ontributor P* - Reimhrrsement of In-Kinr M - Overpaynrnt for Service O* Other N- F,:ceeded Limit cRo-l320 Refunds/Reimbursements From the Committee ps 2 or 2 Use this formto contributions retumed to the contributor CRAT320 Amendment {p, v.'!CIB xo NEW-3HA82V-C-065CLAYTON HAMERSKI FOR REGISTER OF DEEDS d. Ilpc of Committee g. Commentsa. Full Name, Mailing Address & Phonc (include city, state, & zip)I Candidate f] Referendrn EI PAC E partv e, Levcl Registered (Spccify)h. Originel Receipt Date trtr Comty Mmicipality: I rederal E sate tt/2912019 i. Original Receipt Amount 20.00$ CLAYTON HAMERSKI I53 YORKTOWN DR. WILMINGTON, NC 2840I b. Job Tltle/Profession c. Dnployer's Name/Specific FIcld f. Purpose Code j. Eection Sum to Date REALTOR KELLER WILLIAMS P 0.00$ k- Account Code l. Form of Payment m. Required Remerks n. Date (mm/ddlyyyy)o. Amount thbit Card Comments I 20.0002/04/2020 $ ste Cormty: Ori $ (include state, & zip) nal Rece Amount of Committeed. PACCandidate Full Name, Mailing Address & Phone fl sate I-e ve Fe&ral . Original Receipt Date tU29/2019 16.59 OPEN BAMK ACCOUNT IN KIND REIMBURSEMENT I nererendrrr trCLAYTON HAMERSKI I53 YORKTOWN DR. WILMINGTON,NC 2840I b. Job Tltle/Profession c. Enployer's Name/Specific trleld f. Purpose Code j. Dcction Sum to Date REALTOR KELLER WILLTAMS P 0.00$ k. Account Code l. Form ofPeymcnt m. Required Remarks n. Drte (mn/dd/yyyy)o. Amount 1 Debit Card NAMETAG IN KIND REIMBURSEMENT 02t04/2020 16.59$ 36.s9$ 1,192.59$ C.ontibution P* - Reimbursement of In-Kinr L-to M - Overpaynrent for Service O* Other l. Committee Fhll Name rnd Fund ifau Information Add Renpve Infornration Add Renpve Utr Municipality: Total this 5. Total of ALLCRGI320 Pages (This line must be on line 1S of Detuilcd Summory Pap CRO-I 100) *, Codes detailed disbursenpnt code in (f) above)6. 1. Committee Full ame (and Fund if applicaHe) NEW-3HA82V-C-065 Commcnts Originrl Re Date i.o nal Receipt Amount (include stete, & zip) I-evel Re stered (S CLAYTON HAMERSKI FOR REGISTER OF DEEDS 12/0212019 Information fbtl Name, Mailing Address & Phone RenpveAdd of Com m ittced. PACCandidate Comty $962.00 CLAYTON HAMERSKI I53 YORKTOWN DR. WILMINGTON,NC 2840I fl sate f] urmicipality: f] Referendm EI Putty i. Eection Sum to Datef. Purpose Codes. Fmployer's Name/SpeciIic trIcldb. Job Title/Profession 0.00$PKELLER WILLIAMSREALTOR o. Amountn. Drte (mm/ddlyyyy)m. Required Remerksl. Form ofPaymentk. Account Code 02/04/2020 962.00$FILING FEE IN KIND REIMBURSEMENT Debit Card Comments (include ci state, & zip) i. Original Recti Amount Information F\rll Name, Meiling Address & Phone RennveAdd d. Type of Committee PAC )e. I*vel Registercd Federal b. Originrl RecciPt Drte 1v2912019 $92.00 CLAYTON HAMERSKI I53 YORKTOWN DR. WILMINGTON, NC 2840I I Sate fl tutrmicipAity I neroendnn E Putty j. flection Sum to Datef. Purpose Codes. f,'m ployerrs Nem e/Specific trleldb. Job Tltle/Profession 0.00$PKELLER WILLI,AMSREALTOR o. Amountn. Date (mm/dd/yyyy)m. Required Remarksl. f,'orm of Pf,ymentk. Account Code Debit Card 92.00 Comments PAC 02104/2020 $I Date i. Originel Recci Amount PO BOX IN KIND REIMBURSMENT I sate Information FIrll Name , Mailing Address & Phone (include city, state, & zip)E Purty f] Muicipality red (Spccify) County 1U2912019 h. Original Rccei d.'Ilpe of Committee I Referendrn c. Level $102.00 CLAYTON TIAMERSKI I53 YORKTOWN DR. MLMINGTON, NC 2840I Add tr Renpve j. Dcction Sum to Datef. Purpose Codec. Enployer's Name/Specific Fieldb. Job Tltlefrofegsion 0.00$PKELLER WILLI,AMSREALTOR o. Amountn. Date (mm/ddfyyy)m. Required Remarksl. Form ofPaymentk, Account Code 02t04t2020 102.00$WEBSITE INKIND REIMBURSEMENTDebit CardI 1,156.00$Total this 1,192.59$ *red N - Exceeded Contibution Limit mdisdetailedcode,bursenpnt (DCodes(List6.Purpose L - Returned to C.ontributor M - Overpaynrnt for Service Total of AIICRO.I320 Pages cRo-t 100)line mug be on line 15 P* -Reimhrrsementof In-Kinl O* Other Amendme E fcP ilL ts NoRefunds/Reimbursements From the Committee pg 1 or 2 Use this form to refunds/reimburs includin contributions retumed to the contributor 320 ate tlumber I 2. ID Numberand Flrnd ifapoFull NEW-3HA82V-C-065 Commcnts o i.o $ CLAYTON HAMERSKI FOR REGISTER OF DEEDS d. Tlpe of Committee PACCandidate e, Level Registered (Specify) Federal County Information 11t2912019 al Rcceipt Date nrl Receipt Amount 20.00 Add tr Rermve I sate fl Mrmicipality: I Referendrm E P.rtyCLAYTON HAMERSKI I53 YORKTOWN DR. WILMINGTON, NC 2840I Full Neme, Mailing Address & Phone (include city, stete, & zip) j. Eection Sum to Datec. Employcr's Nemc/Specific tield f. Purpose Codeb. Job Title/Profession 0.00$PREALTORKELLER WILLI,AMS o. Amountm. Rcquired Remerks n. Drte (mm/ddlyyyy)l. Form ofPaymentk. Account Code Debit Card 20.00 Commcnts $I Dete $ I-evel Re stcred (S (include state, & zip) Origin al 02/04/2020 RernoveAdd d.'Ilpe of Committee PACCandidate Comty f] Municipality:Ll $ale Information . Full Name, Mailing Address & Phone tU29l20t9 Originel Re Amount 16.59 OPEN BAMKACCOI,JNT IN KIND REMBURSEMENT f] neferenarm E PurtyCLAYTONHAMERSKI I53 YORKTOWN DR. WILMINGTON,NC 2840I j. Eection Sum to Drtef. Purposc Codec. f,mployer's Neme/SPecific fleldb. Job Title/Profession 0.00$PKELLERWILLIAMSREALTOR o. Amoutrtn. Dete (mm/dd/yyyy)m. Rcquired Remarksl. Form ofPeymentk. Account Code 02/04t2020 16.59$Debit Card NAMETAGINKIND REIMBURSEMENT 36.59$4. Total only this Page 1,192.59 N.Contibution Limit $ Codes (List detailed disbursenpnt code in above) L - Retumed to Contributor M -Overpayrrent for Serv ice 6. a4eq{qrent j- D({# Bt noRefundslReimbursements From the Committee pg 2 or 2 Use this formto refu nd s /reimb u rs ernents,contributions retumed to the contributor CRGI I 5. Total of ALL CRO-1320 Pages (This line mast be on line I 5 of Deuiled Summary Page CRO'I 100) P* - Reimbursement of In-Kinr O* Other * Co&s reorire detailed explanetion itr required remarks field (m)