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HomeMy WebLinkAboutO'Grady Organizational Report Amendment Disclosure Report Cover ® Yes o No Use this form for general report and committee information,must be signed and submitted along with other detailed forlm. Do not use this form to update information. 1.Committee Information a.Full Name c.1D Number COMMITTEE TO RE ELECT KEVIN O'GRADY 2— y� C,U New _ b�K9— b.Mailing Address(include City,State and Zip Code) d.Date Filed NC :4,0(0 1 A,1 Lie? 07/09/2013 Al Icm1tj F°�J 'C I L ] .5 201 e.Phone Number zg Y�� 2.Report Year 3.Period Start Date(mm/dd/yy) 4.Period End Date(mm/dd/yy) 5.Treasurer Full Name x013 01/01L?-613 _ 06/30/2013 FRANK MADONNA 6.Type of Committee(Check One) 9.T of Re rt (check only one type ofre ort from one category) ® Candidate Campaign ❑ Party MUD' 1 State/County Referendum ❑ Joint Fundraiser ❑ PAC izational [3 Organizational [3 Organizational ❑ Referendum ❑ Legal Expense Fund ❑ Thirty-five day Quarterly ❑ Pre-referendum 7.T of Fund (fapplicable, check one) ❑ Pre-primary ❑ First ❑ Final ❑ "Booster Fund" ❑ Pre-election ❑ Second ❑ Supplemental Final ❑ Building Fund ❑ Pre-runoff ❑ Third ❑ Annual ❑ Presidential Election Year Candidates Fund Semi-annual [3 Fourth ❑ Special [3 NC Public Campaign Financing Fund L01_ Mid Year Semi-annual Year End ❑ Mid Year 10.Speeia4-'Re ❑ Other: ❑ Final ❑ Year End 8.Number of Fundraisers this Report ❑ Special ❑ Final 0 ❑ Special 3.Account Information 3.Account Information a. Financial Institution Full Name a.Financial Institution Full Name WELLS FARGO WELLS FARGO b.Purpose c.Account Code b.Purpose c.Account Code TO FINANCE THE C TO FINANCE REELECTION S REELECTION CAPAIGN CAMPAIGN d.Period Begin Balance d.Period Begin Balance $ 0.00 $ CERTIFICATION I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A,22B&2213-22M 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 t 41JL M A-2)0 tj AA 07/09/2013 Printed Name of Signer f9ignature of Appointed Treasurer Date FOR OFFICE USE ONLY Date Received: 4Z,s- Z;'13 Employee: Delivery Method ❑ Normal Mail Date Postmarked: Employee: ❑ Registered Mail Hand Delivered Date Scanned: Employee: ❑ Electronically Filed Date Data Entered: Employee: ❑ Signer has not received 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 infommation. You must amend the Statement of Organization CRO-2100A-E to make committee changes. CRO-1000 NC State Board of Elections December 2007 Amendment Detailed Summary ® Yes El No Use this form to summarize all disclosure reporting forms and to total monetary information L Committee Full Name(and Fund if applicable) 2.TylLe of Report 3.ID Number COMMITTEE TO RE ELECT KEVIN O'GRADY 2013 Mid Year Semi-Annual f_)4 r����� (�Cr - Start of Election Cycle: January 1, Total this Total this Reporting Period Election Cycle 4) Cash on Hand at Start $ 0.00 $ 0.00 RECEIPTS 5) Aggregated Contributions from Individuals (CRO-1205) $ 0.00 $ 0.00 6) Contributions from Individuals (CRO-1210) $ 250.00 $ 250.00 7) Contributions from Political Party Committees (CRO-1220) $ 0.00 $ 0.00 8 Contributions from Other Political Committees (CRO-1230 $ 0.00 $ 0.00 9) Loan Proceeds (CRO-1410) $ 3,000.00 $ 3,000.00 0) Refunds/Reimbursements to the Committee (CRO-1240) $ 0.00 $ 0.00 1) Other Receipt Sources 11a) Interest on Bank Accounts NHC Qd n¢ (CRO-1250) $ 0.00 $ 0.00 11b) Contributions from Not-For-Profit Organizations (CRO-1250) $ 0.00 $ 0.00 11c) Outside Sources of Income (CRO-1250) $ 0.00 $ 0.00 I ld) Legal Expense Fund-Other Sources (CRO-1270) $ 0.00 $ 0.00 I le) Exempt Purchase Price Sales (CRO-1265) $ 0.00 $ 0.00 2) TOTAL RECEIPTS (Add lines 5,6,7,8,9,10,11 a,I I b,I I c,I I d and l le) t $ 3,250.00 1 $ 3,250.00 EXPENDITURES 3) Disbursements 13a) Operating Expenditures (CRO-1310) $ 0.00 $ 0.00 13b) Contributions to Candidates/Political Committees (CRO-1310) $ 0.00 $ 0.00 13c) Coordinated Party Expenditures (CRO-1310) $ 0.00 $ 0.00 4) Aggregated Non-Media Expenditures (CRO-1315) $ 0.00 $ 0.00 5) Loan Repayments (CRO-1420) $ 0.00 $ 0.00 6) Refunds/Reimbursements from the Committee (CRO-1320) $ 0.00 $ 0.00 7) In-Kind Contributions (CRO-1510) $ 0.00 $ 0.00 8) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $ 0.00 $ 0.00 9) Cash on Hand at End(Add lines 4 and 12 together,then subtract line 18) $ 3,250.00 $ 3,250.00 ADDITIONAL INFORMATION 0) Non-Monetary Gifts Given to Other Committees (CRO-1330) $ 0.00 �I l) Outstanding Loans(incl.ones from other campaigns) (CRO-1430) $ 3,000.00 2) Debts and Obligations owed by the Committee (CRO-1610) $ 0.00 3) Debts and Obligations owed to the Committee (CRO-1620) $ 0.00 4) Account Transfers Within the Committee (CRO-1720) $ 0.00 5) Administrative Support (CRO-1710) $ 0.00 $ 0.00 6) Forgiven Loans (CRO-1440) $ 0.00 $ 0.00 V87)) 48-Hour Notice Reports Sum (CRO-2220) $ 0.00 $ 0.00 Contributions to be Refunded (CRO-1215) $ 0.00 $ 0.00 CRO-1100 NC State Board of Elections August 2008 Amendment Contributions from Individuals Pg 1 of 1 '® 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 COMMITTEE TO RE ELECT KEVIN O'GRADY Cr G 3.Contributor Information ❑ Add ❑ Remove a. Full Name,Mailing Address&Phone b.Job Title/Profession d.Comments ___.__.._.....__.._..._.__�..____ ___._........._....._........... ._.____.____. (include city,state,&zip) SALESMAN FRANK MADONNA NC c.Employer's Name/Specific Field G S- VOj�,W 10 SELF EMPLOYED e.Election Sum to Date 2 tL O�� $ 100.00 f.Prior g.Account Code h.Form of Payment i.In-Kind Description j.Date (mm/dd/yyyy) k.Amount ❑ C Check 06/19/2013 $ 100.00 ❑ �U U1 $ ❑ S 3.Contributor Information; ❑ Add ❑:Remove a.Full Name,Mailing Address& Phone b.Job Title/Profession d.Comments (include city,state,&zip) FRANK MADONNA NC _ c.Employer's Name/Specific Field 19�0 o j luv�(1�C� ' e.Dection Sum to Date C Z3 T- f. Prior g.Account Code h.Form of Payment i.In-Kind Description j.Date (mm/dd/yyyy) k.Amount _....__.__......_...___._. ...._.__..—._ ___.___..__._-._-_.__. ___...__._ ❑ S Check 06/19/2013 $ 150.00 ❑ S ❑ $ 4. Total only this Page $ 250.00 5. Total of ALL CRO-1210 Pages $ 250.00 (This line must be on line 6 of Detailed Summary Page CRO-1100) CRO-1210 NC State Board of Elections April 2007 Amendment Loan Proceeds Pg 1 of 1 ® Yes ❑ No Use this form to report proceeds from loan and loan endorser's information A loan proceeds statement must acco=anz each loan that is from an individual COMMITTEE TO RE ELECT KEVIN O'GRADY 3.Lender Information [3--Add ❑ Remove a.Full Name,Mailing Address&Phone b.Job Title/Profession d.Comments (include city,state,&zip) KEVIN O'GRADY NC e.Start Date(mm/dd/yyyy) 2,;) c.Employer's Name/Specific Field 06/23/2013 } ti✓� �t re� f E llJ/rn1 l��'�'o N lU e L � h-�'L / C End Date(mm/dd/YYYY) O1 2014 g.Rate h.Security Pledged i.Account Code j.Form of Payment k.Amount C Check $ 3,000.00 1.Full Name of Lending Institution m.Loan Number p , `k17teReodG°iv{ guarmntee the loan.)" a.Full Name,Mailing Address&Phone b.Job Title/Profession c.Employer's Name/Specific Field (include city,state,&zip) JUL 15 2013 d.Percentage e.Amount % $ b Pry .�.�„��"',�"`�' 5. Total of ALL CRO-1410 Pages � 'u .,:-�: $ 3,000.00 (This line must be on line 9 of Detailed Summary Page CRO-1100) CRO-1410 NC State Board of Elections April 2007 Amendment Outstanding Loans Pg 1 of I ® Yes ❑ No Use this form to report any outstanding loans received during a previous reporting period and until the loan is paid in full. 1.Committee Full Name(and Fund if aplicable� COMMITTEE TO RE ELECT KEVIN O'GRADY _ N vA Oct 3.Lender Information ❑ Add ❑ 'Remove a. Full Name,Mailing Address&Phone b.Job Title/Profession d.Comments (include city,state,&zip) KEVIN O'GRADY NC e.Start Date (mm/dd/yyyy) c.Employer's Name/Specific Field 06/23/2013 ct- l i}L ;�." I f.Fnd Date(mm/d yyyy) Ctrl a1t� ��oP, U. G 2?1Y01 0`i 2014 , g.Rate h.Security Pledged i.Original Loan Amount j.Remaining Loan Balance % $ 3,000.00 $ 3,000.00 k.Full Name of Lending Institution 1.Loan Number 4. Total only this Page $ 3,000.00 5. Total of ALL CRO-1430 Pages $ 3,000.00 (This line must be on line 21 of Detailed Summary Page CRO-1100) CRO-1430 NC State Board of Election, December 2007 .IUL 15 2013 North Carolina JUL 15 2013 State Board of Elections 441 N Ilarrington Street Raleigh,NC 27603 Kim Westbrook Strach Mailing Address Executive Director PO Box 27255 Raleigh,NC 27611-7255 (919)733-7173 Fax: (919)715-8047 Loan Proceeds Statement This Statement is used to report detailed information about a new loan and is required to accompany the Loan Proceeds Form in the report for which the loan is initially disclosed. If the loan is from an individual, the lender's signature is required on this form • Name of committee to receive loan: 60 MM 1 O • Person or committee to make loan: k' IOU ©'6_.0¢.b y • Date of loan to committee: 2 3 • Name of lending institution and account number (source): • Amount of loan: * 31 00c), 0' • Description (if in-kind loan): • Names of all parties responsible for payment of loan (guarantors): • Period of loan: • Rate of interest of loan: • Security pledged for loan: I, �J,/"A l /`(�".0 ` , acknowledge that all of the information (Person lending money to committee) provided is complete, true, and accurate. I further understand I may not forgive a loan that ou i alance to any source. i natur end r ate igned \I Ij 1� Signature of Treasurer of Committee Date Signed Note:This Statement is to be filed with the Election Board where the committee's reports are filed. CRO-6100 Loan Proceeds Statement May 2013