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Hamerski 2019 Organizational Report Amdc. ID Numbcrr. Full Nrmc NEW-3HAE2V.C-065CLAYTON HAMERSKI FOR REGISTER OF DEEDS d. Drtc Flledb. Mriling Addrcss (includc City, Stetc end Zp Codc) 05t0712020 c. Phonc Numbcr (910) 3s2-7991 PO BOX 32 WILMINGTON, NC 28402 2.Rmrt.ftr t2l0El2019 KATHLEEN ORNOWSKI2019rv29l2019 orrc Stete/County RefercndumMunicipelEI Canddate Campaigr I Joint Fr.n&aiser I Referendrn E P"rty E PAC E t-"gul Expense Frmd Q Orgnizztional f] Pre-referendnn E Final E $rypl.-"rtd Final fl Annual E Speciat [ "Booser Frnd' E BuildingFund I Presi&ntial Election Year Candidates Fund E NC Public Campaign FinancingFurd fl other: fl Orynizational Quarterly tr First tr Second tr Third tr Fourth Semi-annual tr Mid Year tr YearEnd E Final EI special trtrtrtrtr trtrtrtr Oreanizational Thirty-five day Pre-primary Pre-election Pre-runoff Semi-annual Mid Year Year End Final Special 0 nrncial Institution fhll amcl.Institution Full NrmcH ACTBLUE (VANTIV LLC)FIRST CITIZENS BANK c. Account Codcb. Purposcc. Account Codcb. Purposc 2I d. Period Bcgin Belanccd. Pcriod Bcgin Brhncc 0.00$ ONLINE CREDIT CARD PROCESSING 0.00$ CAMPAIGN TRANSACTIONS I certify that the Connnittee or Fund is in conpliance with all applicable Chapter 163 of the NC General Statutes and that no funds are conrning I Datereasurerl[e 0510712020 fl Signer has not received funds. I furthercenifr that this rcport is corplete, OTTrcEI.EEOI\LY of Article 22A, 228 & 22D22M of been trained by the NC State Board or other non-disclosed Enployee: Enployee: Enployee: Enployee: Deliverv Method E NornalMail EI negistered Mail E Hand Delivered E Electronically Filed Date Received: Date Postnarked: Date Scanned: Date Data Entered: Please Note: This formcannot be used to anrend cormittee infornntion such as the conmittee address, treasur€r, assistant treasurer, custodian of books infonnation, or account infornntion. You nust anpnd the toc+^r^*n+ ^f A*^- I-+in- fI-Pl^L? I ff)A -F\chanses.nake conrnittee Disclosure Report Cover il"J"0.'"'tz*, Use this formforgeneralreport and conrnittee infornation, nrust be signed and submitted along with otherdetailed forns se this formto 000 Amendment / DI Ycs E ttoDetailed Summary se this formto sunnarize disclosure forns and to total nrcn infornntion 3.IDNumbr2.Tvoo ofReprtFhll Neme if NEW-3HA82V-C-0652019 OrganizationalYTON HAMERSKI FOR REGISTER OF DEEDS Total this Eection Cycls Total this Reporting PeriodStartof ElectionClcle: January l, L 5) Aggregated Contributions from Individtals 6) Contrihrtions from Indirifuds 7) Contrihrtions from Political Party Committees E) Contributions from Other Political Committees 9) Loan Proceeds 0) Refun*/Reimbursements to the Committee 1) Other Receipt Sources lla) Intereston Bank Accounts t lb) Contributions from Not-For-Profit Organizations 1lc) Outside Sources of Income I I d) I-egal Bpens e trirnd - Other Sources lle) Bempt Purchase Price Sales 0.004) Ces h on lland at Start 0.00 $$ $ $ $ $ $ $ $$ $$ $$ $$ $$ (cRoI20s)$ (cRo-1210)$ (cRo|220)$ (cRo-|2i0)$ (cRo-1410)$ GRAt240)$ 150.00 0.00 2,126.72 0.00 0.00 50.00 150.00 0.00 2,126.72 0.00 0.00 50.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 GRAI2so) (cRot2so) (cRo-12s0) (cRo-l270) (cRo-126s) 2,326.72$2,326.72s12) TOT,ALRtrCIIPTS (Add lines 5, 6, 7, 8, 9,l0,llal lb,l lc,l ld and I 1e) 0.00$$0.00 0.00$0.00$ $0.000.00$ 0.00$0.00$ $0.000.00$ $0.00 0.00$ 1,406.72$1,406.72$ I 3a) Operating B.pendtures I 3 b) Contri hrtions to Canddates/Poli tical Committees l3c) Coordinated Party Bpencltures 4) Aggregated Non-Ilhtta Bpenditures 5) I-oan Repyments 6) Refrrnfr/Reimbursements from the Commilfss 7) In-Kind Contrihrtions (cRo-l310) GRAIi10) (cRo-l310) (cRo-|31s) (cRo-1420) (cRo-1320) (cRO-|510) 3) Disbursernents 1,406.72$1,406.72$1E)TOTALDPE\TDITTJRES (Add lines l3a, l3b, l3c, 14, 15' 16 and 17) Cash on lland at End (Add lines 4 and 12 together, then subtract line 18)920.00920.00 $ $ $ $ $ (cRa1i30)$ (cRo-1130)$ (cRo-1610)$ (cRol520)$ rcRL1720)$ (cRo-1710)$ (cRo-1440)$ (cRo-2220)$7)4t-Hour Notice Reprts Sum IIION ) Account Transfers Within the Committee 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0) Non-Monetary Gifts Giren to Other Comrnittees 1) Oubtanding Ians (incl. ones from other campigns) Deh and OHigations orrcd by the Committee Deh and OHigations ou,ed to the Committee 5) Adninis tratiw SuPort 6) trlorgiren Ioans $ 0.00 - 4.,-,^+ lnnq 0.00$(cRo-l21s)t8)Contributions to be Refun&d Aggregated Contributions from Individuals page I or I form used to NC Conffibutions From Indiviluals of $50 or less cRo-l205 o rons Amenilment t-[I v.r E no April dcr NEW-3HA82V-C-065 c. Form ofPeyncnt d. In-Kind Description Datc (m AmountAmcndb. Account Code CLAYTON T{AMERSKI FOR REGISTER OF DEEDS t2/06t2019 25.00$E Add I Remove 2 Credit Card Credit Card 12106/2019 $50.00E Add I Remove 2 E Add I Remove 2 Credit Card 12106t2019 25.00$ 50.00$E Add I Remove I Check 1210212019 4. Total only this Page $150.00$ $r50.00$5. Total of ALL CRO-1205 Pages (This llne must be on line 5 of Daaikd Summary Page CRO-I100) Contributions from Individuals Use this formto individual contributions over $50 or contributions under $50 if form CRO 1205 is not used Amendment f-pg I of 3 [try.. Eno NEW-3HA82V-C-065CLAYTON HAMERSKI FOR REGISTER OF DEEDS *vc b. Job IItle/Profession d. Commentsa. tr'ull Nrme, Mriling Address & Phone (include city, strte, & zip)REALTOR c. Employer's Name/Specific trIeld e. Dection Sum to Drte CLAYTON HAMERSKI 153 YORKTOWN DR. WILMINGTON,NC 2840I KELLERWILLIAMS 1,192.59$ f. Prior g. Account Codc h. Form ofPrymcnt i. In-Kind Dcscription j. Drte (mm/ddlyyyy)k. Amount I ln-Kind COASTAL ENGRAVING (NAME BADGES)1t/29/2019 16.59$ u I Electric Funds Tran tt/29/2019 20.00$ tU29/2019 92.00 d. Comnents In-KindI $USPS (PO BOX YEARLY Fbll Nrme, Mriling Addrcss & Phone (includc city, strtc, & c. Ecction Sum to Date REALTOR Add Job Tltle/Profession c. Employcrrs Neme/Spccific trield KELLERWILLIAMS $1,192.59 CLAYTONHAMERSKI I53 YORKTOWN DR. WILMINGTON, NC 2840I f. Prior g. Account Code h. Form ofPryment i. In-Kind Dcscription j. Drtc (mm/ddlyyvy)k. Amount I In-Kind wrx (WEBSTTE HOSTTNG)tt/29/2019 102.00$ tr I In-Kind FILING FEE 12102120t9 962.00$ $ b. Job Tltlc/Profession d. Commentsr. trbll Nemc, Mriling Address & Phonc (ioclude city, strtc, & zip)PHYSICIAN c. hploycr's Nrmc/SpcciIic Flcld e. Dection Sum to Detc DOUG HAMERSKI 405 S.3RD ST. WILMINGTON, NC 2840I EASTERN NEPHROLOGY ASSOCIATES 234.13$ f. Prior g. Account Code h. Form ofPrymcnt i. In-Kind Description j, Drtc (mm/ddfyyy)k. Amount tr In-Kind FOOD FOR KICKOFF EVENT t2/01/2019 234.13$ tr $ tr $ TodorrytB nrye 1,426.72$ tqr,ffiryll'.tlF\ T@l ofAIJ, CRGI2IOtuw,bentu nrgs , ,2,126.72$ tr tr )IIIdtf j ;'nu' CLAYTON HAMERSKI FORREGISTER OF DEEDS NEW-3HA82V-C-065 b. Job Iltle/Profession d. Commcntsr. Ibll Nrme, Meiling Addrcss & Phone (includc city, strtc, & zip)REAL ESTATE AGENT c, r'mploycr's Neme/Specific Flcld e. Eection Sum to DrtcRETIRED 100.00$ MARGARET HAYNES I3O2 HAWTHORNE RD WILMINGTON, NC 28403 j. Detc (mm/ddlyyyy)k. Amount[. Prior g. Account Codc h. tr'orm of Prymcnt i. In-Kind Dcrcription Check t2/0212019 100.00$I $tr d. Commcnts tr $ e. Eection Sum to l)rte RETIRED b. Job Tl tl e/Professi on Rrxr*c c. Enployer's Nemc/Spccilic Fleld US ARMY $250.00 MARCIA MORGAN 1 IO GREEN TURTLE LN CAROLINA BEACH, NC 28428 tr\rll Nrme, Mailing Address & Phone (include city, strte, & zip) i. In-Kind Description j. Drtc (mm/ddlyyyy)k. Amountf. Prior g. Account Code h. f,'orm of Paymcnt 12103/2019 250.00$tr I Check $tr d. Comments $ e. Eection Sum to Datc b. Job Title/Profcssion RETIRED 6. tr'n ployc r's Nem c/Spccific Ficld RETIRED $2s0.00 NANCY O'DONAHUE 15 OYSTER CATCTIER RD. WILMINGTON, NC 284I I f,tll Name, Meiling Addrcss & Phonc (includc city, rtete, & zip) i, In-Xiod Description j. Dete (mm/ddlyyyy)k. Amountf. Prior g. Account Codc h. f,'orm of Pryment Check t2l0U20t9 250.00$E]2 $ $ &600.00$ 2,126.72$S.fronlaf ffitl*fflf D*t,.* , .$t/lbaffilroe&c6$Daa&/l .,llf &rfiO) Contributions from Individuals Use this form to individual contributions over $50 or contributions under $50 if form CRO 1205 is not used Amendment LPg-LoI 3 BY.. Eno cRo-I210 l tr T Amendment /Contributions from Individuals pg ;L or 3 E v., E[ xo Use this form to report individual contnlbutions over $50 or contributions under $50 if form CRO 1205 is not used )!Mir'' '' t NEW-3HA82V-C-065CLAYTON TIAMERSKI FOR REGISTER OF DEEDS CommctrtsIhll Nrmc, Meiling Address & Phone (includc city, strte, & zi e. Dection Sum to Drte b. Job Tltle/Profession OWNER c. hploycr's Neme/Spccilic tr'icld SWAHILI COAST $100.00 ANTHONY D PEELE 13I MCRAE ST #B WILMINGTON, NC 2840I f. Prior g. Account Codc h. Form ofPrymetrt i. In-Kind Dcscription j. Drtc (mm/ddlyyyy)k. Amount Check 12t02t2019 100.00$ $ tr $ 100.00$ 5. frffi.9$t'.f;x&m&,f2lolt3pg I . (fb * ru b ct b 6 $W*ry+ttE cE{r,f,p 2,126.72$ 70 tr Contributions from Other Political Committ€GS rg I or Use this form to report contributions from other candidate, referendum or PAC conrnittees I Amendment f- DI v.. E no April NEW-3HA82V-C-065 d. Commcnts CLAYTON HAMERSKI FOR REGISTER OF DEEDS of Committce Candidate PAC I Referendnn Irvel Rcgistered (Spccify) Federal Cormty e. Dection Sum to Drtc CorUfOr f,N sate I Urmicipality: $s0.00 ELECT LESLIE COHEN 2OO9 PEACHTREE AVE. WILMINGTON, NC 28403 Fhll Nrme, Meiling Addrcss & Phonc (include city, stetc, & zip) f. Accoutrt Codc g. Form ofPrymcnt h. In-Kind Dcscription i. Date (mm/dd/yyyy)j. Amount CheckI t2/02t2019 50.00$ $ $ $50.00$ (rrgacrntrr6:ti94.ffi @ftr€ilq4rf .$s0.00$ )-' Amendment 2 In-Kind Contributions rg I or I E y.. E r,ro Use this form to report non-monetary contributions, donations, pods or services provided to the committee or fund. Use CRO-1215 ifln-Kind be refunded within 7 s ., $rtu CLAYTON HAMERSKI FOR REGISTER OF DEEDS NEW-3HA82V-C-065 b. tpe of Contribrtor c. Commentse. Fbll Neme, Mriling Addrcss & Phone (include city, strte, & zip) d. Dection Sum to Drte CLAYTON HAMERSKI I53 YORKTOWN DR. WILMINGTON,NC 2840I I Individral I Canddut" E p"rty I rec I Referendm I Ottrer Receipt Source 1,192.59$ e. Description f. Drtc (mm/ddfiyyy)g. Frir Merkct ADount COASTAL ENGRAVING (NAME BADGES)tU29l20t9 16.59$ usPs (Po Box YEARLY RENTAL)tt/29/20t9 92.00$ wx (wEBSm HosTrNG)ty29/2019 102.00$ b. Ilpc ofContributor c. Commentsa. tr\rll Nemc, Meiling Addrcss & Phone (include city, strtc, & zip) d. Ecction Sum to Drte CLAYTON HAMERSKI I53 YORKTOWN DR. WILMINGTON, NC 2840I I tndivi0uat I Candidate EI purtv E pAc I neferendrm fl Othe. Receipt Source 1,192.59$ Dcscription f. Detc (mm/ddryyyy)g. Feir Mrrkct Amoutrt FILING FEE 12t02/2019 962.00$ $ c. Comments 234.13 $ $ (include ci statc, & zip) b. Ilpe ofContributor d. Dection SUD to Drte fhll Name, Mriling Address & Phone I Canddate E poty I rac E Referendrn I Ottrer Receipt Sor.nce DOUG HAMERSKI 405 S.3RD ST. WILMINGTON, NC 2840I e. Dcscription f. Detc (mn/dd/yyyy)g. Frir Markct Amount FOOD FOR KICKOFF EVENT t2/0U20t9 234.13$ $ $ t&!c4vtr'Ese 1,406.72$ Totrl 17 1,406.72$ ,1510 NC e Ceeffihffi, tr -l n rcvG,