Hamerski 2019 Year End Report Amd #1Disclosure Report Cover
Use this form for general report and conrnittee infornation, rrust be signed and submitted along
Do not use this formto inforrmtion
Amendment 4EV?". EE-no
wit( lther detailed forns.
c, ID Numberr, Fhll Nemc
NEW-3HA82V-C-065CLAYTON HAMERSKI FOR REGISTER OF DEEDS
d. Drtc Flledb. Mailing Addrcss (includo City, Strtc end Zp Codc)
0s10712020
c. Phonc Numbcr
(et0) 3s2-79e1
PO BOX 32
WILMINGTON, NC 28402
m2.f,mrtYcar
KATHLEEN ORNOWSKI201912t09/2019 t2t3U20t9
I
Municiprl Stetc/County Rcfcrcndum[lCanAOaie Campaign
I foint Frn&aiser
I Referendrn
EI Pnty
EI PAC
E L"gul Expense Frmd
I Organizational
I Pre-referendnn
El Final
f] Spplemental Final
I annua
E Secia
16. Smdd BomtNrre
[ "Booster Frmd"
E BuildingFund
I Presidentid Election Year Candidates Frmd
E NC Public Campaigr Financing Fund
I other
0
trtrtrtru
utrtrtr
Organizational
Thirty-five day
Pre-primary
Pre-election
Pre-nnoff
Semi-annrnl
Mid Year
Year End
Final
Special
I Organizational
Quarterlytr First
tr Second
tr rhird
tr Fourth
Semi-annual
Mid Year
Year End
Final
Special
E]trtrtr
3.Accr-d&din 3.Acdf,M
a. Flnenciel Institution Full Nemc r. Flnrnciel Institution f,hll Nrmc
FIRST CITIZENS BANK ACTBLUE (VANTIV LLC)
b. Puraosc c. Account Code b. Purposc c. Account Codc
I 2
d. Pcriod Bcgin Bahncc d. Pcriod Bcgin Behnce
CAMPAIGN
TRANSACTIONS
$920.00
ONLINE CREDIT CARD
PROCESSING
0.00$
CIRTIFrcATION
I certifr that the Conrnittee or Fund is in conpliance with all applicable provisions of Article 22A,228 &22D22M of
Date
0510712020
areChapter 163 ofthe NC Ccneral Statutes and that no fu prohibited or other non-disclosed
been trained by the NC State Boardfunds. I furthercertifr that this report is conplete, true
Date Received:
Date Postnmrked:
Date Scanned:
Date Data Entered
Enployee:
Enployee:
Enployee:
Enployee:
Deliverv Method
E NornalMail
E Registered Mail
E runa Delivered
E Electronicalty Filed
I Signer has not received
OFTrcEI-SEOITLY
Please Note: This formcannot be used to anpnd comnittee infornation such as the conrnittee address, trcasurer,
assistant treasurcr, custodian of books inforrnation, or account infornntion.
that
3. ID Numberl. Committee Fhll Name (andFhndif apflicaHe)
2019 Year End Semi-Annual NEW-3HA82V-C-065CLAYTON HAMERSKI FOR REGISTER OF DEEDS
Total this
Reprting Period
Total this
Eection CycleStart of Election Clcle: January l, L
5) Aggregated Contributions from Indiddrals
6) Contributions from Indvi&rals
7) Contributions from Political Party Committees
E) Contributions from Other Political Committees
9) laan Procee&
0) Refrrn&/Reimbursenrents to the Committee
1) Other Receipt Sources
I I a) Interest on Bank Accounts
I I b) Contributions from Not-For-Proft Organizations
llc) Oubide Sources of Incorne
l ld) Legal Bpense Fhnd - Other Sources
1le) hempt Purchase Price Sales
920.004) Cash on llrnd at Start 0.00$$
$$
$$
$$
$$
$$
$$
$
$
$
$
$
(cRo-12s0)$
(cRo12s0)$
(cRo-12s0)$
(cRo-r270)$
(cRot26s)$
375.00
0.00
685.00
0.00
0.00
0.00
525.00
0.00
2,811.72
0.00
0.00
50.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
(cRo-120s)
(cRo1210)
GRAI220)
(cRalx0)
(cRo-1410)
(cRol240)
3,386.72$1,060.00$12) TOTAL RECIIPTS (Add lines 5, 6, 7, 8, 9, 10, I la I lb, I I c' I I d and I I e)
$0.00 0.00$
0.00$$0.00
0.00$0.00$
$0.00 0.00$
$0.00 0.00$
0.00s 0.00$
0.00$1,406.72$
3) Dishrrsements
13a) Operating Bpnditures
I 3 b) Contri butions to Candidates/Pditi cel Committees
l3c) Cmrdnated Party Expentltures
4) fu gregated Non-lltkdia kpenditures
(cRo-r310)
(cRot310)
(cRa|3t0)
(cRo-1i1s)
(cRo-r420)
(cRo-1320)
(cRclst0)7) In-Kind Contrihrtions
Loan Repyments
Refrrn&/Reimbursements from the Committee
1.406.'12$0.00$lS) TOTAL D(PE\DITIJRf,S (Add lines l3a, l3b, r3c,14,15, 16 and 17)
Cash on Ihndat End(Add lines 4 and 12 togsther, then subtrrct line l8)
l) Oubtandng Loans (incl. ones from other campigns) (CRGI130)
4) Account Transfers Within the Committee
5) Atuf nistratirrc Supprt
6) tr'orgiren Loans
7) 4t-[Iour Notice Reports Sum
$I .00
$
980.00
$
$
$
(cRo-r330)$
$
(cRo1610)$
(cAo-1620)$
(cRo-l720)$
(cR41710)$
(cRo-1440)$
(cRo-2220)$
INFORMATION
Non-lVflonetary Gifu Gir,en to Other Committees 0.00
0.00
0.00
0.00
0.00
0.00
0.00
.00
0.00
0.00
0.00
) Debts and Obligations oucd by the Committee
) Deh end OHigations ourd to the Committce
0.00$0.00$(cRo-l21s)It) Contributions to be Retun&d
Detailed Summary
Use this
Amcndmcnt 4-El(8. DI xo
all disclosure forns and to total infonrntion
CRAI ate
I
Aggregated Contributions from Individuals pege I or I
Amqndment {-RH. El xo
form used to NC Contributions From Individuals of $50 or less
NEW-3HA82V-C-065CLAYTON HAMERSKI FOR REGISTER OF DEEDS
f. Amountc. Form ofPayment e. Drtc (mm/dd/yyyy)Amend b. Account Code d.
25.00$12109/20192Credit CardE aoa
I Remore
12/1412019 50.00$2 Credit CardE Add
f] Remove
t2n8t2019 50.00$Credit CardEea
f] Remove
2
50.00$t2/17/20192Credit CardE Add
I Remove
25.00$12109/20192Credit CardE eao
fl Remove
t2t09t2019 25.00$2 Credit CardE noo
I Remove
50.00$t2/23t2019Credit CardE ead
I Remore
2
1212012019 50.00$2 Credit CardEI Add
fl Remore
50.00$t2/19/2019Credit CardE Add
f] Remove
2
$375.00$4. Total only this Page
$375.00$5. Total of ALL CRO-1205 Pages
(Thts Ene must be on line 5 olDaallcd Swtmary cRo-|100)
205 o
n )Nrtrr)&cMNml
NEW-3HAE2V-C-065CLAYTON HAMERSKI FOR REGISTER OF DEEDS
d. Commcnts
r's Name/Specific trlcld
WENTA
c. Em
. Eectioo Sum to Dete
Add
b. Job TItlc/Profession
$100.00
BETSY VON BIBERSTEIN
2805 OLEANDER DR
WILMINGTON, NC 28403
tr\rll Nemc, Meiling Addrcss & Phone
(includc city, strtc' & zip)
k. Amountj. Detc (mm/ddlyyyy)i. In-Kind Dcscriptionh. Form ofPeyncntf. Prior g. Account Code
100.00$12t09/20192Credit Cardtr
$tr
$
ilail trffiFfirnrti*E
d. Commcntsb. Job Tltle/Professiona. F\ll Nemc, Meiling Addrcss & Phonc
(includc city, strte' & zip)PSYCHOTHERAPIST
s. f,'n ploycrrs Nemc/SptciIic Ficld
e. Elcction SUE to Dlte
100.00$
SELF
LOUISE COGGINS
I50 BEACH RD
WILMINGTON,NC 2E411
k. Amountj. Drte (mE/ddSyyy)i. In-Kind Descriptiouh. Form ofPeymcntg. Account Codcf. Prior
100.00$12/r0/2019Credit Cardtr2
$tr
$tr
d. Commcntsb. Job Tttte/Professiona. Flltl Nrmc, Meiling Address & Phone
(inctude city, stete' & zip)RETIRED STATISTICIAN
i. f,'m ploycr's Nrm c/Specific FIcld
e. ftection Sum to Dete
100.00$
DEPT. HEALTH & HUMAN
SVCS
DENNIS DIXON
2523-9 COSTMARY LN
WILMINGTON,NC 2E412
k. Amountj. Dotc (mn/ddlyyyy)i. In-Kind Descriptionh, Form ofPaymentf. Prior g. Account Code
100.00$12109120192Credit Cardtr
$tr
$tr
300.00$#'"d fr
$685.00AI.Lm,Gr2r0hg3t
bcNbe bc6
Contributions from Individuals rg
-1-
of 2
Use this formto individual contributions over $50 or contributions under $50 if form CRO 1205
Amendment .{-
Iv.' Exo
is not used
ate
EI'TII-trTJJI'iI
n
:,. . :ii:
Contributions from Individuals
Use this formto individual contnlbutions over $50 or contributions under $50 if form CRO 1205 is not used
Pg2ot2 ffip.'.:
ett 4-
Exo
rtH5i.zafr,eGfWHrii*l II.Ccfl
CLAYTON HAMERSKI FOR REGISTER OF DEEDS NEW-3HA82V-C-065
d, Commcntsb. Job Tltl c/Profc csi ona. f\rll Neme, Mriling Addrcss & Phonc
(includc city, strte' & zip)GRADUATE STTIDENT
c. Employer's Neme/Spccilic trIeld
e. Ecction Sun to Drtc
75.00$
LTNC CHAPEL HILL
PETER KANE
5616 FAYE DR.
GREENSBORO, NC 27410
k. Amountj. Detc (mm/ddfyyy)h. Form ofPrymcnt i. In-Kind Descriptionf. Prior g. Account Codc
75.00$12t19/2019Credit Cardtr2
$
$tr
d. Commcntsb. Job Iltle/Professionr. F\ll Nrme, Meiling Addrcss & Phonc
(include city, strte' & ziP)HOMEMAKER
c. Employer's Nemc/Spccific trleld
e. Dection Sum to Drte
60.00$
SELF
CINDYNEVEU
7414 SONGBIRD CT
WILMINGTON,NC 284II
k. Amountj. Drtc (mm/ddfyyy)i. In-Kind Descriptionh. Form ofPrymcnt[. Prior g. Account Code
30.00$t2/16/2019CashtrI
30.00$t2t2012019CashtrI
$tr
d. Commcntsb. Job Iltlc/Professionr. trtll Nrme, Meiling Address & Phonc
(include city, strte' & zip)ATTORNEY
c. hploycr's Namc/SPcciIic trlcld
e. Ecction Sum to Dete
250.00$
SELF EMPLOYED
RICHARD POOLE
I955 PRESTWICK LANE
WILMINGTON, NC 28405
k. Amounti. Drto (mm/ddfvyy)i. In-Kind Descriptiong. Account Code h. Form ofPeymcntf. Prior
250.00$12t09120192Credit Cardtr
$
$tr
385.00$ffi
$685.00
fl