Jennifer MacNeish First Quarter Amendment (2)Do not use this form to infomatioll
1.Committee lnforma●om
a. Full Nemc c.ID Number
JemiferHardismMacNdsh tt r PoD 8HA5LL
b. Mriling Addrcss (includc City, Stltc rnd ?jp Code)ι Date Filed
616 Southerland Farln Rd.
Wilmmgton9 NC 28411
4/26/2012
e. Phonc Numbcr
910‐538‐2083
2. Report Year 3.Period Start hte(Imm/dd/yy)4.Per鵬 直 End Date
rmm/ddヵ り 、5. Treasurer Full Name
2012 01/01/2012 04/21/2012 Lisa Ro Sherrill
6, Tvoe of Committee (Check One)9. Tvoe ofReoort kheck onlv one tvDe ofreport from one catesorv)
Candidate Campaign U Party
PAC I Referendum
lndePendent f] JointFundrais€r Expenditure r-l
Legal Expense Fund
Municiprl Strie/County ReFerendum
Organizational
Thirty-five day
Pre-primary
Prv-olection
Pre-runoff
Semi-annual
MidYer
Year End
Finol
Special
U Organizational
Quarterly
X Fint
t] sccond
f] rbird
n Fowth
Semi-amual
t] Mid Year
! YearEnd
f] Final
I Special
U Orgarizati6,aal
n Pre-rpferendurn
! Final
! SupplernentalFinal
n Annual
! Special
7.Type of Fund ttra霧 ォ 励 た ,c″凛
“り
"BoosM Fundl'
Building Fund
CXher:10.Special ReDOrt Name
E. Number of Fundraiscrc this Reoort
I 1. Account Information I 1. Account Information
ュ .Fin3■Clal lnstitution Fuli Name o.「I■onchI Institution Full Name
First Citiall
bo PurIDIDSe c. Actount Code L Purpose c. Account Code
Campaign BW
こ Perわ d Begin B310■Ce ↓Perlod Begin Balance
$ lし 。5g
I Amendment
l凶 __聖
Contributions from Individuals
:Amendment
町 l J 2 1図 _聖 _回 ´
Use this fonn to report individual contibutions over $50 or contributions under $50 if forrr cRo 1205 is not used
NC St「ate Board ofElcctias
COllllmlttees and coordmated part
1.Committee Full Name(and Fund ifappucab10 2.D Nuttber
Jennifer Hardison MacNeish for ROD 811A5LL
3. TvDe of l)isbursement (Pleose ase soarale CR0,1310 forms for each tvoe of Dlsbunnpnt)
Operating Expenses Contributions to CandidateVPolitical Committees Coordinatcd Paw Expcndttes
4. Pevee Information Add Remove
■.Full Name,ndaning Address&Phone
rinclude d".staに &」Db
b. Coordinated Committec Name d. Comments
Filing Fee
New Hanover Co.BOE
203 GovC Center Dr.
Wihnington,NC 28403
c.Levd Registered sped,)
Federal
State
County:
Mmicipality:e. Elcction Sum to Dete
$ q『q・ θ ο
f. Account Code g. Form ofPryment h. Purpose Codc i. Dete (nm/dd/yyyy)j. Amount k R.equired Remarkr
Bw Check