Disclosure Report Cover
‘Use this form for general report and committee inforn
mation, must be
Do not use this form to update information
Amendment
Oye
signed and submitted along with other detailed forms,
No
1. Committee Information
CATHY M. WARD
Printed Name of Sener
ibited or othes non-discloged funds. [further certify that this report
ic Pay lof tions
1 ath 928.2009 _
Signature of
Fall Name eID Number =]
-TARLES MEEKER CAMPAIGN FUND
_b. Mailing Address (include City, State and Zip Code) ‘a. Date Filed Ea]
4812 CARTERET DRIVE
RALEIGH, NC 27612 REC I |
copy [Phone Naber
SEP 28 2009 1
919-890-4169
2-Report Year | 3. Period Start Date (ma/ddlyy) ee ee 5. Treasurer Full Name
2009 8-26-2009 9-21-2009 ee
6; Type of Committee (Check One) 9. Type of Report _foheckonly die type of report rom ane baregany) Ee]
(J Candidate Campaign —[-] Party ‘Municipal ‘State/County [Referendum
Ol rac Retna [TC — Organional PL] Organoaonal CO Osanianonar
Oo ied TO oinerunsser | E]— tieytve tay uanety 1 Preteteendum
Lal Expense Fund
1. Type of Fund fanplicable: check om) BY Preprimary go First Fina
C1 “Booster Fund’ re-election o cond D1 Supptemental Final
1 Buitding Funa Pre-runoft lo Third Annual
Semi-annial o Fourth DB spesiat
Mia Year Semana
0 Otter. a ‘Year End oa Mid Year 10. Special Report Name.
O Fina o Year End
|
Number of Fundraisers this Report 5 |Z] Speciat Fina
i A [1 Speciat
Ti, Account Information a Accoane Information
+. Final lesitton Full Name nana Kstaon Full Nowe
WACHOVIA BANK _|
B.Porpoe Account Cole Pare e Aezonn Cade
1
OF FUNDS [ed agin aa
$23,553.30 s
CERTIFICATION
the et he Committe or Fund is in compliance with al appliable provisions of Ancle 22A, 22B, & 22D-22M of Chapter 163 of
the NC General Statutes and that no funds are commingled with py
is complete true and correct and that Ihave been trained by the
ated Treasurer Dae
FOR OFFICE USE ONLY
Date Received:
Employee:
Date Postmarked: Employee:
Date Scanned Employee:
Date Data Entered: Employee:
Delivery Method
‘Normal Mail
Registered Mail
Hand Delivered
Electronically Filed
Signer has not received
‘mandatory training
Q
Q
QO
o
Q
HT
custodian of books informat
Please Note: This form cannot be used to amend committee information such as the committee address, treasurer, assistant treasurer,
You must amend the Statement of Organization (CRO-2100A-E) to make committee changes.
ton, or account information,
CRO-1000
1NC State Board of Festions
apaDetailed Summary
Amendment
13) _ Disbursements
13a)
& vs O
Use tis form to summarize all disclosure reporting forms and to total monetay information
4. Committee Full Name (ond Fund itapplieable) | 2. Type of Report 31D Number =]
CHARLES MEEKER CAMPAIGN FUND PRE-PRIMARY
|
Tal tis Totals
January 1, 2008 Reporting Period Election Cycle
: S$ 23,55330 | $ 2728898
oe es ee eae
Re Ree oe ee eee
5) Aggregated Contributions from Individuals (cR0-1205) | § 50.00 1.75920
6) Contributions from Individuals (cxo-r210 [§ 500.00 S_38,13867
7) Contributions from Political Party Committees (cxo120 [§ 450.00 S__ 450.00
8) Contributions from Other Political Committees (cron [So s_ 22500
9) Loan Proceeds (cro [80 so
10) Refunds/Reimbursements To the Committee (CRO-124) | $ 0 $ 0 a
11) _Other Receipt Sources
11a) Interest on Bank Accounts (cron | 0
11D) Contributions from Not-for-Profit Organizations (cRo.189 [$0
He) Outside Sourees of Ine c3o-ns9 [$0 °
114) Legal Expense Fund ~ Other Sources oe so
1.6) Exempt Purchase Price Sales ccroing |S 0 Siero
12) TOTAL RECEIPTS aaatiness. a7 5
Operating Expenditures (cron | [sss
13b) Contributions to Candidates/Political Committees (cro-1310) | § 0 s 1,360.00 |
13c) Coordinated Party Expenditures (CRO |S 0 = 0
14) Aggregated Non-Media Expenditures (CRO-1315)|$ 0 s one
15) Loan Repayments (cro-1829|$ 0 sO |
16)_RefundsReimbursements From the Commitee (enous [§ 35075 sai
17) In-Kind Contributions : (CRO-1S1) |$ 0 ~ $ 2,622.87
18) TOTAL EXPENDITURES (ddd lines 130, 138,130 1, 15, 16nd 17) $2,330.75 $43,639.30
19) Cash on Hand at End (4d ines 4 and [2 together, then subract ine 18) $ $255 |
2), NowMonctary Gifts Given Other Commits eRO.I00 [$0
21) Outstanding Loans acl. ont from ater campaigns) cro [So
22) Debisand Obligations owed By the Commitee exouawy [So
2)_Debtsand Obtains onedTotheCommitse exon [39
24) Account Transfers Within the Commitee vexourn [0
29) Administrative Sport ‘cro. [So So
26) Forgiven Loans (cro. | $0 so |
27) eH Notice Reports Som (croai [so aoe
28) Contributions to be Refunded (cro. |$§ 330.75 $899.09
cnoTT00 Taro oa aT‘Amendment
Aggregated Contributions from Individuals ro me ey Gear ee
Optional form used to report NC Contributions From Individuals of $50 or less
1. Committee Full Namie (and Fund W applicable) Z 21D Nember
“HARLES MEEKER CAMPAIGN FUND
3. Contributor Information : 5
E&
Account Kind