2017 Mid Year Disclosure Report - Steve Bizzell for Sheriff

AmendmentDisclosure Report Cover Use this form for general report and committee information, must be signed and submitted along with other detailed formsDo not use this form to update information1 Committee InformationBIZZELL FOR SHERIFF JOH-71VPHR-C-001b Mailing Address include City, State and Zip Cede i asnumamnimenmneen ete FiennesPRINCETON, NC 27569e Phone Number919 965-82102 Report Year |3 Period Start Date mmddyy 4 Period End Date mmddyy |5 Treasurer Full Name2017 01012017 06302017 HEATHER FORD6 Type of Committee Check One 9 Type of Report check only one type of report from one categoryKX] Candidate Campaizn [J Party Municipal fotateCounty Referendum[ Joint Fundraiser [] PAc [] Organizational [[] Organizational [J Organizational[[] Referendum Legal Expense Fund CJ Thirty-five day Quarterly [] Pre-raferendum7 TypeofFund ifapplicable, checkone |[C] Pre-primary |[J First C1 Fina[] Booster Fund" CT Pra-alection | Sacond [] Supplemental Final[1] Building Fund C] Pra-runoff 0 Third [] Annvai] Presidential Election Year Candidates Fund Semi-annual CJ Fourth [] Special[] NC Public Campaien Financing Fund | Aid Year Semit-annvalO YearEnd {] Mid Year 10 Spesiat Report Name1 Other Cl Final [l Year End eS OR8 Number of Fundraisers this Report [1] Special Cy Fina eS AN0 C Special ID "3 Account Information 3 Account Informationa Financial Institution Full Name a Financial Institution Full Nam do LafBBT 2p iwe af eMbe Paps e nmnmnvemmnpeynecount Code [be Pampose mana tecoumt CodeRECEIPTS AND SBIEXPENDITURESd Period Begin Balance d Period Begin Balance 30,68226 CERTIFICATIONI certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B 22D-22M ofChapter 163 of the NC General Statutes and that no funds are commmgled with prohibited or other non-disclosedfunds I further certify that this report is complete, true and correct and phat I have been trained by the NC State BoardWR UW Soul snnv201Printed Name of Signer SigGéture of Appointed Treasurer DateFOR OFFICE USE ONLY og J -2 S- IT Delivery MethodDate Received Employee C Nomal MailC Registered MailD ced Employ tiate Postmarked ployee and DeliveredDate Scanned Employee C Electronically FiledDate Data Entered Employee Cy Signer has not receivedee ° ee mandatory trainingPlease Note This form cannot be used to amend committee infomation such as the committee address treasurerassistant treasurer, custodian of books infomation, or account informationYou must amend the Statement of Organization CRO-2100A-E to make committee changesCRO-1000 NC State Board of Elections December 2007Detailed Summary O var @ NeUse this form to summanize all disclosure reporting forms and to total monetary informationBIZZELL FOR SHERIFF 2017 Mid Year Semi-Annual JOH-71VPHR-C-001RECEIPTS ,5 Aggregated Contributions from Individuals CRO-1205 Sa ee rat6 Contributions from Individuals CROINO|S «0007S 0007 Contributions from Political Party Committees CRO-1 220 Sa eae8 Contributions from Other Political Committees CRO-1 230 Sa eee9 Loan Proceeds CRO-1410 a ae10 RefundsReimbursements to the Committee CRO-12401 Other Receipt Sources | ila Interest on Bank Accounts CRO-125011b Contributions from Not-For-Profit Organizations CRO-1250 eelic Outside Sources of Income CRO-1250 a1Id Legal Expense Fund - Other Sources CRO-1270 a eelle Exempt Purchase Price Sales CRO-1265EXPENDITURES |13 Disbursements | |13a Operating Expenditures CRO-1310 13b Contributions to CandidatesPolitical Committees CRO-131013¢ Coordinated Party Expenditures CRO-131014 Aggregated Non-Media Expenditures CRO-1315 Spool S 4614315 Loan Repayments CRO-1420 Sool S00 -16 RefundsReimbursements from the Committee CRO-1 320 SS ooofS i000 7 In-Kind Contributions CRO-1310|S ofS 00| ADDITIONAL INFORMATION ~0 Non-Monetary Gifts Given to Other Committees CRO-1330 S000 |1 Outstanding Loans incl ones from other campaigns CRO-1430 S 000 , B2 Debts and Obligations owed by the Committee CRO-1610 | 3 Debts and Obligations owed to the Committee CRO-1620 S 0,00 |4 Account Transfers Within the Committee CRO-17205 Administrative Support cRo171|S oo] S 006 Forgiven Loans CRO-1440 Ss -soofs 0 |8 Contributions to be Refunded CRO-121 53 S000] -s-~i 00 000 |CRO-1100 NC State Board of Elections August 2008sO ° AmendmentDisbursements Pe _| of _1 Oyes BINoUse this form to report expenditures from the committee for operating expenses, contributions to candidate politicalcommittees and coordinated party expenditures1 Committee Full Name and Fund if applicable 2IDNumberA Committee Full Name and Fund if applic abte,aannnennnmnnnnnnnnnnneininnenannnnnnnee te a LERUEE oy aigBIZZELL FOR SHERIFF3 Type of Disbursement sennaLJ Operating Expenses ad Contributions to Candidates Political Committess gy Coordinated Party Expenditures4 Payee Information C] Add C Removea Full Name, Mailing Address Phone b Coordinated Committee Name jd Commentsinclude city, state, Oo ZED ccc secsne st seutnnes tecnicaJOHNSTON RECPO BOX 2771 c, Level Registered SpecifySMITHFIELD, NC 27577 C1 Federal CT CountyKl state EET Municipality |e, Election Sum to DateS 30000f, Account Code |g, Form of Payment |b Purpose Code |i Date mmiddyyy3|j Amount | Required RemarksSBI Check G 05172017 S 30000eS§ Total only this Page s 300006 Total of ALL CRO-1310 PagesThis line goes in line 13a of Detailed Summary Page CRO-1100 if Operanng Expenses 5 30000This line goes in line 13b of Detailed Summary Page CRO-1100 if Connib to CandidatesPolitical CommThis line goes in line 13¢ of Detailed Summary Page CRO-1100 if Coordinawd Party Expenditures7Parpose Codes List detailed expenditure code in h aboveA - Media B - Printing C - Fundraising D - To Another CandidateE - Salanes F - Equipment G - Political Party H - Holding Public Office ExpensesI - Postage J - Penalties K - Office Expenses Q - Donation to Legal Expense FundO Other Codes require detailed explanation in required remarks field 3CRO-1310 NC State Board of Elections Decamber 2009 AmendmentDisbursements Pe | of _3 Oves BI NoUse this form to report expenditures from the committee for operating expenses, contnbutions to candidate politicalcommittees and coordinated party expenditures1, Committee Full Name and Fund if applicable 0 osssmmstnmsnnestatnnnnnnnnsmnnnemmneind See ODOR cenJOR-7IVEHR-C-001BIZZELL FOR SHERIFF3 Type of DisbursementAJ Operating Expenses OQ Contributions to Candidates Political Committees 0 Coordinated Party Expenditures ;4, Payee Information Cl Add C1] ~~ Removea Full Name, Mailing Address Phone b Coordinated Committee Name |d Commentsinclude city, state, 28p ooo smmocsveoovusmmmsvsssnsnneareeARCHER LODGE COMMUNITY CENTER14009 BUFFALO ROAD c Level Registered SpecifyCLAYTON, NC 27527 Cy Feden CT CountyCo State EL Municipality |e, Flection Sum to DateS 30000f Account Code |g Form of Payment jh Purpose Code |i, Date mmiddyyyy|j Amount | Required RemarksSB Check O 02212017 10000 ; DONATIONSs4, Payee Information [] Add C1 ~~ Removea Full Name, Mailing Address Phone b Coordinated Committee Name jdCommentsinclude city, state, Zip oo cccssnsssmsnesmnsssnsssamenssnitaneneennBOY SCOUTS OF AMERICA1325 WEST WALNUT HILL LANE c Level Registered SpecifyIRVING, TX 75015 Cy Federal CO CountyC1 State Municipality |e, Election Sum to Date 12500f Account Code |g Form of Payment |h Purpose Code |i Date mmiddyyyy|j Amount | Required RemarksSBI Check O 04152017 S 12500 | DONATION4 Pavee Information Cj] Ad«q O Removea Full Name, Mailing Address Phone b Coordinated Committee Name |d Commentsimclude city, states G Zap oo cssussssssessuneoeenmesammensseenBROGDEN FIRE DEPARTMENT7236 BROGDEN ROAD c Level Registered SpecifySMITHFIELD, NC 27577 Cy Feder CT CountyCy State ED Municipality Je Election Sum to Date | 10000f, Account Code|¢ Form of Payment h Purpose Code |i Date mmiddyyyy|j, Amount | Required RemarksSB1 Check O 03142017 10000 | DONATION5 Total only this Page 325006 Total of ALL CRO-1310 PagesThis line goes in line 13a of Detailed Summary Page CRO-1100 if Operating Expenses S 73500This line goes in line 136 of Detailed Summary Page CRO-1100 if Contrib to CandidatesPolitiical CommThis line goes in line 13¢ of Detatled Sumunary Page CRO-1100 if Coordinawd Party Expenditures |7Parpose Codes List detailed expenditure code in h aboveA - Media B - Printing C - Fundraising D - To Another CandidateE - Salaries F - Equipment G - Political Party H - Holding Public Office ExpensesI- Postage J - Penalties h - Office Expenses Q - Donation to Legal Expense FundO Other Codes require detailed explanation in required remarks field kcCRO-1310 NC State Board of Elections December 2009ses AmendmentDisbursements Pe _ 2 of _3 Dyes BI NoUse this form to report expenditures from the committee for operating expenses, contributions to candidate politicalcommittees and coordinated party expenditures1 Committee Full Name and Fund if applicable scnnertennnnee 2 NOOR geese1 Committee Full Name and Fund if applicable nrnnsnminnnninninnnmnnonnnnnnnnl ae ae ToeBIZZELL FOR SHERIFF3 Type of Disbursement Please use separate CRO-1310 forms for each trpe of DisbursementAS Operating Expenses Contributions to Candidates Polttical Committees a Coordinated Party Expenditures4, Payee Information [C] Add C1 Removea Full Name, Mailing Address Phone b Coordinated Committee Name |dCommentsinclude city, state, Zap oo cccmusessumunuemnenmmetenemmnuesetneeeeCOASTAL CONSERVATIVE ASSOCIATION4809 HARGROVE ROAD c Level Registered SpecifySUITE 123 OQ Faderal | CountyRALEIGH, NC 27616 Co State ET Municipality |e, Election Sum to Date 12000f Account Code |g, Form of Payment |b Purpose Code |i Date mmiddyyyy|j Amount | Required RemarksSBI Check O 01312017 6000 | DONATIONPfs4 Payee Information CJ Add CJ ~~ Removea Full Name, Mailing Address Phone b Coordinated Committee Name |dCommentsinclude city, state, © Zip oo csssssumsansnensmnrsennseeesnesELIZABETH UMC MENS GROUP4269 CLEVELAND ROAD c Level Registered SpecifySMITHFIELD, NC 27577 oO Federal CO CountyDD State bed, Municipality |e, Election Sum to Date 10000f, Account Code |e Form of Payment |b Purpose Code |i Date mmiddyyyy|j Amount |k Required RemarksSBI Check O 03142017 10000 | DONATIONPs4 Payee Information [] Add LC] Removea Full Name, Mailing Address Phone b Coordinated Committee Name |d Commentsinclude city, states ZIP oo ccccscusssasesmumusennmessssnnstneneesaeeJOHNSTON COUNTY SHRINE CLUB1235 EAST PRESTON STREET c Level Registered SpecifySELMA, NC 27576 Cy Feder CT CountyC1 State Eo Municipality Je, Election Sum to Date 50000f Account Code|¢ Form of Payment |h Purpose Code |i Date mmiddyyyy|j Amount -|k Required RemarksSBI Check O 03142017 10000 | DONATION5 Total only this Page 260006 Total of ALL CRO-1310 PagesThis line goes in line 13a of Detailed Summary Page CRO-1100 if Operanng Expenses S 73500This line goes in line 13b of Detailed Summary Page CRO-1100 if Conatb to CandidatesPolincal CominThis line goes tn line 13c of Detailed Summary Page CRO-1100 if Coordinaed Party Expenditures7Parpose Codes List detailed expenditure code in h aboveA - Media B - Printing C - Fundraising D - To Another CandidateE - Salanes F - Equipment G - Political Party H - Holding Public Office ExpensesI - Postage J - Penalties k - Office Expenses Q - Donation to Legal Expense FundO Other Codes require detailed explanation in required remarks fieldCRO-1310 NC State Board of Elections December 2009sons AmendmentDisbursements Pe 3 of _3 Ol ves W] NoUse this form to report expenditures from the committee for operating expenses, contributions to candidate politicalcommittees and coordinated party expenditures1, Committee Full Name and Fund if applicable sennnnsennenee et NODC cepa1, Committee Full Name and Fund if applicable mmm Sa RRR vasoBIZZELL FOR SHERIFF3 Type of Disbursement Please use separate CRO-1310 forms foreach ype of DisbursementAJ Operating Expenses Q Contributions to Candidates Political Committees Oo Coordinated Party Expenditures4 Payee Information [] Add C1 Removea Full Name, Mailing Address Phone b Coordinated Committee Name |d Commentsinclude city, state, ZIP a sussnsnnunsssnctcnsssnnnsnstnennnnennTHE FORD FIRM, PLLCPO BOX 701 c Level Registered SpecifyCLAYTON, NC 27528 C1 Federat CT County919 550-2100 D1 State ET Municipality |e, Election Sum to Date 1,43125f, Account Code |g Form of Payment |b Purpose Code |i Date mmiddyyyy |j Amount |K Required RemarksSBI Check O 02142017 |S 15000 | CAMPAIGN FINANCEeVTS5 Total only this Page 150006 Total of ALL CRO-1310 PagesThis line goes in line 13a of Detailed Summary Page CRO-1100 if Operanng Expenses 5 73500This line goes in line 13b of Detailed Summary Page CRO-1100 if Conatb ro CandidateyPolincal ComThis line goes in line 13¢ of Detailed Summary Page CRO-1100 if Coordinawd Party Expenditures7Parpose Codes List detailed expenditure code in h aboveA - Media B - Printing C - Fundraising D - To Another CandidateE - Salanes F - Equipment G - Political Party H - Holding Public Office ExpensesI - Postage J - Penalties K - Office Expenses Q - Donation to Legal Expense FundO Other Codes require detailed explanation in required remarks field 1CRO-1310 NC Stata Board of Elections Decamber 2009