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Bell,James_2023-35-DayRECEIVED SEP 2 9 21723 Union Co. Board of Elections Amendment Disclosure Report Cover ❑ Yea WIN. Use this form for general report and committee information, must be signed and submitted along with other detailed forms. r1, nt i e thi, form to ,ndw, infnrmntinn 1. Committee Information . Full Name c. ID Number 0 —jVA-) b. Mailing Address (include City, State and Zip Code) d. Date Filed 13�NGatv6Lb4��) T q -2 -2t�23 WE4a Aja 70X., 114 el e. Phone Number Z$J o ?Ot-2!17- 6"t2o Report Year 3. Period Start Date (mmlddlyy) 4. Period End Date (mrWdd)yy) 5. Treasurer Frill Name Zo23 0'?-0�-2023 !}}-Zb-2o23 Mfi>2� t3fiL _ of Committee (Check One) 9. Type of Report (check only one type of report f tom one category) _. Candidate Campaign ❑ Party Municipal state/Coanty Referendum ❑ PAC ❑ Referendum ❑ or "'alionai 'e ❑ organizational ❑ Organizational [3 independent Expenditure [3 Joint Fundraiser i ti- day Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ Pre-primary ❑ First ❑ Final ❑ Pre-election [jPre-runoff ❑Second Will' Third [jSupplemental Final ❑ Annual . Type of Fund (iwpticoa)e. cheek vne) _ ❑ Booster Fund Semi-annual ❑ Fourth ❑ Special ❑ Building Fund ❑ Mid Year Semi-annual ❑ Year End ❑ Mid Year 1O.Special Report Name ❑ Other ❑ Final ❑ Special ❑ Year End [3 Final Number of Fundraisers this Report ❑ Special 11. Account Information 11. Account Information . Financial imitation Full Name a. Financial Institution Full Name (,j K . Purpose c. Account Cnde h. Purpose e. Account Code J d. Period Begin Balance d. Period Begin Balance $ D $ CERTIFICATION 1 certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B & 22D -22M of Chapter 163 of the NC General Statutes and that no funds are commingled with prohibited or other non -disclosed funds. 1 further certify that thi, report is complete, we and correct and that 1 have been trained by the NC State Board of Elections. Printed Name of Signa Signature of Appointed Trepilmer Date OR OFFICE USE ONLY ►—v/ /� Delivery Method Date Received: Employee:/'J► ❑ Normal Mail Registered Mail Date Postmarked: Employee: Hand Delivered Employee:4 Electronically Filed Date Scanned: 14iAL Date Data Entered: Employee: ❑ Signer has not received mandatory training Please Note: This form cannot be used to amend committee information such as the committee address. treasurer, assistant treasurer, custodian of books information, or account information. You must amend the Statement of Organization (CRO -2I ODA -E) to make committee changes. CRO -1000 NC State Board of Elections August 2008 RECEIVED JEEP 2 J 2523 Detailed Summar 0 1,, ent Y Union Co Board of Elections ❑ , e Nn Use this form to summarize all disclosure reoortine forms and to total monetary information 1. Committee Full Name (and Fund it applicable) T 2 2. ype of Report 35' 3. ID Number r -SP -V4 Start of Election Cycle: January 1, Total this Period Total thisReporting Election Cycle 4) Cash on Hand at Start $ $ Q RECEIPTS 5) Aggregated Contributions from Individuals 6) Contributions from Individuals 7) Contributions from Political Party Committees 8) Contributions from Other Political Committees 9) Loan Proceeds 10) Refunds/Reimbursements to the Committee 11) Other Receipt Sources Ila) Interest on Bank Accounts 11b) Contributions from Not -For -Profit Organizations 111c) Outside Sources of Income I ld) Legal Expense Fund - Other Sources Ile) Exempt Purchase Prim Sales (CRO -1205) (CRO -1210) (CRO -1220) (CRO -1230) (CRO -1410) (CRO -1240) (CRO -1250) (CRO -1250) (CRO -1250) (CRO -1270) (CRO -1265) $Q 00 $ Qp $ (05-0.0 $ 0 o $ $ $ $ $ y $ $ $ $ $ $ $ $ $ $ $ 12) TOTAL RECEIPTS (Add lines 5, 6, 7. 8, 9,10.1 la,l lb.l Ic.1 ld and l le $ QQ, $ %rOz EXPENDITURES 13) Disbursements 13s) Operating Expenditures (CRO -1310) 13b) Contributions to Candidates/Political Committees (CRO.1210) 130 Coordinated Party Expenditures (CRO -1310) 14) Aggregated Non -Media Expenditures (CRO.1315) 15) Loan Repayments (CRO -1420) 16) Refunds/Reimbursements from the Committee (CRO -1320) 17) In -Kind Contributions (CRO -1510) $ $ $ $ $ $ $ $ $ $ $ %Q $ aw. 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c. 14. 15.16 and 17) $ Q $ 2 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18 $ ADDITIONAL INFORMATION 0) Non -Monetary Gifts Given to Other Committees 1) Outstanding Loans (incl. ones from other campaigns) 2) Debts and Obligations owed by the Committee 3) Debts and Obligations owed to the Committee 24) Account Transfers Within the Committee 5) Administrative Support 6) Forgiven Loans 7) 48 -Hour Notice Reports Sum 128) Contributions to be Refunded (CRO -1330) (CRO -1430) (CRO -1610) (CRO -1620) (CRO.1720) (CRO -1710) (CR0.1440) (CRO -2220) (CRO -1215) $ $ $ $ $ $ $ $ $ $ $ $ $ CRO -1100 NC State Board of Elections Av_oq 2WS RECEIVED SEP 2 3 21323 Dai r B � I 11 Elections Amendment Aggregated Contributions from Individuals Page _L of -1-- ❑ \'es No Optional form used to report NC Contributions From Individuals of $50 or less 1. Committee Full Name (and Fund if applicable) 2. In Number Jsw►r3Ft�f�t� (n1>^►aQlr�biZk1 PV4 ot2 I FISMC-v 3. Contributor Information atd b. Amount Code c. Form or Payment d. In -Kind Description e. Date (mm/ddlyyyy) L Amount 1q Add 13 Remove Ci�e-K t�D al -6!v -23 $ SD. �O Add $ ❑ Remove Add $ ❑ Remove Add $ ❑ Remove Ej Add $ ❑ Remove Add $ ❑ Remove Add $ ❑ Remove Add $ ❑ Remove Add $ ❑ Rermwe Ej Add $ ❑ Remove Add $ ❑ Remove Add $ ❑ Remove Add ❑ Remove Add $ ❑ Remove Ey Add $ ❑ Remove Add $ ❑ Remove Add $ ❑ Remove Add 13Remove$ Add $ ❑ Remove Add $ ❑ Remove Add $ ❑ Remove Add $ 13 Remove Add $ ❑ Remove 4. Total only this Page $ 5. Total of ALL CRO -1205 Pages $ (This line must be online 5 of Detailed Summary Page CRO -1100) CRO- 1205 NC Sun, fluurd of [lection, April 2007 LOOT IudV suonoa133o PMH 21e1S JN 077/'091) pasn lou st SOZI 081) uuol Jt OSS lapun suotlnquluoo Lo 05$ fano suonnquluoa lunptntput ijodai of uuoi Snp asn ON PA �A ❑ _T Lo T ed slenp!e!puj moi3 suognq!.luoa luamPaalgV suollml310 p)zog -off uonl"ll UK s 7L d -s n7lni:lgaH (0011 -ONO a od popo/aplo g aug 110 oq /sem m"I 3lq,L) $ saBed 01ZI-011311V Ju le)o.L'S — Q $ a8ud spry fryo IMOI 14 $ ❑ $ ❑ lm nv n (W4wftm) alRa'. uoPdlj3.W PumuI'I luam6vd Jo w.n{ q apoj luno tv •11 3011.1 .1 $ FF- - 00'001 PP�ld.�3 !a-addspu eN s,3a.Coldmd -a ���= -1 1 (27 V x"10 V (•1(/ u-t—jo3dppLL qor -ql (drz vp 'alels'6lp apnpu0 auogd V mjpptl ealpel.N `ameN I11d " sluammo� 9e011138 ❑ PPV ❑ uogl:mo)ul .loinqulgoa •C $ ❑ $ ❑ —,'cz52 $ E3 Imooatl•q uopduas Pmll-ul'I 1umu(ed,Io m3od•q ("UIPPIgm)alval apo3lunemy-8 3oud- $ Z8P-i �'OSZ alga of mus uoDaalB'a '. Q9 f'7� �`J� . ^ /N�-/�3�'�}}/'7V alas •1 !lav V5 b -'h 1-5 1 31 Sad a s3aodm a PN.d P. S/am N I (yy(ia+•s )IC! V w rya'W �� 7• (diz T `alaWAP apulau1) 1111111111311111111U 'P uop�joad/apLL gof'g auogd 8 wa3pPV SuylaW'ameN lln3' OA 2H E3 ppy 0 uogeuuglul jolnquluoa -c $ ❑ $ ❑ WE $ F2vz-b-,9 ❑ uogdu+ g puM-tii'! apo3 luno3ap-a 3uud . mnomtl 7 (S6t4w/ mu) aml naoSed 10 m3od •q h 21S2 !// �✓ � i' ✓1�j�^�q�L`,,t'r V/N alga of tuns uo"la •"V [ 97VJOY r7 /o/ plaM 36R3adS/aueN s 3a6oldm3 -a 01�7(y �o�r (dlz g •alep `.(ln apnpup sluannuoJ'P uolmjo dfapLL gof'q auogd 8 ssa3PPV xu1PnW `a N llnd' anomag E3 PPV uopelwolul .loingtrluoa 7 lg yW aaqumN (H •z (algeagdde Ij pond pug) mmN t[nS aallpumoa •T pasn lou st SOZI 081) uuol Jt OSS lapun suotlnquluoo Lo 05$ fano suonnquluoa lunptntput ijodai of uuoi Snp asn ON PA �A ❑ _T Lo T ed slenp!e!puj moi3 suognq!.luoa luamPaalgV suollml310 p)zog -off uonl"ll UK s 7L d -s n7lni:lgaH Disbursements tillur-I V CU S`P 9 2023 Union Co. board of Elections Amendntenl Pit of z- 13 Yes No Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated Dartv expenditures Name (and Fund if applicable) _ 2. ID Number !-�rsement (Please use setwrate CRO -1310 forms for each rune of Disbursement.) FName. sesQ Cunlrihutions Io CandidmeJPnlitical Committees ❑ CandinatedPan Ex ndituro. ation Add Remove ailing Address & Phone It. Coordinated Committee Name d. Comments include city.zip) /,rt 1state`.&& /Ist=1/77" f .4. Od /W,< e�f VV i7O� D e DbL80 SV 1e Lmevl Registered (Specify) Q County: [3 state Municipality e. Election Sum to Dale $ . Account Code g. Form or Payment h. Purpose Code i. Date (mm/ddlyyyy) J. Amount Is Required Remarks Remarks $ . Payee Information Add Remove . Full Nano, Mailing Address & Phone b. Coordinated Committee Name d. Comments (include city, stale. & zip) 0M /VA 1VrKzI L& y�� /_ f �/ ✓1 Fcv?&G f.•y -. CCJ l C,l N erpp2-3M/ C Gl % _ 0?y e. Level Registered (Specify) Q Federal ❑ County: ❑ state ❑ Municipality: e. Election [Sum �tto Dale $LTA /r 9 . Account Cade g. Farm of Payment h. Purpose Code i. Dale (mn✓ddlyyyy) '. Amount It Required Remarks 41i�2 $ $ 4. Payee Information 0 Add 0 Remove . Full Name. Mailing Address & Phone It. Coordinated Committee Name d. Comments (include city, state, & zip) ,�/�/ 2. GO c C / i S ly H=as N5Gji 20/1 f c. Lrrel Registered (Specify) ! : dcml ❑ County: tii;ue E Munici alit � y: e. Election Sam to Date i--C&8-(Vl&3-.?.s1�- $ giq,in f. -Account Cade g. Form of Payment h. Purpose Cade - i. Date (rmrddd/yyyy) 7 �`2uZ3 L Amount $ .19— k Required Remarks C - 0 $ S. Total only this Page $ 3p 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating P.rpenve.') (This line goes in line 13h of Detailed Summary Page CRO -1100 if Contrite to C'andidateslPolniral Comm) (This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Pany Er enditums) 7. Purpose Codes (List detailed expenditure code in (h.) above) A* - Media Be - Printing C* - Fundraising D - To Another Candidate E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses I Postage J - Penalties K* - Office Expenses Q* . Donation to Legal Expense Fund O* Other * Codes retwire detailed explanation in retired remarks field W CR0-1310 NC State Board of Elections December 2009 Disbursements Amendment Pg —?L of Z ❑ Yes Na Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated an ex nditures CommitteeTM Name (a tm ap 'cable) 2. ID . uniher �t tJ&-XP* Mrt oR ��h� c.�rsement (Please use separate CRO -1310 forms for each tvae of Disbursement.) ses❑('nnnlinwed t':uty lhmndiiva, ation Add Removeiling Address & Phone h. Coordinated Committee Name d. Comments include city, state, & zziip�)) 5�AW" " � e. level Registered (Specify) ,S 2(�tgQti�Ci� 57: / ❑ Fede'ACounty: �L.i c)cx, NI s/ / ❑ state Muoicipality: c. Election Sam m Date / / $ e OD . Account Code g. Form of Payment h. Purpose Code L Date (mmld(lyyyy) '. Amount k. Required Remarks e - $288 =° wE "too $ . Payee Information El Add El Remove . Full Name, Mailing Address & Phone h. Coordinated Committee Name d. Comments (include city, state, & zip) c. LAM Registered—f(-S-tpecify) MFedeml Cuumy: ❑ state ❑ Municipality: e. Election Sam to Date $ r. Account Code g. Form of Payment h. Purpose Code 1, Date onndddlyyyyl . Amount k Required Remarks 4 4. Pavec Information LI Add LI Remove a. lid) Name, Mailing Address & Phone h. Coordinated Committee Name d. C'mmuents (include city, state, & zip) c. Level Registered (Specify) ❑ Federal ❑ Caunty: ❑ State ❑ Municipality: e. Election Som to Date $ L Account Code g. Form of Payment h Purpose Code i. Date (rmdd&yyyy) . Amount k Required Remarks Is 5. Total only this Page 2 6. Total of ALL CRO -1310 Pages (This line goes in line Lia of Detailed Summary Page CRO4100 if Operating Expenses) $ '1 Q (This line goes in line lab of Detailed Summary Page CRO -1100 if Contrib to Candidates1fahlical Comm) (This line goes in line Or of Detailed Summary Pare CRO -1100 i Coordinaled Part Ea' an res) . PUrpoSe Codes (List detailed expenditure code in (h) above) ' - Media B* - Printing C' - Fundraising D - To Another Candidate E - Salaries Fa - Equipment G - Political Party He - Holding Public Office Expenses I - Postage J - Penalties Ks - Office Expenses Q' - Donation to Legal Expense Fund O* Other • Codes reuire detailed exialanation in reimired remarks field k CRO -1310 NC State Board of Elections December 2009 Amendment In -Kind Contributions Pg L of ❑ ,es No Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund. U CRO -1215 if In -Kind Contributions were or will be refunded within 7 days. S 1. Committee Frill Name (and Fund if applicable) _ _ _ _ 2. ID Number _ T Oje w A,,r n 2 sMe Vol 3. Contributor Information ❑ Add Remove . Full Name, Mailing Address & Phone b. Type of Contributor c. Comments (include city, stale. & rip)❑,/Ipdivianal 2644 candidate GLIA't� 11. �/Tf w I�=•�^'�,� ❑ pany ❑PAC^" �4�e' Z p "vT _ �G'r/WYf7tS�i'f'l�%l% /✓� ❑ Referendum d. Election Sam to Dale car++ ❑ Other Receipt Source $ V3& 4q -- . Description I. Date (mm/dd/yyyy) g. Fair Markel Amount 8-i8-zo23 $ 3/0 3. Contributor Information ❑ Add ❑ Remove Full Name, Mailing Address & Phone b....TyJ�e of Contributor c. Comments (include city, state, & rip) 7 Ndividual t �/t , Kj.►U " [.sL��' ❑ Candidate ❑ PAY 130 &t;&j3J3'V ❑ PAC ❑ Referendum it. Election Sam to Date ❑ Other Receipt Source $ tgg.. 'Fair .3333 . Description f. Date (mmldd/yyyy) Market Am'ou3nt $ $ 3. Contributor Information ❑ Add ❑ Remove . Fail Nam, Mailing Address & Phone It T or Contributor c. Comments (include city, state, &zrip)) dividual LiYO f -r-tn,�I-XY4A-f ❑ Candidate J3o ,&U51� (AVE ❑❑ Pang PAC .11 _ , 1) d �� �(J, Zg t �3 ta..�T r.-1717 ❑ Referendum d. Election Sum to Date 0 4— S�9— g !g ❑ Other Receipt Source $ . Description f. Date ((mmmldgd/yyyy) g. Fair Market Amount 14NO g-�O-GdL $ 701 % G $ $ 4. Total only this Page $ 5. Total of ALL CRO -1510 Pages $ (This fine must be on line 17 of Derailed Summary Page CRO -1100) CRO -1$10 NC State Board of Eleclions December 2007