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Burroughs,Weston_2022-2nd-qtr-amdDisclosure Report Cover IM Ye mend No Use this form for general report and committee information, must be signed and submitted along with other detailed forts. Do not use this form to update information. 1. Committee information a. Full Name c. ID Number COMMITTEE TO ELECT WESTON BURROUGHS XXX-CJMD90-X-XXX b. Mailing Address (include City, State and Zip Code) d. Date Fled 6720 OLD MONROE RD STE B146 01/10/2023 e. Phone Number INDIAN TRAIL, NC 28079 (980)494-0780 2. Report Year 3. Period Start Date (mm/dd/yy) 14. Period End Date (mm/dd/yy) 5. Treasurer Full Name 2022 0 01 2022 06,30/2022 CRISTAL ROBINSON 6. Type of Committee Check One 9. Type of Re rt check only one type ore r! -from one tale of y ® Candidate Campaign ❑ Party Municipal State/County Referendum ❑ Joint Fundraiser ❑ PAC ❑ Organizational ❑ Organizational ❑ Organizational ❑ Referendum 0 Legal Expense Fund ❑ Thirty-five day ❑ Pre-primary ❑ Pre-election Quarterly ❑ First Second ❑ Pre-referendmn ❑ Final ❑ Supplemental Final 7. Type of Fund (fapplicable, check are) ❑ "Booster Fwrd" ❑ Building Fund ❑ Pre -runoff ❑ Third ❑ Annual ❑ Presidential Election Year Candidates Fond Semi-annual ❑ Fourth ❑ Special ❑ NC Public Campaign Financing Fond ❑ Mid Year Semi-annual ❑ Year End ❑ Mid Year 10. S pecial Report Namc ❑ Other: ❑ Final Special ❑ Year End [3Final ❑ Special 8. Number of Fundraisers❑ 1 !nj 3. Account Information 3. Account Information a. Financial Institution Full N;unc a. Financial Institution Full Name FIRST CITIZENS BANK b. Purpose c. Account Code b. Po rpose c. Account Code CAMPAIGN 100 it. Period Begin Balance d. Period Begin Balance S 21.4b S CERTHWATION I certify that the Conunittee 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 prohib' r other non -disclosed funds. I further c that I✓'��f—' orrect ttthis report is complete, true and cd that 1 e been trained by the NC State Board OM L Vl04/02/2023 Printed Name of Signer Signature f Appointed Treasurer Date FDR OFYWEUSEONLY Date Received: � Employee: 0 Nor Method Normal Mail Date Postmarked: Employee:I Registered Mail Hand Delivered Date Scanned: Employee: ❑ Electronically Filed Date Data Entered: Employee: Signerhas not received mandatory training Please Note: This formcannot be used to amend committee information such as the conrnittee address, treasurer, assistant treasurer, custodian of books information, oraccount information. You must amend the Statement of Organization CRO -2100A -E to make committee changes. CRO -1000 NC State Board of Elections December 2007 Amendment Detailed Summary Cl `es 0 No COMMITTEE TO ELECT WESTON BURROUGHS 2022 Second Quarter XXX-CJMD90-X-XXX 2021 Total this Total this Start of Election CyCle: January 1, Reporting Period Flection C cle 4) Cash on Hand at Start $ 892.46 $ 0.00 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 1) Other Receipt Sources I la) Interest on Bank Accounts I 1b) Contributions from Not -For -Profit Organizations I Ic) Outside Sources of Income Ild) Legal Expense Fund- Other Sources Ile) Exempt Purchase Price Sales (CRO -1205) (CRO -1110) (CRO -1220) (CRO -1230) (CRO -1410) (CRO -1140) (CRO -1250) (CRO -1250) (CRO -1250) (CRO -1170) (CRO -1165) $ 441.00 $ 1,276.00 $ 560.00 $ 2,875.00 $ 0.00 $ 50.00 $ 0.00 $ 0.00 $ 0.00 $ 1,355.59 $ 1,157.57 $ 0.00 $ $ 1,245.31 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 2) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9110,11&1 ]h I lc 1 Id :mol 110 I 4 2,158.57 $ 6,801.90 13) Disbursements 13a) Operating Expenditures 13b) Contributions to Candidates/Political Committees 13c) Coordinated Party Expenditures 4) Aggregated Non-MediaExpenditures 5) Loan Repayments 6) Refunds/Reimbursements from the Committee 7) In-IGnd Contributions (CRO -1310) (CRO -1310) (CRO -1310) (CRO -1315) (CRO 1410) (CRO -1320) (CRO -1510) S 1,845.74 $ 5,180.97 $ 0.00 $ 0.00 $ 0,00 $ 0.00 $ 264.94 $ 574.99 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 105.59 g) TOTAL IXPFNDiFURFS (Add lines 13a, 13b, 13c. 14, 15, 16 and 17) 9) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18) $ $ 2.110.68 940.35 $ $ 5A61.55 940.35 t(l) Non -Monetary Gifts Given to Other Committees (CRO -1330) $ 0.00 ti) Outstanding Loans (incl. ones from other campaigns) (CFO -1430) $ 1,355.59 >--2) Debts and Obligations oeed by the Committee (CRO -1610) $ 0.00 3) Debts and Ohl igations ovvedto the Committee (CRO -1610) $ 0.00 4) Account Transfers Within the Committee (CRO -1720) $ 0.00 $ 0.00 $ 0.00 5) Administrative Support (CRO -1710) $ 0.00 $ 0.00 6) Forgiven Loans (CRO -1440) $ 0.00 $ 0.00 7) 48 -Hour Notice Reports Sum (CRO -2120) 91 Contributions to be Refunded (CRO -1215) $ 0.00 $ 0.000 Amendment Aggregated Contributions from Individuals Page 1 or z ® ,es ❑ No Optional form used to report NC Contributions From Individuals of $50 or less 1. Committee Full Name and Fund ifapplicable) 2.IDNumber COMMITTEE TO ELECT WESTON BURROUGHS XXX-CJMD90-X-XXX 3. Contributor Information a. Amend b. Account Code c. Form of Payment d. In -Kind Description e. Date (mm/dd/yyyy) f. Amount Add ❑ Remove 100 Credit Card 05/26/2022 $ 5.00 Add ❑ Remove 100 Credit Card 05/19/2022 S 5.00 Add ❑ Remove 100 Credit Card 06/19/2022 S 5.00 Add ❑ Remove 100 Check 05/26/2022 S 50.00 Add ❑ Remove 100 Credit Card 05/16/2022 $ 10.00 Add ❑ Remove 100 Debit Card 06/16/2022 $ 10.00 Add 13 Remove 100 Credit Card 05/27/2022 $ 50.00 Add ❑ Remove 100 Credit Card 05/17/2022 $ 10.00 Add ❑ Remove 100 Debit Card 06/17/2022 $ 10.00 Add ❑ Remove 100 Credit Card 05/06/2022 $ 10.00 Add ❑ Remove too Debit Card 06/06/2022 $ 10.00 Add 13 Remove 100 Credit Card 05/27/2022 $ 40.00 Ej Add ❑ Remove 100 Credit Card 05/26/2022 $ 50.00 Add ❑ Remove 100 Credit Card 05/16/2022 $ 5.00 Add ❑ Remove 100 Credit Card 06/16/2022 $ 5.00 Add ❑ Remove 100 Credit Card 05/15/2022 $ 20.00 Add ❑ Remove 100 Credit Card 05/27/2022 $ 25.00 Add ❑ Remove 100 Credit Card 05/06/2022 $ 50.00 Add ❑ Remove 100 Credit Card 05/26/2022 $ 25.00 Add ❑ Remove 100 Credit Card 06/01/2022 $ 25.00 Add 13 Remove too Credit Card 05/16/2022 $ 5.00 Add ❑ Remove loo Credit card 06/16/2022 $ 10.00 Add ❑ Remove 100 Credit Card 05/25/2022 $ 3.00 4. Total only this Page $ $438.00 5. Total of ALL CRO -1205 Pages (This line must be online S ojDelalled Summary Page CRO -1100) $ $441.00 CAC -1205 NC Nate noara of Etect tons April 2007 Amendment Aggregated Contributions from Individuals Page 2 of z ® Yes ❑ No Optional form used to report NC Contributions From Individuals of $50 or Less 1. Committee F)uII Name(and Flindifapplicable) 2.IDNumber COMMITTEE TO ELECT WESTON BURROUGHS XXX-CJMD90-X-XXX 3. Contributor Information a. Amend lb. Account Code 1c. Form of Payment d. In -Kind Description le. Date (mm/dd/yyyy) L Amoun[ Add 11 Remove 100 Credit Card 06/25{2022 $ 3.00 4. Total only this Page $ $3.00 5. Total of ALL CRO -1205 Pages (This fine must be online 5 ojDetailed Summary Page CR04100) $ $441.00 CRO -7205 NC State Board of Elections April 2007 Amendment Contributions from Individuals Pg I of 4 ® ves ❑ No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee Ikill Name andFLnd if applicable) 2.ID Number COMMITTEE TO ELECT WESTON BURROUGHS XXX-CJMD90-X-XXX 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments NOT EMPLOYED PAM DEMARIA 1108 Hunters Trail Dr INDIAN TRAIL, NC 28079 c. Employers Name/Specific Feld NOT EMPLOYED e. Election Sum to Date $ 225.00 L Prior g. Account Code It. Form of Payment i. In -Kind Description I. Date (mm/dd/yyyy) It. Amount ❑ 100 Credit Card 06/13/2022 $ 50.00 ❑ 100 Credit Card 06/17/2022 $ 50.00 ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession it. Comments RIDING INSTRUCTOR ANDREA GUZINSKI 2620 Waxhaw Marvin Rd WAXHAW, NC 28804 e. Employer's Name/Specific Feld GUZINSKI e. Election Sum to Date $ 100.00 f. Prior g. Account Code h. Form of Payment i. In -Kind Description I. Date (mm/ddlyyyy) k. Amount ❑ 100 Credit Card 06/19/2022 $ 100.00 ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments NOT EMPLOYED STEPHANIE KARAFFA 1907 Crestgate Drive WAXHAW, NC 28173 c. Employer's Name/Specific Feld NOT EMPLOYED e. Election Sum to Date $ 100.00 f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date(mm/dd/yyyy) k. Amount ® 100 Credit Card 03/162022 $ 25.00 ® 100 Credit Card 04/162022 $ 25.00 ❑ 100 Credit Card 05/16/2022 $ 25.00 4. Total only this Page $ 225.00 5. Total of ALL CRO -1210 Pages (This line must be online 6 ojDetalled Summary Page CRO -1100) $ 560.00 CRO -1210 Nl State Board of Elections April 2007 Amendment Contributions from Individuals Pg 2 of 4 ® Yes ❑ No Use this formto report individual contributions over $50 or contributions under S50 if form CRO 1205 is not used 1. Committee Fhll Name and Fund if s icable 2. ID Number COMMITTEE TO ELECT WESTON BURROUGHS XXX-C1MD90-X-XXX 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job7itle/Profession d. Comments NOT EMPLOYED STEPHANIE KARAFFA 1907 Crestgate Drive WAXHAW, NC 28173 c. Employer's Name/Specific Field NOT EMPLOYED e. Election Sum to Date $ 100.00 C Prior g. Account Code h. Form of Payment 1. In -Kind Description j. Date(mm/dd/yyyy) k. Amount ❑ 100 Credit Card 06/16/2022 $ 25.00 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments EXECUTIVE SAMIR MEHTA 8509 English Tum Ln WAXHAW, NC 28173 e. Employer's Name/Specific Field COLLINS AEROSPACE e. Election Sum to Date $ 100.00 f. Prior g. Account Code h. Form of Payment i. In -Find Description j. Date (mm/dd/yyyy) k. Amount ❑ 100 Credit Card 06/13/2022 $ 100.00 ❑ $ 3. Contributor Information ❑ Add ❑ Rcnx,cc a. Full Name, Mailing Address&Phone (include city, state, &zip) b. Job Jitle/Profession d. Comments NOT EMPLOYED 14EATHER OLDLAND 7221 Yellowhom Trl WAXHAW, NC 28173 c. Employer's Name/Specific Field NOT EMPLOYED e. Election Sum to Date $ 100.00 f. Prior g. Account Code h. Form of Payment I. In -Nod Description j. Date (mm/dd/yyyy) k. Amount ❑ 100 Credit Card 05/26/2022 $ 100.00 ❑ $ ❑ S 4. Total only this Page $ 225.00 5. Total of ALL CRO -1210 Pages (This line must be on line 6 ojDetailed Summary Page CRO -1100) $ 560.00 CRO -1210 NC State Board of Elections Aprd zoo I Contributions from Individuals Amendment Pg 3 of 4 ® Yes ❑ No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee Full Name and Fund if a icable 2. ID Number COMMITTEE TO ELECT WESTON BURROUGHS XXX-CJMD90-X-XXX 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession it. Comments PHYSICIAN KATIE SHAW 9824 Saddle Ave WAXHAW, NC 28173 c. Employer's Name/Specific Feld VALLEY EMERGENCY e. Election Sum to Date $ 110.00 f. Prior g. Account Code h. Form of Payment i.ln-Kind Description j. Date (mm/dd/yyyy) k. Amount ® 100 Credit Card 03/17/2022 $ 25.00 m 100 Credit Cud 04/17/2022 $ 25.00 ❑ 100 Credit Card 05/17/2022 $ 25.00 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments PHYSICIAN KATIE SHAW 9824 Saddle Ave WAXHAW, NC 28173 a Employer's Name/Specific Field VALLEY EMERGENCY e. Election Sum to Date $ 110.00 f. Prior g. Account Code h. Form of Payment i. In -Find Description j. Date(mm/dd/yyyy) k. Amount ❑ 100 Credit Card 06/09/2022 $ 10.00 ❑ 100 Credit Card 06/17/2022 $ 25.00 ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments NOT EMPLOYED LAUREN SUPPES 2115 Coatsdale Lane MATTHEWS, NC 28104 c. Employer's Name/Specific Feld NOT EMPLOYED e. Election Sum to Date $ 100.00 f. Prior g. Account Code It. Form of Payment 1. In -Rind Description J. Date (mm/dd/yyyy) k. Amount ® 100 Credit Card 03/18/2022 $ 25.00 ® 100 Credit Card 04/18/2022 $ 25.00 ❑ 100 Credit Card 05/18/2022 $ 25.00 4. Total only this Page $ 85.00 5. Total of ALL CRO -1210 Pages (This fine must be online 6 of Detailed Summary Page CRO -1/00) $ 560.00 CRO -1210 NC State Board of Elections April2007 Amendment Contributions from Individuals Pg 4 or 4 ® Yes ❑ No Use this fortnto report individual contributions over $50 or contributions under$50 iffonn CRO 1205 is not used 1. Committee Full Name and Fund ifa icable 2. ID Number COMMITTEE TO ELECT WESTON BURROUGHS XXX-C1MD90-X-XXX 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. JobTitle/Profession d. Comments NOT EMPLOYED LAUREN SUPPES 2115 Coatsdale Lane MATTHEWS, NC 28104 c. Employer's Name/Specific Field NOT EMPLOYED e. Election Sum to Date $ 100.00 f. Prior g. Account Code h. Form of Payment I. In -Kind Description j. Date (mm/dd/yyyy) It. Amount ❑ 100 Credit Card 06/18/2022 $ 25.00 ❑ $ 4. Total only this Page $ 25.00 5. Total of ALL CRO -1210 Pages (T/ds line must 6e on line 6 ojDerailed Summary Page CRO -7700) i S 560.00 CRO -1210 NC State Board of Elections April 2007 Amendment Refunds/Reimbursements To the Committee Pg I of 3 Ila Its ❑ No Use this form to report refunds received by the committee or reimbursements fora previous expenditure 1. Committee Full Name and Fund if applicable) r COMMITTEE TO ELECT WESTON BURROUGHS MD90-X-XXX 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, &zip) d. Type of Committee Candidate PAC ❑ Referendum ❑ Party 705/28/2022 AMAZON 440 Terry Avenue North SEATTLE, WA 98109 e. Level Registered (Specify) xpenditure Date Federal County: ❑ Sate ❑ Municipality: L Original Expenditure Amt $ 44.76 b. Job Title/Profession c. Employer's Name/Specific Feld L Purpose j. Election Sum to Date REFUND $ 389.41 k. Account Code I. Form of Payment m. inDescription a. Date (mmldd/yyyy) o. Amount 100 Electric Funds Tran 06/14/2022 $ 44.76 3. Contributor information ❑ Add ❑ Remove a. Full Name. Mailing .Address & Phone (include city, state, & zip) d. Type of Committee g. Comments Candidale PAC ❑ Referendum ❑ Party AMAZON 440 Terry Avenue North SEATTLE, WA 98109 c. Level Registered (Specify) h. Original Expenditure Date Federal County: ❑ Sale ❑ Municipality: 05/26/2022 1. Original Expenditure Amt $ 289.12 b. Job Title/Profession c. Employer's Name/Specific Feld L Purpose j. Election Sum to Date REFUND $ 389.41 k. Account Code I. Form of Payment m. In -Kind Description n. Date (mm/dd/yyyy) o. Amount 100 Electric Funds Tran 06/14/2022 $ 48.00 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, &zip) d. Type of Committee g. Comments Candidate PAC ❑ Referendum ❑ Party COMMITTEE TO ELECT MARIA PALACIOS 3903 GARRISON CT MONROE, NC 28110 e. Level Registered (Specify) h. Original Expenditure Date de Feral County: ❑ Sate ❑ Municipality: 05/21/2022 i.Original Expenditure Amt $ 70.00 b. Job Title/Profession c. Employer's Name/Specific Field if. Purpose j. Election Sum to Date FAMILY FUN DAY SPLIT WITH SEVERAL CANDIDATES $ (200.00) k.Account Code It. Form of Payment Im. In -Kind Description In. Date (mm/dd/yyyy) o. Amount 100 Check 06/07/2022 $ 200.00 4. Total only this Page $ 292.76 5. Total of ALL CRO -1240 Pages (This line must be online 10 of Derailed Summary Page CRO -1100) CAM-174A $ 1,157.57 VC State Boardot Elections December 2007 Amendment Refunds/Reimbursements To the Committee Pg or 3 ® 1 c s ❑ No Use this formto report refunds received by the committee or reimhursements fora previous e)q)enditure. 1. Committee Full Name and Fund if applicable) 2. ID Number COMMITTEE TO ELECT WESTON BURROUGHS XXX-CJMD90-X-XXX 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) it. Type of Committee g. Comments JN Candidate PAC ❑ Referendum ❑ Party COMMITTEE TO ELECT STEVE MARTIN PO BOX 1593 MATTHEWS,NC 28106 e. Level Registered (Specify) h. Original Eipenditure Date Federal E County ❑ State ❑ Municipality: 05/26/2022 i. Original Expenditure Amt $ 289.12 b. Job ntle/Profession 1c. Employer's Name/Specific Field if. Purpose J. Election Sum to Date FAMILY FUN DAY SPLIT WITH SEVERAL CANDIDATES $ (168.00) k. Account Code 11. Form of Payment Im.ln-Kind Description o. Date (m to /dd/yyyy) o. Am a n 100 Check 06/13/2022 $ 168.00 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) d. Type of Committee g. Comments Cg Candidate 0 PAC ❑ Referendum ❑ Party ELECT JODI MCCONKEY FOR UCPS DISTRICT 4 4107 LOGAN CIRCLE INDIAN TRAIL, NC 28079 e. Level Registered (Specify) h. Original Expenditure Date Federal al County: El State [3 Municipality: 05/28/2022 i. Original Expenditure Amt $ 44.76 b. JobMtle/Profession c. Employer's Name/Specific Field L Purpose j. Election Sum to Date FAMILY FUN DAY SPLIT WITH SEVERAL CANDIDATES $ (164.71) k. Account Code 11. Form of Pay m e n t m.ln-Kind Description o. Date(mm/dd/yyyy)o. .Amount 100 Electric Funds Tran 06/07/2022 $ 164.71 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) d. Type of Committee g. Comments C1 Candidate PAC ❑ Referendum ❑ Party ELECT KIMBERLY MORRISON HANSLEY 4307 CROW RD MONROE, NC 28112 e. Level Registered (Specify) h. Original Expenditure Date Federal M County: ❑ State ❑ Municipality: 05/20/2022 L Original Expenditure Amt $ 77.55 b. Job Title/Profession It. Employer's Name/Specific Field f. Purpose j. Election Sum to Date FAMILY FUN DAY SPLIT WITH SEVERAL CANDIDATES $ (168.00) k. Account Code I. Form of Payment m. In -Kind Description o. Date (mm/dd/yyyy) o. Amount 100 Check 05/26/2022 $ 168.00 4. Total only this Page $ 500.71 5. Total of ALL CRO -1240 Pages (This fine mast be online 10 ojDerailed Summary Page CRO -1100) $ 1,157.57 CRO -1140 NC State Board of Flections December 2007 Amendment Refunds/Reimbursements To the Committee Pg or 3 ® les (3 No Use this form to report refunds received by the committee or reimbursements fora previous a)penditure 1. Committee Full Name and Fund if applicable) Number COMMITTEE TO ELECT WESTON BURROUGHS XX-CJMD90-X-XXX 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address &Phone (include city, state, & zip) d. Type of Committee ments Candidate PAC ❑ Referendum ❑ Party GINA FOR UNION COUNTY COMMISSIONER 1023 FEATHER OAK LANE STALLINGS, NC 28104 e. Level Registered (Specify)ginal Expenditure Date Federal County ❑ State ❑ Munici05/26/2022 R ginal FScpenditure Amt289.12h. Job 7itle/Profession a Employer's Name/specific Field L Purpose tion Sum to DateFAMILY FUN DAY SPLIT W(168.00)SEVERAL CANDIDATESk. Account Code I. Form of Payment mln-Kind Description n.Date(mo. Amount100 Check 05/26 $ 168.00 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) d. "type of Committee g. Comments M-( ❑ Referendum ❑ Party KEVIN FOR UNION 1004 SKYWATCH LN MONROE, NC 28112 e. Level Registered (Specify) h. Original Expenditure Date federal County: ❑ Sate ❑ Municipality: 05/23/2022 i. Original Expenditure Amt $ 30.41 b. Job Title/Progl.Form c. Employer's Name/Specific Field L Purpose j. Flection Sum to Date FAMILY FUN DAY SPLIT WITH SEVERAL CANDIDATES $ (196.10) k. Account Codof Payment m. In -Kind Description n. Date (mm/dd/yyyy) oAmount t00ic Funds Tran 05/26/2022 $ 196.10 P. Total only this Page g 364.10 5. Total of ALL CRO -1240 Pages (This line must be online 10 ojDeralled Summary Page CRO -1100) CRO -1210 NC StB $ 1,157.57 ate oard of Elections December 2007 Amendment Disbursements Pg I of 4 ® ves ❑ No Use this formto report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated party expenditures 1. Committee Full Name and Fund if applicable) 2. ID Number COMMITTEE TO ELECT WESTON BURROUGHS 3. Type of Disbursement (Please use separate CRO -1310 forms for each tvpe of Disbursement) IN Operating Expenses U Contribmions to C'andidates/Political Committees U Coordinated Party F.Npendittues 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments AMAZON 440 Terry Avenue North SEATTLE, WA 98109 c. Level Registered (Specify) Federal U County: ❑ State ❑ Municipality: e. Election Sum to Date $ 389.41 L Account Code 1g. Form of Payment 1h.Parpose Code it. Date (mm/ddlyyyy) j. Amount It. Required Remarks IOU Debit Card O 05/26/2022 1 $ 289.12 1 BAGS AND GIVE AWAYS 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Com miner Name d. ('omments EVENTFULLY YOURS 2627 KILMARNOCK COURT MATTHEWS, NC 28105 c. Level Registered (Specify) Federal 13 County: ❑ state ❑ Municipality: e. Election Sum to Date $ 321.75 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) I. Amount k. Required Remarks 100 Debit Card C 05/31/2022 $ 321.75 BALLOON ARTIST 4. Payee information ❑ Add ❑ Remove a. Full Nacre, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments PELICAN'S SNOBALLS-MONROE 120 EAST SUNSET DRIVE MONROE, NC 28112 c. Level Registered (Specify) Federal County: ❑ State ❑ Municipality: e. [lection Sum to Date $ 109.00 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) Ij. Amount k. Required Remarks 100 Debit Card 10 05/22/2022 IS 109.00 1 FOOD AND DRINKS 5. Total only this Page $ 719.87 6. Total of ALL CRO -1310 Pages (This line goes in line 13a ofDemiled Summay Page CRO -1100 if Operating Expenses) (This line goes in line 136 of Detailed Summary Page CRO -1100 IfContrlb to Candidates/Political Comm) (This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Par)• Erpenditures) $ 1,845.74 7. Purpose Codes (List detailed expenditure code in (h.) above) A* - Media B* - Printing C* - Fundraising D -To Another -Candidate E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses 1 - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* Other * Codes require detailed explanation in re aired remarks field(k) CRO -1310 NC State Boardo f Elections December 2UU9 Amendment Disbursements Pg 2 of 4 ® Its ❑ No Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated party expenditures 1. Committee Full Name and Fund if applicable) 2. ID Number COMMITTEE TO ELECT WESTON BURROUGHS 3. T of Dix hursement (Please use separate CRO -1310 forrtls for each tune ofDAburseutent.) Operating Expenses Contributions to Candidates/Political Committees Lj t aunlinated Partv Expenditures 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments PELICAN'S SNOBALLS-WAXHAW 318 E. SOUTH MAIN STREET WAXHAW, NC 28173 a Level Registered (Specify) 0Federal 0 County: ❑ State ❑ Municipality: _ e. Election Sum to Date $ 70.00 L Account Code g. Form of Payment h. Purpose Code L Date (mm/dd/yyyy) j. Amount k. Required Remarks 100 Debit Card U 05/21/2022 1 $ 70.00 1 DRINKS 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include cit , state, & z ) b. Coordinated Committee Name d. Comments QUEEN CITY PRINCESS PARTIES 2000 LONDONDERRY LANE CAYCE, SC 29033 c. Level Registered (Specify) Federal LJ County: ❑ state ❑ Municipality: e. Election Sum to Date $ 400.00 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) 1j. Amount 1k. Required Remarks 100 Debit Card C 06/04/2022 1 $ 400.00 1 ENTERTAINMENT Is 1 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments SAM'S CLUB 11425 CAROLINA PL PKWY PINEVILLE, NC 28134 c. Level Registered (Specify) Federal U County: ❑ State ❑ Municipality: e. Election Sum to Date $ 214.46 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount 1k. Required Remarks 100 Debit Card C 06/02/2022 $ 214.46 1 CANOPIES 5. Total only this Page $ 684.46 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summary Page CRO -1100 if0perating Expenses) (This line goes in line 13b of Detailed Summary Page CRO -1100 ffContrib to Candidates/Political Comm) (This line goes in line 13c of Detailed Summary Page CRO -1100 ii Coordinated Party Expenditures) $ 1,845.74 7. Purpose Codes (List detailed expenditure code in (h.) above) A* - Media B* - 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 require detailed explanation in re uiredremarks field CRO -1310 NC State Board of Elections December 2009 Amendment Disbursements Pg 3 or 4 ® Yes ❑ No Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated party expenditures 1. Committee Full Name and Fund if applicable) 2. ID Number COMMITTEE TO ELECT WESTON BURROUGHS - - 3.'I�pe of Disbursement (Please use separate CRO -1310 forms for eau'pe of Disbursement.) Operat ing Espouses0 luntributionsto Candidates/Political Connuiticcs Coordinated Part Espcnditurd 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments SRIS ART STUDIO LLC 9729 Ridgeforest Dr CHARLOTTE, NC 28277 c. Level Registered (specify) Federal U County: ❑ State ❑ Municipality: e. Election Sum to Date $ 240.00 f. Account Code Ig. Form of Payment Ih.Purposc Code Ii. Date (mm/dd/yyyy) j. Amount Ik. Required Remarks 100 Debit Card I C 1 05/27/2022 $ 100.00 1 HENNA ART 100 Chcck C 06/29/2022 IS 140.00 1 HENNA ART 4. Payee Information ❑ Add ❑ Remove a. Full Nana, Mailing Address & Phone include eih, state, & zip) b. Coordinated Committee Name d.Comments Town of Indian Trail 315 Matthews Indian Trail Road INDIAN TRAIL, NC 28079 c. Level Registered (Specify) Federal U County: ❑ State ❑ Municipality: e. Election Sum to Date $ 77.55 f. Account Code g. Form of Payment h. Purpose Code Ii.Date (mm/dd/yyyy) 1j. Amount k. Required Remarks 100 Debit Card 10 1 05/20/2022 $ 77.55 VENDOR APPLICATION 4. Payee Information ❑ Add ❑ Remove a. FulIName, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments UNITED STATED POSTAL SERVICE 11035 GOLF LINKS DR CHARLOTTE, NC 28277 c. Level Registered (Specify) Federal County: ❑ State ❑ Municipality: e. Election Sum to Date $ 11.60 f. Account Code Ig. Form of Payment Ih. Purpose Code Ii. Date (mm/dd/yyyy) j. Amount Ik. Required Remarks 100 Debit Card 10 06/11/2022 $ 11.60 STAMPS $ 5. Total only this Page $ 329.15 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) (This line goes in line lab ofDelaOed Summary Page CRO -1100 ifContrib to CandidatesTolitical Comm) (This line goes in line 13c ofDeoailed SununanPage CRO -1100 ii Coordinated Parry Expenditures) $ 1,845.74 7. Purpose Codes (List detailed expenditure code in (h.) above) A* - Media B* - 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 require detailed explanation in re uired remarks field CRO -1310 NC State Board of Elections December 2009 %mendment Disbursements Pg 4 of 4 ® Yes ❑ No Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated party expenditures 1. Committee Full Name and Fund if applicable) 2. IDNumber COMMITTEE TO ELECT WESTON BURROUGHS 3. Type of Disbursement (Please use separate CRO -1310 forms for each tune of Disbursement.) IM Operating Expenses U Cont abut ions to Can didatevPolit ical Comm it tees U Coordinated Party Ecpendttares 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments UPRINTING 8000 Haskell Avenue VAN NUYS, CA 91406 c. level Registered (Specify) Federal 0 County: ❑ State ❑ Municipality: e. Election Sum to Date S 396.40 f. Account Code g. Form or Psyment It. Purpose Code 1. Date (mm/ddlyyyy) j. Amount it. Required Remarks 100 Debit Card B 06/16/2022 $ 112.26 FLYERS 5 5. Total only this Page $ 112.26 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summon- Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Detailed Summan• Page CRO -1100 ifContrib to Candidates/Political Comm) (This line goes in line lac of Detailed Summap• Page CRO -1100 if Coordinated Parry• Ecpenditures) $ 1,845.74 7. Purpose Codes (List detailed expenditure code in (h.) above) A* - Media B* - Printing C* - Fundraising D- To Another Candidate E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses 1 - Postage 3 - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* Other * Codes require detailed explanation in requiredremarks field(k) CRO -1.310 NC State Boardof Elections December 2009 Amendment Aggregated Non -Media Expenditures Page i or 1 ® Yes ❑ No Optional form used to report NC Non -Media Expenditures of $50 or less. CRO -1315 Ne State Hoardof Elections December 2009 COMMITTEE TO ELECT WESTON BURROUGHS XXX-CJMD90-X-XXX 3. Payee Information a. Amend h. Account Code a Form of Payment it. Purpose Code e. Date (mmldd/yyyy) f. Amount g. Required Remarks Add 100 Debit Card O 05/04/2022 $ 11.69 _ BANK FEE ❑ Remove =Add 100 Electric Funds Tran O 06/03/2022 $ 7.37 BANK FEES ❑ Remove ff Add 100 Electric Funds Tran O 06/09/2022 $ 20.95 BANK FEES ❑ Remove Add 100 Debit Card O 05/23/2022 $ 30.41 BACKDROP ❑ Remove =Add 100 Debit Card O 05/28/2022 $ 44.76 BAGS ❑ Remove Ad 100 Debit Card O 06/02/2022 $ 18.14 TABLE CLOTHS ❑ Remove Add 100 Debit Card O 06/24/2022 $ 27.20 EVENT SUPPLIES ❑ Remove Ad 100 Debit Card C 06/04/2022 $ 50.00 BALLOON ARTIST ❑ Remove ff—Add 100 Debit Card F 05/30/2022 $ 14.92 SPRING CLAMP ❑ Remove dd 100 Debit Card O 06/21/2022 $ 39.50 SHIRTS ❑ Remove 4. Total only this Page $ 264.94 5. Total of ALL CRO -1315 Pages ea (7Lis fine nwsr be ou line 14 ojDemileA Summnp• Page CRO -1100) G. Purpose Codes(List detailed expenditm code in d above 13' - Printing CL*_- Fundraising i D -To Another Candidate 1f - Salaties F* - Equipment G - Political Parte 1 1V:ifolding�Pab100� 'ee Expenses l;gs ge .I - Penalties penses Q* - Donations to Legal Expense Fund O* - Other * Codes require detailed explanation in required remarks field CRO -1315 Ne State Hoardof Elections December 2009 Outstanding Loans Amendment Pg 1 of 2 '® Yes ❑ No Use this form to report any outstanding loans received during a previous reporting period and until the loan is paid in full. t. Committee Full Name(and 1%ndifapplicable) 2. ID Number COMMITTEE TO ELECT WESTON BURROUGHS XXX-CJMD90-X-XXX 3. Lender Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments TRAINING & OPERATIONAL EXCELLENCE MANAGE WESTON BURROUGHS 6720 OLD MONROE RD STEB 146 INDIAN TRAIL, NC 28079 (980) 494-0780 e. Start Date (mm/dd/yyyy) c. Employer's Name/Specific Field 12/23/2021 MEINEKE CAR CARE f. FAd Date (mm/dd/yyyy) g. Rate 1h. Security Pledged IL Original Loan Amount j. Remaining Loan Balance % N/A $ 5.99 $ 5.99 k. Full Name of Lending Institution I. Loan Number 3. Lender Information ❑ Add ❑ Remove a. Full Name,Mailing Address & Phone (include city, state, & zip) b. .lob Tine/Profession it. Comments TRAINING & OPERATIONAL EXCELLENCE MANAGE WESTON BURROUGHS 6720 OLD MONROE RD STE B 146 INDIAN TRAIL, NC 28079 (980) 494-0780 e. Start Date (m m/dd/yyyy) c. Employer's Name/Specific Field 12/73/2021 MEINEKE CAR CARE f. FAd Date (m m /da/yyyy) g. Rate 1h. Security Pledged it. Original Loan Amount j. Remaining Loan Balance a/a $ 99.60 $ 99.60 k. Full Name of Lending Institution I. Loan Number 3. Lender Information ❑ Add ❑ Remove a. Full Name, Mailing Address&Phone (include city, state, & zip) b. Job Title/Profession d. Comments TRAINING & OPERATIONAL EXCELLENCE MANAGE WESTON BURROUGHS 6720 OLD MONROE RD STE B 146 INDIAN TRAIL, NC 28079 (980)494-0780 e. Start Date (mm/dd/yyyy) c. Employer's Name/Specific Field 12/232021 MEINEKE CAR CARE f. End Date (in m/dd/yyyy) g. Bate 1h. Security Pledged it. Original Loan Amount I. Remaining Loan Balance N/A $ 200.00 $ 200.00 it. Full Name of Lending Institution I. tuan Number 4. Total only this Page $ 305.59 5, Total of ALL CRO -1430 Pages (This line most he on line 21 of Detailed Summary Page CRO -1100) $ 1,355.59 CRO -1430 NC State Board of Elections December 2007 Outstanding Loans Amendment Pg 2 of 2 ® Yes ❑ No Use this form to report any outstanding bans received during a previous reporting period and until the loan is paid in full. 1. Committee Full Name and Fund ifapplicable) 2. ID Number COMMITTEE TO ELECT WESTON BURROUGHS XXX-CJMD90-X-XXX 3. Lander Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Dtle/Profession d. Comments TRAINING & OPERATIONAL EXCELLENCE MANAGE WESTON BURROUGHS 6720 OLD MONROE RD STE B 146 INDIAN TRAIL, NC 28079 (980) 494-0780 e. Start Date (mm/dd/yyyy) c. Employer's Name/Specific Field 01/10/2022 MEINEKE CAR CARE f. End Date (mm/dd/yyyy) g. Rate h. Security Pledged if. Original Loan Amount I. Remaining Loan Balance $ 1,050.00 $ 1,050.00 k. Full Name of Lending Institution I. Loan Number 4. Total only this Page $ 1,050.00 5. Total of ALL CRO -1430 Pages (Thisline must be on line 27 oJDelai/ed Summary Page CRO -7700) $ 1,355.59 CHO-1430 NC State Board of Elections December 2007