Burroughs,Weston_2022-3rd-report-coverDisclosure Report Cover E3 Yes M No
Use this for for general report and committee information, must be signed and submitted along with other detailed fors.
Do not usethis forto uodate information.
1. Committee Information
a. Full Name
c. ID Number
COMMITTEE TO ELECT WESTON BURROUGHS
XXX-CJMD90-X-XXX
h. Mailing Address (include City, State and Zip Code)
it. Date Fled
6710 OLD MONROE RD
10/31/2022
SIL B146
INDIAN TRAIL, NC 28079
e. Phone Number
(980)494-0780
2. Report Year
13. Period Start Date (mmldd/yy)
14. Period End Date (mm/dd/yy)
5. Treasurer Full Name
2022
07/01/2022
10/22/2022
CRISTAL ROBINSON
6. Type of Committee Check One)
9.T.
of Report (checkonly one typeo re ort fromone category)
® Candidate Campaign ❑ Part%
Municipal
State/County
Referendum
❑ Joint Fundraiser ❑ PAC
❑
Organizational
❑ Organizational
❑ Organizational
❑ Referendum legal Expense Fund
❑
❑
❑
Thirty-five day
Pre-primary
Pre-election
Quarterly
❑ First
❑ Second
❑ Pre -referendum
❑ Final
❑ Supplemental Final
7. of Fund (if applicable. check one)
❑ 'Booster Fund"
❑ Building Fund
❑
Pre -runoff
❑ Third
❑ Annual
❑ Presidential Election Year Candidates Fund
Semi-annual
❑ Fourth
❑ Special
❑ NC Public Campaign Financing Fond
❑
Mid Year
Semi-annual
❑
Year End
13 Mid Year
10. Special Report Name
❑ Otho
❑
❑
Final
Special
❑ Year End
❑ Final
❑ Special
8. Number of Fundraisers this Report
I
3. Account Information
3. Account Information
a. Financial Institution Full Name
a. Financial Institution Full Name
FIRST CITIZENS BANK
In. Purpose
c. Account Code
b. Purpose
c. Account Code
CAMPAIGN
100
it Period Begin Balance
it Period Begin Balance
CERTWATION
I 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 cern that this report is complete,
true and correct and aHliave been trained by the NC State Board
�� ithisSc 3
10/31/2022
Printed Name of Signer
Sign to of Appointed Treasurer Date
FOR OFFICE USE ONLY
Date Received:
Employee: Delivery Method
I I
❑ Normal Mail
Date Postmarked:
Employee: rWG Registered Mail
❑ Hand Delivered
❑ Electronically Filed
Date Scanned:
Employee:
(3 Signer has not received
Date Data Entered:
Employee:
mandatory training
Please Note: This for cannot be used to amend committee information such as the committee address, treasurer,
assistant treasurer, custodian
of books information, oraccounl information.
You must amend the Statement ofOr anization CRO -2100A -E to make committee changes.
CRO -1000 NC State Board of Elections December 2007
Amendment
Detailed Summary ❑ 1 e IN No
Use this form to summarize all disclosure reporting forms and to total monetary information
1. Committee ILII Name and Fund if applicable)
2. Type of Report
13. ID Number
COMMITTEE TO ELECT WESTON BURROUGHS
2022 Third Quarter
XXX-CJMD90-X-XXX
Start of Election Cycle: January 1, 2021
Re
Total this
rtin Period
Total this
vection Cycle
4) Cash on Hand at Start
$
915.96
$
0.00
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
0) Refunds/Reimbursements to the Committee
1) Other Receipt Sources
Ila) Interest on Bank Accounts
11 b) Contributions from Not -For -Profit Organizations
I Ic) Outside Sources of Income
IId)LegalFxpenseFund - Other Sources
I le) Exempt Purchase Price Sales
(CRO -1105)
(CRD -1210)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CRO -1240)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1270)
(CRO -1165)
$ 344.00
$
1,620.00
$ 3,332.72
$
6,207.72
$ 100.00
$
150.00
$ 0.00
$
0.00
$ 0.00
$
1,355.59
$ 2.179.10
S
3,336.67
- -ww
S 0.00
S
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, 9, 10,11a.I Ib,I Ic,l I and I Ie)
$
5,955.82
$
12,669.98
EXPENDITURES
3) Disbursements
13a) Operating Expenditures
13b) Contributions to Candidates/Political Committees
13c) Coordinated Party Expenditures
4) Aggregated Non -Media Expenditures
5) Loan Repayments
6) Refunds/Reimbursements from the Committee
7) In-IGnd Contributions
(CRO -1310)
(CRO -1310)
(CRO -1310)
(CRO -1315)
(CRO. 1420)
(CRO -1320)
(CRO -1510)
$
5,576.95
$
10,757.95
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 232.02
$
743.63
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 722,72
$
828.31
8) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)
$
6,531.69
$
12 329.89
9) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18)
$
340.09
$
340.09
ADDITIONAL INFORMATION
0) Non -Monetary Gifts Given to Other Committees
t) Outstanding Loans (incl. ones from other campaigns)
2) Debts and Obligations owed by the Committee
3) DebtsandOhl igations ovvedtothe Committee
4) Account Transfers Within the Committee
5) Administrative Support
6) Forgiven Loans
7) 48 -Hour Notice Reports Sum
(CRO -1330)
(CRO -1430)
(CRO -1610)
(CRO -/620)
(CRO -1720)
(CRO -1710)
(CRO -1440)
(CRO -2220)
$ 0.00-
$ 1,355.59
$ 0.00
$ 0.00
$ 0.00
$ 0.00 $
0.00
$ 0.00 $
0.00
$ 0.00 $
0.00
$) Contributions to be Refunded
(CRO -1215)
$
0.00
$
0.00
CRO -1100 NC State Board of Elections August 2UU8
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