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Casanova,Ashley_2023-35-DayRECEIVED S"E"' Yea =' 2 3 2-1`23 Aatetalareat Disclosure Report Cover ❑ No Use this form for general report and committee information must be signed and submitted along with other detailed forms. Do not nae thia form to nndnte informntinn. 1. Committee Information at. Full Awn, c. III Number t. Mailing Qdress (Include City, State and Zip Code) d. Date Filed U 26 2023 173(oD;c�Sr.N f3(ud G SUM , -3GK 154 e. Phone Number IY�cMf'Zz, Ni '26i(t_, -13(0l I hui 3+ enod Start Date (mmfd ury) 4, Period End Date o,mdddil.) ^. Treasurer Full Name o_f Committee (Check One) Type of Re ort k only one 1Pe of re fm one carrgar) 9un canma❑P Stno Referendum ❑ PAC ❑ Referendum Orgational ❑ Organiwtional ❑ Oreanivadonal ❑ Independent Expenditure ❑ Joint Fundraiser ,❑]aniz Fy thirty-five day Quarterly ❑ Pre -referendum ❑ Legal Expense Fvnd ❑ Pre-primary ❑ first ❑ Final ❑ Pre-election ❑ Pr runoff ❑ Second ❑ Third ❑ Supplemental Final ❑ Annual 7.Type of Fund (if hpplicuble,checkone) ❑ 600+cr F,:nd Semi-annual ❑ Fourth ❑ Special ❑ Buddlnp Fund ❑ Mid Year Semi-mnual ❑ Year End ❑ Mid Year 10. Special Report Name ❑ Other: ❑ Final ❑ Special ❑ Year End ❑ Final 8. Number of Fundraisers this Report _ ❑ Special 11. Account Information 11. Account Information a. Financial Institution Fail] Name a. Financial Institution Full Name It. Purpose c. Account Code b. Purpose c. Account Code d. Period Begin Balance d. Period Begin Balance $ $ CERTIFICATION 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. I further certify that this report is complete, we and correct and that I have been trained by the NC State Board of Elections. cb1 1�14 C*TSfi') 0✓a a� Cho r yA, i 2 S 1 2 23 nted Name of Signer i nature of Appointed Treasurer Date FOR OFFICE USE ONLY Date Received: d� � Employee: Delivery Method ❑ Normal Mail ❑ Registered Mail Date PosttrWked: Employee: ❑ Hand Delivered 3 ❑ Electronically Filed Date Scanned: Employee: er Date Data Entered: Employee: mandatoas ntioattreceived 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 -2100A -E) to make committee changes. CRO -1000 NC Stale Board of Elections August 2008 Detailed SUIl1I1l8Cy 1r Ves No J Use this form to summarize all disclosure renoninv forms and to told monetary infonnalion 1. Committee Full Name (and Fund if applicable) 12. Type of Report Va, oe+ . ID Number M w(!q g Start of Election Cycle: January 1, 202.1 Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start $ 0.50 $ CEIPT'S 5) Aggregated Contributions from Individuals (CRO -1205) $ $ 6) Contributions from Individuals (CRO -1210) $ 00 $ 00 7) Contributions from Political Party Committees (CRO -1220) $ $ 8) Contributions from Other Political Committees (CRO -1230) $ $ 9) Loan Proceeds (CRo-14/0) $ (t) $ 0) Refunds/Reimbursements to the Committee (CRO -1240) $ C� $ 1) Other Receipt Sources l la) Interest on Bank Accounts (CRO -1250) $ $ llb) Contributions from Not -For -Profit Organizations (CRO -1250) $ $ I Ic) Outside Sources of Income lld) Legal Expense Fund - Other Sources Ile) Exempt Purchase Price Sales (CRO -1250) (CRO -1270) (CRO -1265) $ $ $ $ $ $ 12) TOTAL RECEIPTS (Add lines 5, 6,7, 8,9, 10,11 a, I I b, I 1c. I I d and 11 ell $ $ -" EXPENDITURES 13) Disbursements 13a) Operating Expenditures (CRO-1310)rr 13b) Contributions to Candidates/Political Committees (CRO -1210) $ $ °� $ 13c) Coordinated Party Expenditures (CRO -1310) $ $ 14) Aggregated Non -Media Expenditures (CRO -1315) $ $ 15) Loan Repayments (CRO -1420) $ $ 6) Refunds/Reimbursements from the Committee (CRO -1320) $ $ Q} 17) In -Kind Contributions (CRO -1510) $ $ 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $ $ 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 Conmtittees 1) Outstanding Loans (incl. ones from other campaigns) (CRO -1330) (CRO -1430) $ $ 2) Debts and Obligations owed by the Committee (CRO -1610) $ 23) Debts and Obligations owed to the Committee (CRO -1620) $ 4) Account Transfers Within the Committee (CRO -1720) $ 5) Administrative Support (CRO -1710) $ $ 6) Forgiven Loans (CR04440) $ $ 7) 48 -Hour Notice Reports Sum 8) Contributions to be Refunded (CRO -2220) (CRO -1215) $ $ $ $ C'mu-1100 NC State Board of Elections - August 2008 RECEIVE; Orn 2 2 2n23 Amendment Contributions from Individuals Pg 1 of —L l 113 Yes ❑ N Use this form to report individual contributions over $50 or Contributions under S50 if form CRO 1205 is not used 1. Conuuittec Pull Name ('and Fund if applicable) 2. ID Number 3. Contributor Information •l :1dd ❑ krnrocc - a. Pull �:,mr. >1 nilin� Acldnto' k I'hnn. (include city, stale, &zip] 1 Sl CL 1310 (JiC.ICers>� �\vci 5U ( b. Johsi.n, d. (',n,unen L. r c. Employer'Name/SpeField s rYc � c. Election Sum to Date E. Prior g. Account Code h. Form of Payment 1 Ip•Kind Description j. Date (mnVdd/yyyy) k Amount ❑ $ ❑ S 3. Contributor Information ❑ Add ❑ Remove a. Pull Name, Mailing Address & Phonr. (include city, state, & zip) h. .loh'1 isle/1'roP e.iau d. Canmlenls c. Employer's Name/Specific Field e. Election Sum to Date - $ L Prior g. Account Code "' h. Form otPayment i. In -Kind Description J. Date (mmlddlyyyy) it. Amount ❑ $ ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Rcmot c M,1 - a. Full Name. Mailing Address & Thane (include city, state, & zip) h..lob Wille/1'I'd essi on J. Cummeats c. Employer's Name/Specitic Field e. Election Sum to Date I'. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) It. Amount ❑ $ ❑ $ ❑ $ 4. Total onlN, this Page $ 1 l 6 , 00 5. Total of ALL CRO -1210 Pages < (Velsline mast be on line 6 of Detailed tiun,marr Page CRO.1100) $ pp CRO -1210 NC Stale 13aarJ of Eleclinns April 2007 Amendment Disbursements CGo Pg __L or _�_ ❑ Yes ❑ No Use this form to report expenditures from the commiliee for operntins expenses, contributions to candidate/political committees and coordinated narty exnendituies 1. Committee Full Name (and Fund if applicable) - - "'"' ,i cv+>KnaJT •._ - m v9 (NC 2. ED Number (Il-SMWC,X 33. ('type of Disbursement (Please use separate CRO -1310 forms for each type ofDisbursement-1 Ct Operating Expenses Contribu[ions to Candidatcs/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments A�tik cvt -,K O'ja- r1+–r 2 � � � �I .W u,.scrrf—B(Va) - 'Sli- F i (5t1K I S1 t �+ I O c Level Registered (Specify) ❑ Federal E3 County: ❑ State u Municipality: e. Election Sum to Date $ 1 I (-0.0,6 . Account Code Form of Payment h. Purpose code L Date (mmtddlyyyy) J. Amount k. Required Remarks _1g. NASUS 33 Cit 4 &Tk'b" t0 K v E 10-11 ZOZS $11 , rYia; ibo>< 4dd K CSS 4Cti C13rlr� pal$ 4. Payee Information Ef Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments c. Level Registered (Specify) Federal County: ❑ State ❑ Municipality: e. Election Sam to Date $ . Account Code g. Form of Payment h. Pnrpoae Code L Date (mmlddlyyyy) j. Amount L Required Remarks Is I Is 1 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments c. Level Registered (Specify) ❑-Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Date . Account Code g. Form of Payment h. Purpose Code i. Date (mm/ddtyyyy) j. Amount L Required Remarks $ S. Total only this Page $ (( l, .� 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 131, of Detailed Summary Page CRO -1100 if Contrib to Candidates/Political Comm) (This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures) $ 7. Purpose Codes (List detailed expenditure code in (h.) above) * - 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 required remarks field W CRO -1.310 NC State Board of Elections December 2009