Casanova,Ashley_2023-35-day-amendDisclosure Report Cover Ame rs 1
Yea o No 1
Use this form for general report and committee information, must be signed and submitted along with other detailed forms.
Do not use this form tO update information.
VC,orturnittee Information
a. Full Name
c. ID Number
1
fl5�l�f, -/4nov� •'eC i71on(Lo.p- m0. Ce- (NL /
�M w t✓Zg
It. Mailing Addr (include City, State and Zip Code)
d. Date Filed
Il3tp`+�icrk�a¢sav�jlvd
"�
Ib' IcK�ZC>2,�
e. Phone Number
2. Report Year
3. Period Start Date (rnndddtyy).
d. Period End Dute_,(_rmnlddlyy,
5. 1 reasurer Full Name
�_�y e of Comrmttee ((.heck One
4 Type of Report (check
P p --
urdv one n e u re ar
_ A
_ P {
State
_ F
,tJfutn one creta <»'„
Referendum }1
`•
_p I ❑ )
❑ IJ rte Gm, ,.uvn Pain
Municipal
❑ PAC ❑ Referendum
❑ Organim(ional
❑ Organizational
❑ Organiutional
❑ independent Expenditure ❑ Joint Frmdraicer
[3'I'hiny-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑ Pre-primary
❑ First
❑ Final
❑ Pre-election
❑ Pre -runoff
Semi-annual
❑ Second
❑ Third
❑ Fourth
❑ Supplemental Final
❑ Annual
❑ Special
7. Type of Fund '(iil appli, able, die; k on,)
❑ h ,,,m Fund
❑ building Fund
❑ Mid Year
Semiannual
❑ Year End
❑ Mid Year
III. Special Report. Name
❑ O�Ic-r.
❑ Final
❑ Special
❑ Year End
❑ Final
-
/
S.. Number of Fundraisers this Report
❑ Special
11. Account Information
11. Account Information
a. Financial Institution Full Name
it. Financial Institution Full Nome
vIc,-:-&
b. Purpose
c. Account Code
b.Purpose
a Account Code
C ( ;q y1
Ir
C,HA50Z 33
CAMPAIGN FINANCE
OCT 18 2023
d. Period Begin Balance
d. Period Begin Balance
CERTIFICATION NEUEIVED
I certify that the Committee or Fund is in compliance with all applicable provisions of Miele 22A, 22B & 2213-22M 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, true and correct and that I have been trained by the NC State Board of Elections.
o oZ5
tinted Name of Signer ure of A of d Treasurer Date
FOR OFFICE USE ONLY
Date Received: /0 3 Employee: Delivery Method
❑ Normal Mail
Date Postmarked: Employee: Registered Mail
Hand Delivered
Date Scanned: oZ� Employee: Electronically Filed
❑ Signer has not received
Date Data Entered: Employee: 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 -2100A -E) to make committee changes.
CRO -1000 NC State Board of Elections August 2008
Ametch tia
Detailed Summary s p N„
Use this form to summarize all disclosure reportinR forms and to total monetarV information
1 Committee Full Name (and Fund if applicable)
2. TVDe'of Report
3. ID Number
PISV\ CA-S(W)0
35 -D
Cb-smwb `6
Start of Election Cycle: January 1, 2-41
Total this
Reporting Period
Total this
Election Cycle
4) Cash on Hand at Start
$
i
RECEIPTS
5) Aggregated Contributions from Individuals
6) Contributions from Individuals
7) Contributions from Political Party Committees
(CRO -1205)
(CRO -1210)
(CRO -1220)
$
$
$
(� ��
$
$
$
1 ��
8) Contributions from Other Political Committees
(CRO -1230)
$
$
9) Loan Proceeds
(CRO -1410)
$
$
10) RefundsfReimbursements to the Cormnittee
11) Other Receipt Sources
Ila) Interest on Bank Accounts 7(CRo-t250)
(CRO -1240)
$
$
$
$
Ilb) Contributions from Not -For -Profit Organizations
(cRO-1250)
$
$
Ile) Outside Sources of Income
(CRO -1250)
$
$
lld) Legal Expense Fund - Other Sources
(CRO -1270)
$
$
l le) Exempt Purchase Price Sales
(CRO -1265)
$
$
12)TOTAL RECEIPTS (Add lines 5,6,7,8,9,10,1 la,l lb,l le.l ld and Ile)
$
t dam'
$
EXPENDITURES:::
13) Disbursements
13a) Operating Expenditures
(CRO -1310)
$
$
13b) Contributions to Candidates/Political Committees
(CRO -1310)
$
$
13c) Coordinated Party Expenditures
(CRO -1310)
$
$
14) Aggregated Non -Media Expenditures
(CRO -1315)
$
$
12-
215)
15)Loan Repayments
(CRO -1420)
$
$
16) Refunds/Reimbursements from the Committee
(CRO -1320)
$
$
17) In -Kind Contributions
(CRO -1510)
$
i 1
$
\ U.00
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)
$
t (o e
$
ao
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18.
$
ADDITIONALINFORMATION
0) Non -Monetary Gifts Given to Other Committees
1) Outstanding Loans (incl. ones from other campaigns)
(CRO -1330)
(CRO -14711)
$
$
$
$
$
2) Debts and Obligations owed by the Comm_ ittee7Y (CRO -1610)
3) Debts and Obligations owed to the W* FINAN 0-1620)
4) Account Transfers Within the Committ 23 (CROa720)
5) Administrative Support
(CR0-1710)
$
$
6) Forgiven Loans REC
0-1440)
$
$
7) 48 -Hour Notice Reports Sum
(CRO -2220)
$
$
8) Contributions to be Refunded
(CRO -1215)
$
$
CRO -1100 NC State Board of Eleetions August'_00S
Ame men(
Contributions from Individuals Pg of ,res 13 N,I
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
I. Committee Full Name (and P'und if applicable) .
2. ID Number
3. Contributor Information - Add ❑ Remove
a. Gull Name, Nailing Address & Phone
(include city, state, & zip)
L..lub "tine/Profession
d. Comments _—
1 4el S, CL, W z,
� %fit u (
SIU i
hnoN��e, NL
c. Employer's Name/Specifle Field
V
e. Election Sum to Date
$ llls.�o
f. Prior
g. Account Code
h. Form of Payment
i. In -Kind Description
J. Date (mm/dd/yyyy)
IL Amount .....
❑
11i'1A��boy.
O`bl0-112023
$ mo,"
❑
$
❑
S
3 Contributor Information ❑ Add ❑ RC111"%t'
a. Full Namc, Nailing Address IS, Phone
(include city, state, & zip)
b. ,lub'I'ille/I'rofc,ion
d. Comments
c. Employer's Name/Specific Field
LI$
e. Election Sum to Date
I Prior
g, Accoual Code
h. Form of Payment
1. In -Kind Description - -
J. Date (mm/d(Uyyyy)
it. Amount
o
$
❑
$
❑
w
3. Contributor Information ❑ Add ❑ Remove
a. Full Nance, Ntailing Address Is: 111011v
(include city, state, & zip)
CFNIPAIGv r i, .n
h. Joh'rille/Profession d. (lemur uls
c. Employer's Name/Specific Field
e. Election Sum to Date
$
G Prior
g. Account Code
h 1P
M -Kind Description
J. Date (nmVdd/yyyy)
R Amount
❑
$
❑
$
❑
$
a. Total only this Page
t oa
4: Total of ALL CRO -1210 Pages
I (This tine mast be on line 6 of Detailed .Summeu v Page ( R161100)
CRO -1210 NC )fee Hoard al LIccliunn April 2007
Amendment
In -Kind Contributions Pit _J_ or -J-113 Yes [I No
Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund.
Use CRO -1215 if In -Kind Contributions were or will be refunded within 7 da s.
I '; Committee Full Name (and Fund if applicable) 12.
ID Nurnbe r.
3t� 'Contributor filformation Ll Add U Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
(,j
SuL' F
Mo"" t— , N(— 216 Ib
PContributor
13 candidate
[] P31Y
PAC
[3 PAC
13 Referendum
[3 Other Receipt Source
C. Comments
d. Election Sum to Date
$
e. Description I. Date (mnVddlyyyy)-- g. Fair Market Amount
MA� (�30x C)ICri 1202:_3 $
a. Fall Nam, Mailing Address & Phone
(include city, state, & zip)
b. Type of Contributor
c. Comments
U Individual
[3 Candidate
❑ Party
❑ PAC
[3 Referendum
❑ Other Receipt Source
d. Election Sum to Date
$
e. Description
f. Date (tnnilddlyyyy) g. Fair Market Amount
W*
a. Full Name, Moiling Address & Phone
(include city, state, & zip)
b. Type of Contributor
c. Comments
U Individual
[3 Candidate
[313 Party
PAC
[3 Referendum
13 Other Receipt Source
MPP GOO C,E
d. Election Sum to Date
$
t. Description
I. Date (mm/ddtyyyy)
g. Fair Market Amount
14, Total 01111V this PageCt>
$
Vof ALL CIZIO-1510 Pages $ LI
IZOIL1,11! must be on Une 17 of Detailed Summary Page CRO -1100)
CRO -1510 N( Sime Board of Elccuui, December 2007