Casanova,Ashley_2023-OrgReportAnrendmeut
Disclosure Report Cover ❑ Ym p No
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 uncinte. information.
1. Committee Information
. Full Name
a ID Number
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SM Vic, X
. Matting Ad (include City, State and Zip Code)
d. Dote Filed
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e. Phone Number
2. ReportYear
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3_. Period Start nmdddJyyJ
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4. Period End _D_ate mnddd/yy1
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5. Treasurer Full Name -
-111 �>J-' C'rtS't?"(o.
6. Type of Committee i heck One)-
[if Candidate Campaign ❑ Party
❑ PAC ❑ Re fe endum
9. Type of Rio_ rt_(check�,
one type g%'re�2rf
froin_one ca_legory)
Referendum
❑ Organizational
Ni icipal
Organizational
State/County
❑ Organizational
❑ Independent Expenditure ❑ Joim Fundraiser
❑ Thirty-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑ Pre-primary
❑ First
❑ Final
❑ Pre-election
❑ Pre -runoff
❑ Second
❑ Third
❑ Supplemental Final
❑ Annual
7. Type of Fund Wopplicable, check mr.•i
Bouucr Fr.rid
Semi-annual
❑ Fourth
❑ Special
❑ Buildirm Fund
❑ Mal Year
Send -annual
❑ Year End
❑ Mid Year
jq. Speeial Report Nam
❑ Other
E] Final
❑ Special
❑ Year End
❑ Final
u (�
S. Number of Fundraisers this Report
❑ Sp",i]
11. Account Information
11. Account Information
a. Financial Institution Full Name
a. Financial Institution Full Name
C
b. Purpose
a Account Code
Is. Porpp%
e. Account Code
_..
CH)kSUS33
LI..C:, r? "5O
d. Period Begin Balance
eriod Begin Balance
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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, true and correct and that I have been trained bythe NC State Board of Elections.
�5 rAYhn_ o� �1 �X OAU r.n. 023
PfihWd Name of Signer Signalulpf of A =Treasurer Date
FOR OFFICE USE ONLY
Date Received: Employee: Delivery Method
❑ Normal Mail
Date Postmarked: Employee: Registered Mail
Hand Delivered
Date Scanned: �� 3 Employee: Electronically Filed
Date Data Entered: Employee: ❑ Signer has not received
mandatory training
Please Nob',: This form cannot be used to amend committee informatio such as the committee address, treasurer,
assistant treasurer, custodian of books information, or account information.
You must amend the Statement of Organization (CRO -21 p0A-E) to make committee changes.
t K04VOm NC State Board of Elections August 2008
`Amendment
Detailed Summary 113 Yes 0 No
Use this form to summarize all disclosure reporting forms and to total monetary information
1, Committee Full Name (and Fund if applicable)
h(as r V�i1aa t
12. Type of Report
yt tem ➢
3. ID Number
(j)5-MM71'i
Start of Election Cycle: January 1, 2. 1>216
Total this
Period
Total thisReporting
Election Cycle
4) Cash on Hand at Start
$ -A/ O, -so
S
RECEIPTS _
5) Aggregated Contributions from Individuals (CR04205) $ $
6) Contributions from Individuals (CRO -1210) $ $
7) Contributions from Political Party Committees (CRO -1220)
$
$
8) Contributions from Other Political Committees (CRO -1230)
$
$
9) Loan Proceeds (CROd410)
$ hA
$
10) Refunds/Reimbursements to the Committee (CRO -1240)
$
$
11) Other Receipt Sources
11a) Interest on Bank Accounts (CRO -1250)
11b) Contributions from Not -For -Profit Organizations (CRO -1250)
–
Ile) Outside Sources of Income (CRO -12.50)
lld) Legal Expense Fund - Other Sources (CRO -1270)
Ile) Exempt Purchase Price Sales (CRO -1265)
$
$
$
$
$
$
$
$
$
$
12)TOTAL RECEIPTS (Add lines 5. t% 7. 8, 9, 10,11 a, I lb, 1 l c. I ld and l l e)
_
J
EXPENDITURES'
13) Disbursements
13a) Operating Expenditures (CRO -1310)
13b) Contributions to Candidates/Political Committees (CRO4310)
13c) Coordinated Party Expenditures (CRa1310)
$
$
$
$
$
4) Aggregated Non -Media Expe (CRO -1315)
Rn$
$
$ °
15) Loan Repayments ,j`J1420)
^
$
$
6) Refunds/Reimbursements from the Committee— (320)
7) In -Kind Contributions (CRO -1510)
$
$
$
$
1 8) 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
$ I b_R>
$11,71)
ADDITIONAL INFORMATION
0) Non -Monetary Gifts Given to Other Committees (CRO -1330)
$
$
$
$
1) Outstanding Loans (incl. ones from other campaigns) (CRO -1430)
2) Debts and Obligations owed by the Committee (CRO -1610)
23) Debts and Obligations owed to the Committee (CRO -1620)
Account Transfers Within the Committee (CRO -1720)
$
25) Administrative Support (CRO -1710)
$ $
6) Forgiven Loans (CRO -1440)
$ rh$
7) 48 -Hour Notice Reports Sum (CRO -2220)
8) Contributions to be Refunded (CRO -121S)
$ $
$ $
CRO -1100 NC State Board of Elections ' August 2008
Amen meat
Aggregated Non -Media Expenditures Pegs k of ❑ Yes ❑ No
Optional form used to report NC Non -Media Expenditures of $50 or less.
;fee Full Name (and Fundif applicable)
3. Payee. Information
b. Account Cud, C. form of Pa. meal d. Purpose Code
e. Daft (owdil yyyy)'
r. Amount g. Required Remarks
Vrend
Add
EI Remove Hi4�� 33 �.�b. }-
C0 Z� ZU�
$ l� jYt GrrFhl SF'R v.�1L.
v
Add
$
13Remove
Add
❑ Remove
$
Add
❑ Remove
$
Add
$
❑ Remove
Add
❑ Remove
$
Add
$
❑ Remove
Add
$
❑ Remove
Add
$
❑ Remove
EI -Add
❑ Remove
$
Add
$
❑ Remove
Add
$
❑ Remove
Add
❑ Remove
Add
❑ Remove
5
ET—A—dd
$
❑ Remove
Add
$
❑ Remove
Add
❑ Remove
$
Add
❑ Remove
$
Add
$
❑ Remove
Add
$
11 Remove
4. Total only this Page
$ —1'1, ri O
5. Total of ALL CRO -1315 Pages
_ -7
(This line must be on line 14o Delailed Summa Page CRO -1100)
6. PurposeCodes List detailed ex enditure code indisibove ,
B* - Printing Cie -Fundrang D - To Another Candidate
E - Salarie, F* - Equipment G - Political Parry H* - Holding Public Office Expenses
I - Postage J - Penalties K* = Office Expenses Q* - Donations to Legal Expense Fund
O* - Other
* Codes require detailed ex llanation in required remarks field
CR -1315 NC State Board or Elections December 2009