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Cohn,David_2023-35-Day-reportDisclosure Report Cover ❑eyam ent o 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 undate information. 1. Committee Information a. Full Name c. 11) Number FGr- e-�-Aor- b. Mailing Address (include City, State and Zip Code) � VDateied a/Num�jbe/r2. � Report Year 3. Pei iiid'StaM Date (mm/aa! ) 4. Period End Date (mmladl ) 15. Treasurer Full Name 3 % ,d z 9 c z V;t l 6. Type of Committee Che One 9. Type qpReport (check ondv onfType of rep,�rt frau ane caiegor_v)::. Candidate Campaign ❑ Party Municipal Statelcounty Referendum ❑ PAC ❑ ReferendumOr ❑ Independent Expenditure ❑ Joint Fundraiser anizational ltiI ty-five day L] Organizational Quarterly ❑ Organizational ❑ 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 (if applicable. check one) ❑ Booster Fund ❑ Building Fund ❑ Mid Year Semi-annual ❑ Year End ❑ Mid Year 10. Special Report game ❑ Other: ❑ Final ❑ Special ❑ Year End ❑ Final ❑ Special S. Number of Fundralsers this Report 11. Account Information 11. Account information . Financial Institution Full Name a. Financial Instittuon Full Name . Purpose c. Account Cade b. c. Account Code "r ficQSEP 2 1 26^23 d. Period Begin Balance d. Period Begin Balance Q ee_0U-14_ $ Union Co. Board of Elections s CERTIFICATION I certify that the Committee or Fund is in compliance with a0 applicable provisions of Article 22A, 22B & 22D -22M of Chapter I63 of the NC General Statutes and that no Ponds are commingled with prohibited or other non -disclosed funds. I further cenify that th i, Board of Elections. e�, true and correct and that I have been trained by the NC State Board report is complettk,, im Printed Name of Signer Signature ofAppointed Treasurer FOR OFFICE USE ONLY Date Received: 3 Employee: Delivery Method ❑Normal Mail Date Postmarked: Employee: Registered Mail Hand Delivered Date Scanned: Employee: Electronically Filed ❑ Signer has not received Date Data Entered: Employee: mandatory tramin 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 Detailed Summar Amendment }' ❑Yes ❑ No Use this form to summarize all disclosure reoortine forms and to total monetary information 1. Committee Full Name (and Fund if applicable) 2. Type of Report 3. ID Number _D40;d (�eL4 of 3 5- a s Start of Election Cycle: January 1, Zmzo Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start $ $ 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 10) Refunds/Reimbursements to the Committee 11) Other Receipt Sources Ila) Interest on Bank Accounts 11b) Contributions from Not -For -Profit Organizations I1c) Outside Sources of Income 1Id) Legal Expense Fund -Other Sources Ile) Exempt Purchase Price Sales (CRO -1205) (CRO -1210) (CRO -1220) (CRO -.1230) (CRO -1410) (CRO -1240) (CRO -1250) (CRO -1250)l (CRO -1216h (CRO -1270) (CRO -1265) $ $ $ $ $ $ $ $ $ $ $ $ $ $ 2523 $ CO. Board nf - $ $ $ $ $ 12) TOTAL RECEIPTS (Add Tines 5, 6, 7, 8, 9,10,1 la,11b,11c,I1d and Ile) $ 5 $ EXPENDUURES 13) Disbursements 13a) Operating Expenditures 13b) Contributions to Candidates/Political Committees 13c) Coordinated Party Expenditures 14) Aggregated Non -Media Expenditures 15) Loan Repayments 16) Refunds/Reimbursements from the Committee 17) In -Kind Contributions (CRO -1310) (CRO -1310) (CRO -1310) (CRO -1315) (CRO -1420) (CRO -1320) (CRO4510) $ SVgS,13 $ $ $ $ $ $ $ $ $ $ $ $ l f 5 18) TOTAL EXPENDITURES (Add tines 13a, 13b, 13c, 14, 15, 16 and 17) $ ) $ 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18 $ 1 -34' L . 9 Z $ ADDITIONAL INFORMATION 0) Non -Monetary Gifts Given to Other Committees 21) Outstanding Loans (incl. ones from other campaigns) 22) Debts and Obligations owed by the Committee 23) Debts and Obligations owed to the Committee 4) Account Transfers Within the Committee 5) Administrative Support 6) Forgiven Loans 7) 48 -Hour Notice Reports Sum 8) Contributions to be Refunded (CRO -1330) (CRO -1430) (CRO -1610) (CRO -1620) (CRO -1720) (CRO -1710) (CRO -1440) (CRO -2220) (CRO -1215) $ $ $ $ $ $ $ $ $ $ $ $ $ CRO -1100 NC State Board of Elutions August 2008 AmAm ne�dment Contributions from Individuals Pg _ of _ ❑ Yes ❑ N„ Use this form to report individual contributions over $50 or contributions under 550 if form CRO 1205 is not a>ri 1. Committee Full N, me (and Fund if applicable) 2. ID Number .... . 3. Contributor Information ❑ Add ❑ Remove a. Full Name. Nailing Address & Phone (include city, �state, & zip) Q �' n Vi d to rq t^tt I Sy lb r. zP17 b. Job'1'illcll'rofession d. C.nnmrnt' 5c ICS Pi — Employer's Name/Specific Field I , I �M+V 1 S r \eG-Fs e. Election Sum to Date $ . Prior It. Account Code ° It. Form of Payment I. In -Kind Description j. Date (mtnlddlyyyy) k Amount ❑ �i 1 F~ 7110 zit $5,0— ° -51 1-I1:::1 X'z-123 ❑ Stgn� Lf 3. Contributor Information - ❑ Add ❑ Removeit. Full Name, Nailing Address & Phone (include city, state, & zip) j�SCIC...S DGS U f Q C� ✓�/� F` -"c gra e' L .(/C r li llc� ' n l .i ) l b. J"It Till, Ail "r, "i til � d. Cnminrnl> c. Employer's Name/Specific Field �a UIS / lt°cr e. Election Sum to Date $ - f. Prior 13 g. Account Code 0 ( it. Farm of Payment C Inc c (C I. In-Kind,-DesffsertEEo ' L U I_- I I ' J. Date (mm/dd/yyyy) 7/�9 23 k Amount $ .100 4"Ij o ° O 1C (1rc SEP 2 7 H23 2-;L ;-, $ / 5-00 ❑ U. scard of E $ 3. Contribu o"r " o on_-_ ❑ AWMIO,Remove it. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Cunununta c. Employer's Name/Specinc Field e. Election Sum to Dale $ f. Prior g. Account Code li. Form of Payment_ 1. In -Kind Description J. Date (mm/ddlyyyy) k Amomt ❑ _ $ ❑ $ ❑ $ 4. Total only this Page - � �� $ 5. Total of ALL C 12O-1210 Pages $ O'hk line mnar be on line 6 of Detailed Summary Page .CR(7.1100) / • < (HO -1210 NC Slme Guard of Elections April 2007 mendment Disbursements Pg _ of A❑ Ya 13N. Use this forth to report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated Dartv exDenditures L"Committee-Full Nia (and Fun l 3. Ype of Disbursement " (Please use separ`ale.CRO-1310 forms fdreach A'pe of Disbursement.) O [rdlmancca g l.L CnnI1111a I1o11 Ip L.IId Ide,C>/P, IloCom sal iniltCCF 1:1( —1dle I :.i I , a. Payee Information ❑ Add ❑, Remove a. Full Name, Mailing Address & Phone b. Coordinated Committee Name d. Continents (include city, state, & zip) 'P� Pe t" 4— T n �— Ckq 1 t' 1 c. Level Registered (Specify) 0 -Federal ❑ Ceti fly. ❑ state rCJ��Municipality: e. Election Sum to Date $ f. Account Code g. Form of Payment h. Purpose Code !.Date (mm/ddfyyyy) J.Amount it. Required Remarks 01 L K �r rrri� 8 / 23 $ 147 X5 3 2 $ / 5 �• Sq F ( r rS 4. Payee Information Ll Add ❑ Remm e a. Full Name, Btailing Address & Phone b. Coordinated Commillee Name d. Comments (include city, state, & zip) P,/1 nq'C Y-- P �� c. Level Registered (Specify) M O n f O„e_ ❑ lwe' i ❑ County: ❑ Slate 8 Mawucipahty: e. Election Sum to Date 1. Account Cad! g. Form of Payment h. Purpose Code !.Date(mm/dd/y yy) j. Amount L Required Remarks -� ( $ oo V4!I iC FL's $. Payee Information ❑ Add Remove - - e. Full A:,mr. Mailing Addrus & Phone b. Coordin:ued Gnnmittee Nome d. C'nnmmntn linelude eiq,elale Gziq -i 5 �Zlie3 c. Level Registered (Specify) Federal 0 County: Union Co. Board of Elections ❑ state ❑ Municipality: e. Election Sum to Date $ f: Account Code g. Form of Payment h. Purpose Code t. Date (mm/dd/yyyy) .Amount k. Required Remarks - . $ 5. Total only this Pub , $ 6. Total of ALL CRO--Wi ages •, (This line goes in lire 13a of Detailed Summary Page CRO -1100 if Operating Expenses) ( CCCJJJ (Thu line goes in line 136 of Detailed Summary Page CRO -1100 if Contrib to Candidates/Political Comm) I This line goes in line 13c o Detailed Summa Page CRO.1100 i Coordinated Party Er emlaures) Z. Purpose Codes '(List detailed expenditure code in (h.) abuse) A* - Media B* - Printing C* - Fundraising D - To Another Candidate E - Salaries F* - Equipment G - Political Party H* - Bolding Public Office Expenses I - Postage .l - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* Other -* Codes reouire detailed explanation in required remarks field k ("RO-1310 NCSime Boxd of f lecTions December 2009 Amel ndment In -Kind Contributions Pg _ of _ ❑ 1'es ❑ No Use this form to report non -monetary contributions, donations. goods or services provided to the committee or fund. Use CRO -1_' 1 S if In -Rind Contributions were or will be refunded within 7 days. L Committee Full Name (and Fund if applicable DO t 3. Contributor Information Lj Add 0 Remove a. Full Name, Mailing Address & Phone h. Type of Cunlribulur C. Comments (include city, stale, & zip) ❑ b dividuul ; U a �� Party t. _Da E3 PAC d. Election Sam to Date �. �C, �g0 I ❑ Referendum ❑ Other Receipt Source $ e. Description f. Date (mmld(/yyyy) g. Fav Market Amount SI ns a 311Z $ �- fro $ rfl �I 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone h. Type of Contributor c. Comments (include city, state, & zip) ❑ Individual — ---- ❑ Candidate ❑ Pattv ❑ PAC ❑ Referendum d. Election Sum to Date r� 1f.,jt ECERMn aBe"' Source $ r. I lescriptiat f. Date (mm/ddlyyyy) g. Fair Market Amount SEP 2 7 2023 s $ $ 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone b. Type of Contributor c. Conmtents (include city, state, & zip) ❑ Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum d. Election Sum to Date ❑ Other Receipt Source $ . Description f. Date (mm/ddlyyyy) g. Fair :Market Amount $ d. Total only this Page s 5. Total of ALL CRO -1510 Pages (This Line moll be an line 17 of Detailed Summary Page CRO -1100) CRO -1510 NC State Board of Elections December 2007