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Cohn,David_2023-Final-reportamendment ----- Disclosure Report Cover E3 Yes-_ ❑ No I1,e this form for general report and committee information, must be signed and submitted along with other detailed forms. Do not use thi, fans 10 UruddtC iniornmtiun. 1, Committee Information a. Full Name �JTa U I� 60 c ID Number . Mailing Address (include City, State and Zip Code) d. Date Filed r>t - //��- 7 9"C' G�, T;74 l� C Z % C a �//o'/zee %0 ! L V9 . Report Year 7 3. Period Start D to (tm fdd/yr) 4. Period End Date (mmrddfyy)- to f( 3o ZZ; 5. Treasurer Full Name f_'if,2 C"nct/� of Committe (Check One) 9. Type QjR (check only one type of report from onecategory) Municipal ❑ Organiffiional - Candid le Campaign ❑ P'm ❑ PAC ❑ Referendum Slate/County ❑ organizatiomel Referenda= ❑ Organizational ❑ Independent Expenditure ❑ Joint Fundraiser ❑ Thiny-five day Quarterly ❑ Pre -referendum ❑ Lzeal Expense Fund ❑ Pre-primary ❑ Pre-election ❑ Pre -runoff Semi-annual ❑ First ❑ Second ❑ Third ❑ Fourth ❑ Final ❑ Supplemental Final ❑ Annual ❑ Special 7. Type of Fund (f applicable, check one) ❑ noo4cr Fund ❑ Rudd'", Iimd ❑ Mid Year Semi-annual ❑ Year End ❑ Mid Year 10. Special Report Name E]wler Final ❑ special [3Year End ❑ Final - S. Number of Fundraisers this Report -- - ❑ special 11. Account Information 11. Account Information . Financial Institution Full Name a. Financial Institution Full Name uNi , oJ, - — i trZ�l g�l� . Purpose c. Account Code b. Purpose a Account Code NOV 10 2023 d. Period Begin Balance d. Period Begin Balance $ L C = V V / RECEIVED $ 13m6 • $ Z 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 be e y the NC Sfµte f Elections. Printed Name of Signer Signature of Appointed Treasurer Dere OR OFFICE USE ONLY Date Received: f 3o4 3 Employee: Delivery Method ❑ Normal Mail Date Postmarked: Employee: Registered Mail Hand Delivered Date Scanned: Employee: Electronically Filed Date Data Entered: Employee: ❑ mar firs not received mandato trai=t= mandatory 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 Ne state Board or elections A.ga„ J vinund mm�� Detailed Summary ❑ ,�, ❑ T Ice this form to summarize all disclosure rennnine forms and to total monetary information 1. Committee Full Name (and Fund if applicable) 12. Type of Report 13. ID Number Start of Election Cycle: January 1, 02 o Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start $ r 3 o 6 9 L $ RECEIPTS ,) A : regaled Contrlbodons from In 6) Contributions from Individuals (CRO-1205) (CRO -1210) $ $ $ $ 7) Contributions from Political Party Committees (CRO -1220) $ $ 8) Contributions from Other Political Committees (CRO -1230) $ $ 9) Loan Proceeds (CRO -1410) $ $ 10) Re funds/Reimbursements to the Comndttee (CRO.1240,1 $ $ 11) Other Receipt Sources 11a) Interest on Bank Accounts (CRO -I250) $ $ 11b) Contributions from Not -For -Profit Organizations (CRO -1250) $ $ Ile) Outside Sources of Income (CRO -1250) $ $ l Id) Legal Expense Fund -Other Sources Ile) Exempt Purchase Price Sales (CRO -1270) (CRO -1205) $ $ $ $ 12) TOTAL RECEIPTS (Add lines 5,6,7,8,9,10,1 la,l lb,l lc,l Id and I lu,j s – 5 EXPENDITURES 13) Disbursements 13a) Operating Expenditures (CRO -1310) $ LM 5 Q $ 13b) Contributions to Candidates/Political Committees (CRO -1310) $ $ 13c) Coordinated Party Expenditures (CRO -1310) $ $ 4) Aggregated Non -Media Expenditures (CRO -1315) $ $ 15) Loan Repayments (CRO -I420) $ $ 6) Refunds/Reimbursements from the Committee (CRO.1320) $ 93c). 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 20) Non -Monetary Gifts Given to Other Committees 1) Outstanding Loans (incl. ones from other campaigns) (CRO -/330) (CRO -1430) $ $ $ 2) Debts and Obligations owed byCt1Qt Nly nNF (CRO -1610) 3) Debts and Obligations owed to the Committee (CRO -1620) $ $ $ $ $ $ 4) Account Transfers Within the Co (CRO -1720) 5) Administrative Support p t- t^��/ ��� C 1 \ / (CRO -1710) 6) Forgiven Loans —�T (CRO -1440) 7) 48 -Hour Notice Reports Sum ICRO-2220) $ $ 8) Contributions to be Refunded (CRO -1215) $ $ CRO -1100 NC State Board of Elutions August 2008 7 Amendment 1 Disbursements Pg ` of z ❑ Yes No Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committees and cnnrdinated narry exnendilnres 1 otninittee' ll Name (and"Fund tP 0pplica fle)- ' ""' G u c c� C -C �o I- r(Q m6-- 2"'ID•Number ,47Type of Disbursement (Please ace .cePmnle CRO -1310 farms for each type of Disbursement.) op erulin• 6xptnnes ❑ �, nod uu..... C:m diJ.,¢>; I'oriti. al Commiueca Qnrtdi,racd Pnnv f3z �cndi¢nes 4i Payee Information 0 Add El Remove a. Full Name, Mailing Address & Phone (_Include city, state, & zip) b. Coordinated Committee Name. d. Comments '' frf/rte !�l� �Ct is't_.- 4 l�z S lrij CC��Gt,4 Pr- C c. Level Registered (Specify) Federal County: ❑ r� State � municipality: e. Election Sum to Date $ . Account Code ig. Form of Payment 1h. Purpose Code 1. Da ( ddlyyyy) 1j. Amount Is Required Remarks 1t i Z L 3$ 2S -Pe"? zs- & c�I B it 23: isgi, 13 1 ter Gf 4 Payee Information " d El Remove a. Full Name, Mailing Address & Phone (include city, stale, & zip) qC. b. Cuordinaled Committee Name d. Comments Level Registered (Specify) Federal Coumy: 13 state Municipality: e. Elmdon Sum to Date $ . Account Code g. Form of Payment Ih.PurposeCode i. Date ( ddlyyyy) 1j. Amount JR. Requirej Remarks 1$,T.5 - 6 1A 7�r-z- Sy0-Qd 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Plinne (include city, state, & zip) - - h. Cuurdlnated Commiltee Numc d. Cou1,,wnts tom„ NOV 3O q C0' ��.�Federal RECEIVE❑Slate c. Level Registered(Specifc) Co nq•: Municipality: e. Election Sum to Date $ r. Account Code g. Form of Payment h. Purpose Code 1. Date (tnmldd/yyyy) j• Amount k. RequiredRe i"tt n De la� )Q i (( 10 Z $ D. (I t3 23 $ o.C>V �on S. Total only this Page. b bi Total of ALL CRO.1320 Pages (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operaling 6'.rpenses) (This line goes in line 13b of Detailed Summary Page C110-1100(Contrib to CandidaieslPolitical Comm) (This litre goes in line 13c of Detailed Summar, Page CRO -1100 if Coordinated Party Expenditures) $ d•�� _'� 7. Purpose Codes - (List detailed expenditure code in (h.) above) A* - Media 13* - Printing C* - Fundraising D - To Another Candidate F, Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses I - Postage .i - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* Other *!Codes require detailed ex lavation in re[ aired remarks Held k :' CRO -1310 NC Snuc noaN „t F:lminos December 2009 Amendment Disbursements Pg z of Z ❑ Yes No Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political rnmmitrees and ennniinated nartv expenditures l Committee Full ;ame`(and- un i_appticable) " �2. :++ ej; j Co C-ir� f- Ma Lpo(— - ID Number I Type of Disbursement:. !.(Please use separate CRO-13IO Porins for each hype of Dishurs'emrnt.) (lparuu nE Fx enseS ❑ Cona9hulinns n ('undlJ:ac.'I doc;l Commlucc. ❑ ('0 -rd lnaird I':nn 1 111,11 ours. a. Payee Information`„liit. € ❑ Add ❑ Remove a. Full Name, Mailing Address 8t Phone (include city, state, & zip) t R c. �+ �e �/�n h. Cuardinaled Committee Name d. C nallons Level Registered (Specify) ❑ Federal--❑ County: _-- ❑ State ❑ Municipality: ¢.Election Sum to Date C Account Code g. Form /of Ppymem tic 6. Purpose Code CD 1. Date ( 11 rl ddlyyyy) �3 J. Amount $ 5 od k Required Remarks srrr�tc� CCW9 Is 1 4. Pas ee hiforniation ❑ Add ❑ Remove it. Full Name, Alailing Address & Phone (include city, state,&zip) -, b. Coordinated Committee N:umr d. Comments � 60o F� c. Level Registered (Specify) _ Federal County: ❑ Slate ❑ Municipality: e. Election Sum to Date f. Account Code g. Form of Payment Ill. Purpose Code i. Date (mm/d yyyy) 1j. Amount it. Required ¢marks -- rit 11 13c, 153 $ (o. ©� 5 d. Payee Information ❑ Add El Remove a. Full Name, Mailing Addr"s & Thune (include city, Stale, & np) - 11`11'. -' - " `I 0 223 NOY RECEIVED❑ h. Can, Cu ...nine .Name d. Conuumts c. Level Registered (Specify) Federal 0 County: State ❑ Municipality: e. Election Sum to Date I. Account Code g. Formbf Payment h. Purpose Code 1. Date (rrmlddlyyyy) J.Amount k Required Remarks 5. Total only this Pagc A""' 5 b iS 6, Total of ALL CRO -010 Pages ("Phis line goes in line 13a of Detailed Summary Page CRO -1100 if Operating /:ipenses) (Thu line goes in fine 13b of Detailed Summary Page CRO -1100 if Contrib to Candidates/Polilicat Comm) (This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures) 7 PurpOSe Codes (List detailed expenditnrc;:codc in (h.) above) - - A* - Media II* - Printing C* - Fundraising D - To Another Candidate F, - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses I - Postage ,I - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund W Other Codes require detailed explanation in re uired remarks field k '- •i.. CRO -1310 NC State B,oud atF.lo, ion. Decemher 2009 Amendment Refunds/Reimbursements From the Committee Pg t of l❑ Yes No Use this form to report refunds/reimbursements, including contributions returned to the contributor. arrie (and'Fund if applicable)_ _ _ _ _ _ c,t �" ibt �4 Q� 2. ID Number _ - - 3. Payee Information ❑ Add ❑ Remove a. Full Name, :flailing Address & Phone (include city, state, & zip) ` CCCSSS , f� Dr. ^- �Ad I�.t ���,L rV d.Ty2S.Atjeommfttee Candidate -❑ PAC ❑ Referendum ❑ Party" It. Original Receipt Date �j 2 3 Z e. Level Registered i. Original Receipt Amount p $ C 0 [3 Federal nty: State Cncip Zuality: f. Purpose Code J. Election Sam to Date - -- b. Job Title/Profession 5Q)C5 M c. Employer's Name/Specific Field ( C)15 Meq�S g. Comments k Account Code // ?G n tintr� 1. Form of Payment Im. Required Remarks % Dale (mm/dd/yyyy) o. Amount 4n C F— C l03 t 0.-r K Aecel. !1 te(r— (S (gb �.3 $ -q.3n , 3. Payee Information ❑ Add [I Remove a. Full Name, Mailing Address & Phone 0riclude city, state, & zip) d. Type of Committee ❑ Candidate ❑ PAC ❑ Referendum ❑ Party h. Original Receipt Dale e. Level Registered L Original Receipt Amount $ Federal 13 County: ❑ State ❑ Municipality: f. Purpose Code J. Election Sum to Date h..lob Title/Profession c. Employer's Name/Specific Field g. Comments L Account Code 1. Form of Payment Im. Required Remarks n. Date (nmr/dd/yyyy) o. Amount 3. Payee Information ❑ Add ❑ Remove . Full Name, Rlailing Address & Phone (include city, state, & zip) GAMf'F'•.II. P: !-,IirJ v� L --__-- -- NOV 3 0 2023 REC E N E D d. Type of Committee ❑ Candidate ❑ PAC ❑ Referendum ❑ Party h. Original Receipt Dale e. Level Registered ❑ Federal County: ❑ State ❑ Municipality: i. Original Receipt Amount $ L Purpose Code J. Election Sam to Date $ . Job T,tidilrofession e. Employer's Name/Specific Field Ig. Comments L Account Code I. Form of Payment7 T. Required Remarks n. Date (mm/dd/yyyy) o. Amount d. Total only this Page $ S. Total of ALL CRO -1320 Pages (This line must be on line 16 of Detailed Summary Page CRO -1100) p3 O 6. Purpose Codes (List detailed disbursement code in (f) above) L - Returned to Contributor M - Overpay ment for Sen icc N- P* -P* - Reimbursement of In -Kind O* Other * Codes re mire detailed exnlanation in re aired remarks field m CRO -1320 NC Slate Hoard of Elections December 2007