Drake,Taylor_2022-Year-endDisclosure Report Cover Yes Amendmeat 13 No
Use this form for general report and committee information, must be signed and submitted along with other detailed forms.
vo not n,C [III, form 10 a wale 11111-11m.11i011.
1. Committee Information
-
.I. I, till *,little
—T &- ( o—
c. to Number
h. Mailing Address (include City, State and Zip Code)
ZO 1Z 0c rnct\/o_w, Or
IMa,`Iit1.,..w N G `b 10 lel
d. Date Filed
—
T Z(, 2Li
e. Phone Number
2. Report Year
3."Period Start Date (n,nlddiyy)
14. Period End Dateminat�y)_i
IL-31-Z�1Z
5. Treasurer Pull Name
"Tc--y[c V, , 1'"r
-I-ZZ
6. Type of Committee (Check One)
❑ Candidarc Cmnpuign ❑ Pam
❑ PAC ❑ Referendum
❑ tndependent Expenditure ❑ Joint Fundraiser
❑ Legal Expense Fund
9. Tpe of Report (check
Municipal
[:]Organizational
❑ Thirty-five day
❑ Pre-primary
❑ Pre-election
❑ Pre -runoff
Semi-annual
❑ Mid Year
Year End
Final
❑ Special
only one type of repos
Stale/Comdy
❑ Organizational
Quarterly
❑ First
❑ Second
❑ Third
❑ Fourth
Semi-annual
❑ Mid Year
❑ YearEnd
❑ Final
❑ tipcci
I It ow one (ate;m y)�.
Rel rvudum
❑ Organizational
❑ Pre -referendum
❑ Final
❑ Supplemental Final
❑ Annual
❑ Special
7. Type of Fund I+.Lapplicable, check owl
❑ IW,,,:er Fund
❑ Building Fund
❑ Oihcr
10. Special Report Name
S. Number of Fundraisers this Report -
--
11. Account Information
11. Account Information
u. Financial lustitu[ion Full Name
u. Financial Institution Full Name
b. Parpow
c. Account Code
b.
JUL 2 6 20211
17)Cr`17I\/17-fl
c. Account Code
d. Period Begin Balance
d. Period Begin Balance
$ n
$
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 by the NC State Board of Elections.
=y lo,- !2ci, 9,4,f /.�yL f� -7/2(P/Zy
Printed Name of Signer STenature of A000inted Treasurer Date
R OFFICE USE ONLY
Date Received:
Date Postmarked:
Date Scanned:
Date Data Entered:
Employee:
Employee:
Employee: _
Employee:
Delivery Method
❑ Normal Mail
Registered Mail
Hand Delivered
Electronically Filed
❑ Signer has not received
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.
Amendment
Detailed Summary ❑ Yes ❑ No
Use this form to summarize all disclosure renorlin¢ forms and to total monetary information -
1. Committee Full Name (and Fund if applicable)
2. Type of Report
3. ID Number
Start of Election Cycle: January 1, eZ C) a
Total this
Reporting Period
Total this
Election Cycle
4) Cash on Hand at Start
$
$
RECEIPTS
5) Aggregated Contributions from Individuals (CRO -1205) $ $
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 (CRO -1410)]
$
$
10) Refunds/Reimbursements to the Committee (CRO -1240)
$
$
11) Other Receipt Sources
Ila) Interest on Bank Accounts (CRO -1250)
$
$
11b) Contributions from Not -For -Profit Organizations (CRO -1250)
$
$
Ile) Outside Sources of Income (CRO -1250)
ltd) Legal Expense Fund - Other Sources ((RO-1270)
Ile) Exempt Purchase Price Sales (CRO -1265)
$
$
$
$
$
$
12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8. 9,10.1 1 a.1 1 b.I I c, I I d and I I e)
$
$
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)
$ $
15) Loan Repayments (CRO -1420)
$ $
16) Refunds/Reimbursements from the Committee (CRO -1320)
$ $
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_ [lien subtract line 18
$ $
ADDITIONAL INFORMATION
20) 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)
$
$
$ UNION COUN
3) Debts and Obligations owed to the Committee (CRO -1620)
4) Account Transfers Within the Committee (CRO -1720)
$ JUL
5) Administrative Support (CRO -1710)
$
$
26) Forgiven Loans (CRO -1440)
$
$
7) 48 -Hour Notice Reports Sum (CRO -2220)
$
$
8) Contributions to be Refunded (CRO -1215)
$
$
CRO -1100 NC State Board of Elections August 2008