Drake,Taylor_2024-Year-endAmendment
Disclosure Report Cover V ) "
Use this form for general report and committee information, must be signed and submitted along with oth, i del Xiled forms
Do not use this form to update intoem;ifion
I, Committee Information
a. Foil Name
Ta�
ID NUT1111L I
vz.
b. Mailing Addlvess (include City, State and Zip Cade)
d. Date Filed
_ZU1Z DonovO-*-) Or
e. Phone Number
2, Report Year13t.
Period Start Date (mould y,)
4. Period End Date,'(mrWdd)yy)
5. Treasurer Full Name
1Z_— 51 —'21
Vi c,. cv, y (or 12c, -o- a-«
O. Type of CommitteeItck One)
9. Type of Report(che
k only one type of refigrtfrom
one category] 779017)
❑ Candidate Campaign Tartu
Municipal
stivtielCounty
Referendum
❑ PAC [3 Referendum
00it-ganizational
❑ Organizational
0 Organizational
[3 Independent Expenditure 0 Joint Fundraiser
[3 Thirty -rive day
Qcancrly
[3 Pre -referendum
[3 Legal Expense Fund
E3 Pre-primary
❑ First
[3 Final
[3 Pre-election
0 Pre -runoff
❑ Second
❑ Third
E3 Supplemental Final
❑ Annual
7.Type ofFund (ifapplhoblc, cheek one)
E] 13"o'l'� FundSemi-annual
❑ Fourth
[3 Special
E] Building FundJ�
Mid Year
Semi -aminal
, Year End
E
E] Mid Year
10. Special Report Name
❑ Odh'l
0 r. at
❑ Special
❑ Year End
❑ Final
8. Number of Fundraisers this Report
El srcci,i
11. Account Information
11. Account Information
a. Financial in,titulion Full Name
a. Financial Institution Full Name
1). Purpose
c. Account Code
b. PurposeAN
J
Im""in Code
R E C E'Ahti'rubc�in
it. Period Begin Balance
Balance
CERTIFICATION
I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B & 2213-22M of Chapter 103
of the NC General Statutes and that no funds are commingled with prohibited or other non -disclosed funds. I further certify that thi,
report is complete, true and corpi; 5 and that I have been trained by the NC State Board of Elections.
3A -Z5
IfXnted Name of Sign r lure of Appomfed Treasurer Date
FOR OFFIM USE ONLY \
Date Received: I3l Employ
I
3 [3Normal Mail
Date Postmarked: Employee: QPeegistered Mail
,-ENHand Delivered
Date Scanned: Employee: ❑ Electronically Filed
Date Data Entered: 310 E3 Signer has not received
Employee:
Mandatory trammR
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-210OA-E) to make committee changes.
CRO -1000 NC State Board of Elections August 2008
--I
Amendment
'Detailed Summary ❑Yes 1 No
Use this form to summarize all disc]nsure renortin- fmms and to total monetary in format inn
1.:Committee Full Name (and Fund if applicable)
� �\ I U' V <
2. Type of Report -
,°a-,-
3. ID Number
Start of Election Cycle: January 1, ao a
Total this
Re rtin Period
Total this
Election Cycle
4) Cash on Hand at Start
$
$
RECEIPTS
5) Aggregated Contributions from Individuals
(CRO -1205)
$
$
6) Contributions from Individuals
7) Contributions from Political Party Committees
8) Contributions from Other Political Committees
(CRO -1210)
(CRO -1220)
(CRO -1230)
$
$
$
$
$
$
9) Loan Proceeds
(CRO -1410)
$
$
10) Refunds/Reimbursements to the Committee
(CRO -1240)$
$
11) Other Receipt Sources
1la) Interest on Bank Accounts
(CRO -1250)
$
$
llb) Contributions from Not -For -Profit Organizations
(CRO -1250)
$
$
11c) Outside Sources of Income
11d) Legal Expense Fund - Other Sources
Ile) Exempt Purchase Price Sales
(CRO -1250)
(CRO -1270)
(CRO -1265)
$
$
$
$
$
$
12)TOTAL RECEIPTS (Add lines 5, 6,7, 8, 9, 10,11 a, t l b. l l c, I l d and l l e)
$
$
EXPENDITURES
13) Disbursements
13a) Operating Expenditures (CRO -1310)
13b) Contributions to Candidates/Political Committees (CRO -1310)
$
$
i
$
13c) Coordinated Party Expenditures
(CRO.1310)
$
G)�VI
,� FI
14) Aggregated Non -Media Expenditures
(CRO -1315)
$
�Atj'I
Q 2 25
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, then subtract line 18
$
$
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)
3) Debts and Obligations owed to the Committee (CRO -1620)
4) Account Transfers Within the Committee (CRO -1720)
5) Administrative Support
(CRO -1710)
$
$
$
$
$
$
6) Forgiven Loans (CRO -1440)
7) 48 -Hour Notice Reports Sum
8) Contributions to be Refunded —(CRO
fCRO-2220)
-1215) 1
$
$
CRO -11 UU IVC State Board of Elections August 2008