Earley,John_2023-35-Day-reportDisclosure Report Cover I peyaJM Na
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 uodate information.
1. Committee Information
it. Full Name
c. ID Number
�� far e -
1�jM 9e --Lr.
Mailing Address (include City, Statelaodp Code)
d. Date Filed
1 3 Jac e /yam e l7r,
t /i ' ! v.-
_T1? d/� ) ,,
c. Phone Nmnher
2. Report Year
3. Period Start Date (mnuldalyy)
d. Period End Date (ianddd,/yy) 5. 1'reasutor Full Name
6. Type 'of Committee ( lice k One) - —
9. Ty a of Report
(till} om ltpe of leport
- -
l'lom o , rrgort} _
Municipal
® Candidate Campaign ❑ P:uty
State/Cumtty
Referendum
❑ PAC ❑ Referendum
❑Organizational
❑ Organizational
❑ Orgartmitional
❑ independent Expenditure ❑ Joint 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 tirtpplouble, ahe(k tine) ":
❑ Booster Fund -
Semi-annual
❑ Founh
❑ Special
❑ Building Fund
❑ Mid Year
Semi-annual
❑ Year End
❑ Mid Year
Y ,~Special Report Name
❑ Other'.
❑ Final
❑ Special
❑ Year End
❑ Fimd
El speu'l
-
S. Number of Fundraisers this Report
11. Account Information
11. Account Information
a. Financial Institution Full Name
a. Financial institution Full Nam,
It. Purpose
e. Account Code
b. Purpose "
SEP 2 1
' . Account Code
C aMIOLt l9n
3(P
d. Period Begin Balance
d. Period Begin Balance
-- —
�CCoU t
c
RECEIN/1-
$ o
CERTIFICATION
1 certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B tit 2213-22M 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, we and correct and that I have been trained by the NC State Board of Elections.
6U60ri Oot,c)/e5 09 /2-7)Z OZ
Printed Name of Signer Signature of Appointed Treasurer Date
FOR OFFICE USE ONLY
Date Received: Employee: Delivery Method
❑ Normal Mail
Date Postmarked: Employee: ❑,Registered Mail
Hand Delivered
+`d'C'fl
Date Scanned: Employee: ❑ Electronically Filed
Date Data Entered: Employee: ❑ Signer has not received
mandato training
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 snake committee changes.
CRO -1000 NC State Board of Elections August 200h
Amendment
Detailed Summary ❑ yes —0 -mo
1 ice thic form to aimmarize all disclosure renortino forms and to total monetary information
1. Committee Full Name (and Fund it applica Ie)
Ea r/e
2. Type of Report
105 -do -v rlo rf
3. ID Number
I Rim 198l.
Start of Election Cycle: Janua 1, 2-02-3
Tn al this
Reporting Period
Total this
Election Cycle
4) Cash on Hand at Start
$
Q
$
RECEIPTS
5) Aggregated Contributions from Individuals
(CRO -1205)
$
2 0 , 00
$
6) Contributions from Individuals
(CRa1210)
$
9 -79.q9
$
7) Contributions from Political Party Committees
(CRO -1220)
$
$
8) Contributions from Other Political Committees
(CRO -1230)
$
$
9) Loan Proceeds
(CRO -1410)
$
$
0) Rettmds/Reimbursements to the Committee
1) Other Receipt Sources
(CRO -120)
$
$
Ila) Interest on Bank Accounts
(CRO -[250)
$
$
11b) Contributions from Not -For -Profit Organizations
(CRO-nso)
$
$
11c) Outside Sources of Income
(CRO.1250)
$
$
11d) Legal Expense Fund - Other Sources
(CRO -1270)
$
$
Ile) Exempt Purchase Price Sales
(CR&1265)
$
$
12)TOTAL RECEIPTS (Add lines 5, 6,7, 8,9, 10,11 a, 11 b, l l e, I l d and l Ie)
$
1.9
$
EXPENDITURES
13) Disbursements
13a) Operating Expenditures
(CRO.1310)
$
, Z P
$
13b) Contributions to Candidates/Poli ical Committees
(CRO -I310)
$
$
13c) Coordinated Party Expenditures
(CRO.1310)
$
$
4) Aggregated Non -Media Expenditures
(CRO.1315)
$
.2,5-0
$
5) Loan Repayments
(CRO -1420)
$
$
6) Refunds/Reimbursements from the Committee
') In -Rind Contributions
(CRO -1320)
(CRO -1510)
$
'5-00,00
$
$ 129.(19
$
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)
$
/200,-77
$
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line I S
$
, 22.
$
ADDITIONAL INFORMATION
0) Non -Monetary Gifts Given to Other Committees (CRO -1330)
1) Outstanding Loans (incl. ones from other campaigns) (CRO -1430)
) Debts and Obligations owed by the Committee (CRO -1610)
23) Debts and Obligations owed to the Comm "ON COl1'bYf�1620)
$
$
$
$
24) Account Transfers Within the CommittaAMPA
25) Administrative Support SEP 2 7_20F'_710)
(cRo Ino)
$
$
26) Forgiven Loans .-.rr+r-lc
_ 1 )
It
$
$
_-
7) 48 -Hour Notice Reports Sum
8) Contributions to be Refunded
(R - b)
(CRO -1215)
$
$
$
$
CRO-II00 NC State Board of Elections August 2"
Amendment
Aggregated Contributions from Individuals Page or _L ❑ ves 0 No
Optional form used to report NC Con)ribntions From Individuals of $50 or less
1. Committee Fu0 Name (md Fuud if applicable)Number
I
� ��• �Q �
�J M �l
L, (.� � y � f e'
3. Contributor Information
. Amend
b. Account Code
c. Form of Payment
d, to -Kind Description
e. Date (mm/dd/yyyy)
I. Amount
Add
❑ Remove
VQS I
0�111 2023
$ L 0, Oma•
Lj Add
❑ Remove
$
Add
❑ Remove
$
Add
❑ Remove
$
Add
❑ Remove
$
Add
❑ Remove
$
ET Add
$
❑ Remove
Add
❑ Remove
$
Add
$
❑ Remove
Add
❑ Remove
$
Add
$
❑Remove
Add
$
❑ Remove
Add
❑ Remove
$
Add
❑ Remove
$
Add
❑ Remove
$
Add
❑ Remove
`{
$
Add
NIO p N
F1N
❑ Remove
w'P'AGN
$
eJ
2 �
$
1:1 Remove
P
f
Add
E �J
$
❑ Remove
Add
❑ Remove
$
Add
❑ Remove
$
El Add
❑ Remove
$
ET Add
❑ Remove
$
4. Total only this Page $ Z 7. v
5. Total of ALL CRO -1205 Pages 6.0
$ ZO
(This line must be on line 5 of Detailed Summary Page CROd100)
(,'KU -(205 NC State Board of Elections April ?fM)7
Amendment
Contributions from Individuals Pg of 3 ❑ Yes ® No
Use this torn to report individual contributions over $SO or contributions under $50 if form CRO 1205 is not used
1. Com w0ft FW Name (aW Fund if a cable)
12.ID Number
Johvi K. r/e ---
1 g[ -
Contributor Information Add 0 Remove
. Full Now, Mailing Address & Phone
(include city, stale, & zip)
John K, L�rle ,
J
q6 03 `Ja c ( e- l yhe- Dr
Todiacct "ball jlly cum
b. Job Title/Profession
�liVer 7�rild
d. Comments
aEmpbyer's NamdS/p/�m3Hc-�FjS�dd
q _IVQ�%ee. qu �
G`
e. Flection Sum to Date
$ /55- p°
Li'dor
g. Acm®t Code
b. Form of Payment
41m 113od Description
- Dmk (umddd/yyyy)
k Amount
°
8�
L'as�
07L,7
$
°
84
(heck
Comm d 1 ee
1--,2e-
()'71Iq1Zo23
$ 5,00
. Contributor Information U Add U Remove
. Full Name, Mailing Address & Phone
(include city, state, & zip)
0/excl i7 dr& M, b i aul h o
793/ G ro r e.
Charloffe, NC,ag2a�
b. Job Tide/Profession d. Omnwnls
c Employer's NamdSpedec Fldd
(J/0 grad -e- e. Election Sum to Dace
Ccw�enfr $ lvoo,'10
.Prior
°
g. Aeeaamt .ode
g
k Foem of Payment
C he ck
1. Io -Kind Description
J. Date (mmfdd/yyyy)
D8/Zz 2-o23
k Amount
$/000,00
❑
$
❑
$
. Contributor Information ❑ Add ❑ Remove
. Full Now. Mailing Address & Phone
(include city, state, &zip)
VVI I l a m en n i s �Gl�
q-105 7 itrrleef- Ln .
T
J �d I aYl I T ro 1 1 / NiiaBo%9
b. Job Tifle/Profession
C°on_ultal-I-�
d. Comments
a Employer's Name/Spedfle Field
Not
Evnployed-
e. Election s®w Dale
$
F.Prior
❑
g. Accaot bade
�
�P
k Form of Payment
C�IeC
1.In'llUd1.
INION C U n
CAMPAIGNFINANCE
Date (tomfdd/yyyy)
��� �.3
k Anum at
$
°
SEP 2 7 2023
$
°
VED
$
4. Total only this Pae
$ vo
Total of ALL CRO -1210 Pages
(yids 11 se mare be on line 6 o Detailed Summary Page CR() -1100)
$ [j Q
/ I �/ /
CRO -1210 N( State Eoard ur Elections Apri12007
Amendment
Contributions from Individuals Pg Z of
❑ res No
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
1. Coimeitbee.FulU NWO (and Ftmd if applicable)
2. ID Number ..
johrl K.
98L
3. Contributor Information DAM ❑ Remove
. Full Name, Mailing Address & Phone
(include city, state, & zip)
Mat- - h e. vv C a all e y
1724 Fo)aris UV
Sumer, SC ,Qq/ --7cil0
b. Job Ti11e/Profesvoo
Maier 01�9 f
d. Comments
e. Emptoyees r4amemped6c Field
u,S,A,F
e. Election Sum '°°'l
$ 2ca0,110
F.Prior
g. Account Code
b. Form of Payment
L fmKiod Description
Doh (mmMd/yyyy)
It. Amount
❑
c? 2
08 8 2023
$ 2-00,0-0
❑
$
❑
$
3. Contributor Information Add 0 Remove
. Full Name. Mailing Address & Phone
linclude city. state, &zip)
Sn rid Banda /t°s
n1
� U l FvrPs f VVc' y Cl
Z✓�d i can 7-ra i 1, N a8o�g
b. Job Title/Profession
Lead Tecilriology
usr 5 Sod �
it. Comments
nsultant
c Empbyer's NamelS�edDc Field
ND r
6)mp loge d
e. Eleetioo Sum to Date
$ 71116-9
.Prior
0O-FFt-ce,
g. Acco®t Code
0 w
L Form of Payment
L ie-Kbni Description
M o.x
-F / v ers
Dah (mfdd/yyyy)
D -717-b&2
L Amount
$ 5", 8 /
13. ❑
ndorf
Websoil e_ .Pi
3
$ •U�
❑
fir_
—
Vis+P Pian+
� 1 ens
09112 Za23
$ .gZ,0Z
Contributor Information ❑ Add ❑ Remove
. Full Name. Mailing Address & Phone
(include city, state, & zip)
--T Barda.(es
�
/ o3 / Fore5 W Yy C..�L -
Lid iav)%rai/I/ C, g
b. Job TitlMProfession
Lead -rechnolo9Y
us u �S
d. Comments
5'1 >7
Bess
c Emp�byler'sNamdSpedDc Field
I V t)L
: i,mployed
e. Election Sum to Date
r.Prior
❑f
g. Accc amt Code
—�4�
h. Form ofPayment
L Ir Kh d Description
rnon Iy
co 1%
. Date (ddd/yyyy)
0� Z 2,)23
L Amount
$ 7. (c %
❑
CAM
AIG
$
❑
S
$
Total only this Page
Total of ALL CRO -1210 Pages $ 7 9 G
(This line most be on line 6 of Detailed Summary Page CR&1100)
CRO -1210 NC State Boani of Elections Apri12007
vmeadmmt
Contributions from Individuals Pg 1i of � ❑ Ym ®Ne
Use this form to report individual contributions over $50 or contributions under 550 if form CRO 1205 is not used
1. CeDimitboe loll Now (and Fund if applicable) It
ID Number
John K. Earle I
RJ L
3. Contributor Information Add El Remove
. Full Name, Mailing Address & Phone
(include city, state. & rip) h
S tasah "Su`» l le,
2-009 Couper
Sh� 1Q11 %Q l /V(-'!
b. Job Tirle/Prefesvon
OUJ 1ne55
� er
it. Comments
Employer'adSpes Nmdtic Field
6,,, /y >Llawaliah
LL.f�— Pru".." I
/4 cv n-h� ci .
a iioasztmtofoie
$ 0,411
r.Prior
g. Account Code
h. Form of Payment
i. In-Kwd Daatillmon
ddlyyyy)
L Amount
❑
OQr/✓Je�r), vers
07 Z l 2023
$ 50,
❑
$
❑
$
. Contributor Information ❑ Add 0 Remove
A. Full Nana, Mailing Address & Phone
(include cit,, state, & zip)
b. Job Title/Profession it. Canonicals
c. Employer's NsmdSpedf& Field
e. Election Som to Date
. Prior
❑
g. Account Code
h. Form of Payment
I. in -Kind Description
i. Date (mmldit"n)
E Amount
$
❑
$
❑
$
. Contributor Information ❑ Add ❑ Remove
. Full Naar, Mailing Address & Phone
(include city, state, & zip)
UNiUN COUNIY
CAMPAIGN FINANCE
2 7 2023
b. Job Title/Profession
d. Comments
c. Employer's Name/Specific Field
1
e. Election sum in Date
1 $
r.Prior
❑
g. Account Code
h. Form of Psyment
ECE►v LLQ
In -Kim( Description
j. Date (mm/ddfyyyy)
k Amount
❑
5
4. Total only this Page
$ 5-0r �f
5. Total of ALL CRO -1210 Pages
(This lineman be online 6 of Delaifed Summary Page CRO -1100)
$ r q 9 9
CRO -1210 NC Stale nuard or Elections Apnl2UU7
Amendment
Disbursements Pg I of 1 ❑Yee No
Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political
committees and coordinated party expenditures
1> Committee Full Name (and Fund if applicable)
3.'I'spc of Dishu rsement (Please use separate CRO -1310 forms for each h'pe of Uicburseureut.)
Qo, -n a I..i�ra.�. ❑ i:na:dm.i P01.11-1 rk)IIIIHIUCc1 ,,danated party Expenditures
4. Payee Irdormalion ❑ Add ❑ Remove -
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
It. Coordinated Committee Name
d. Comments
V,'5ta Pr l kit
v,,,///��� y nn ,W^s
l �j t�P rI kq I n {y)
c Level Registered (Specify)
El Federal County:
❑ State ® Municipality:
e. Election Sam to Date''
$ 56 912-
. Account Code
7�'
g. Form of Payment
dabs rd
It. Purpose Code
�J
1. Date (mmlddlyyyy)
0912L9 2023
1. Amount
$ 5 ', 2
L Required Remarks o__
4. Payee Information' ❑ Add Remove
it. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Coordinated Committee Name
d. Comments
c. Level Registered (Specify)
Federal County:
❑ State ❑ Municipality:
e. Election Sum to Date
I'. Account Code
g. Form of Payment
h. Purpose Code
i. Date (mmddlyyyy)
Ii. Amount
k. Required Remarks
Is
5
4. Payee Information ❑ Add ❑ Remove
u, full Name, Mailing Address & Phone
(imdude city, state, &zip)
UNION COUNTY
CAMPAIGN FINANCE
SEP 7 2023
h. (uardinated t.Ummlllee NamC
--- -�
d. Cunuanus
-
c. Level Registered(Specity)
.-my
Federal 11 -C
❑ state ❑ Municipality:
e. Election Sum to Date
$
I. Account Code
11. Date (mmlddlyyyy)
1j. Amount
$
IL Required Remarks
1 -1�14
5.1 Total only this Page
b
6, Total of ALL CRO -1310 Pages
(This line goes in line 13a of Detailed Summary Page ('RO-1100 if Oprrating h'apemes)
(This line goes in line 13b of Detailed Summary Page CRO.11001f Contrib to CandidaleslPolilical Comm)
(This line goes in line 13c ofDelailed Summary Page CRO -1100 i Coardinaled Party Expenditures)
$
7, Purpose Codes '(List detailed expenditure code in (h.) alcove)
A* - Media I3* - Printing C* - Fundraising D - To Another Candidate
E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses=
I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund
O* Other
Codes require detailed explanation in required remarks field! k
CRO -1310 NC Sync Board of Fleclionc December 2009
endment
Aggregated Non -Media Expenditures Page L or ❑ Yes No
Optional form used to report NC Non -Media Expenditures of $50 or less.
L-Conturnittee Full Name (and Fund if applicable).
J� l i ;) urle V
ej M q gL-
,-).
3.Payee'fnfornuntion.
b.AccountCode
c.FortorParvment
d.PurposeCode
e.Date(mriildd(yyyy)
r. Amount'
g. Required RemaNt9 41
-n(Jt"Y V, ice,
0•U-IObJfJZ$
�i �)
D
C:i'1 LI
FAmend
❑ Remove
Add
$
❑ Remove
Add
$
❑ Remove
Add
$
❑ Remove
Add
$
❑ Remove
Add
$
❑ Remove
Add
y
❑ Remove
Add
❑ Remove
Add
$
❑ Remove
1EIRemove
Add
$
❑ Remove
Add
$
Add
$
❑ Remove
UNTY
Add
MPAIGN
FINAW
S
❑ Remove
SEP
RR
EC
IVED
rAd
4. Total onh this Page
S
5. Total of ALL CRO -1315 Pages
lTlds line must be on line 14of Detailed Summary Page CRO -11001
h. Purpose Codes List detailed exnenditure code in d above
B* - Printing C" a Fundraising 1> 11, An,dhcr ('antlitl itc
E - Salaric, F* - Equipment G - Political Purtc 11' - llolding Public Office Expenses
I- Postage J - Penalties K`^ - Office Expenses = Q* - Donations to Legal Expense Fund
0* - Other
*Codes re vire detailed cx nlauation in re aired remarks field
CRO -1315 NC State Board of Elections December '009
Amendment
Refunds/Reimbursements From the Committee Pg _L or _L ❑ Yes ® No
Use this form to report refunds/reimbursements, including contributions returned to the contributor.
1. Cottee FuH Name (and Fund N applicable) 12.
ID Number
-o arle
, 99L
3. Payee Information Add El Remove
. Full Name, Mailing Address & Phone
(include city, slate, & sip) ---��,®
N Q h n 1 5 60 `/
W I I I (Q {� 7
4 l o 5 P i o n e e_r Ln,
/� �
Z d Q �rlit I ' I �1
aq D -N
d. Type of Committee
Candidate ❑ PAC
❑ 13 Referendum Puny
h. Original Receipt Dale
e. Level Registered
L Original Receipt Amount
11Federal County:
❑ Siete ® Municipality:
$ 6-00 t7
L Purpose Code
h9aSm to Date
cem
L
$ 5ov
b. Job Ti1WPIofWoo
c. Employer's Namd9paiRe Fieldg.
Comments
L AccoW Code
n6u l %an%
Nof Ern loed
ff(o
Form or Payment Im. Required Remaelm In.
Ecl2
Date (omlddlyyyy) ImAnwand _
Ori l z7z3 $ SOD ,Do
3. Payee Information 0 Add Remove
. Full Name, Mailing Address & Phone
(include city, state, & sip)
it. Type of Committee
Candidate AC
❑ Referendum ❑ Party
h. Original Receipt Date
_
e. Level Registered
❑ Frdcral [3County:
r_]Statc 13 Municipality:
L Original Receipt Amount
$
E Purpose Code
J. Election Sm to Date
$
. Job Title/Profession
c. Employer's Name/Specific Field
g. Comments
L Account Code
1. Form of Payment I=
Required Remarks s. Daft (mmldd/yyyy) ImAnninat
$
. Payee Information ❑ Add ❑ Remove
. Full Name. Mailing Adqr. _
Iinclude city, state, & Mill ppiGN FINANG E
7
SEP 22023
RECEIVED
it. Type of Committee
❑ Candidate ❑ PAC
❑ Referendum ❑ Party
h. Original Receipt Date
e. Level Registered
❑ Fedeml ❑ County:
❑ Suite ❑ Municipality:
L Original Receipt Amount
Seem bDate
$
r. Joh Title/Profm%ion
c Employer's Name/Specific Field
g. Comments
L Account Cade
. Form of Paymeal
in. Required Remarks
n. Date (mm/dd/yyyy)
a Amssat
$
4. Total only this Page $ '500,0
5. Total of ALI, CRO -1320 Pages $ 503,00
This line must be on line 16 of Detailed Summary Pa a CRO -1100)
6. Purpose Codes (List detailed disbursement code in (f) above)
L - Returned to Contributor M - Overpayment for Service N - Exceeded Contribution Limit
P* - Reimbursement of In -Kind O* Other
* Codes retruire detailed explanation in reouired remarks field
CRO -1320 NC .State Board of Elections December 2007
�1 Amendment
2
In -Kind Contributions Pg I of ❑ Yes ® No
Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund.
I ice r'Rf)_171 S if M -Kind Cnntrihutions were or will he refunded within 7 days.
1. Cortmdttee Ful Name ( Fondirs e)
EDNumber
JL
Joho K. Earp
JM gffL
3. Contributor Inforroation 0 Add 0 Remove
. Full Name, Mailing Address & Phone
b. Type of Contributor
c Comments
(include city, state, & sip)
0 Individual
❑ Candidate
o l7 n K, (far -ley
3 Jar �yn e_ 17r.
o P�
Referendum
d. Election Sum to Dale
�Q� T Q-� l , �a
❑ Other Receipt Suunx
t.n
7g
$Description
1
L Dak (mwAkVyyyy)
g. Fair Market Amount
eomm'-H'u lie i6ira4i( Few
07 Iq ZoZ3
$
$
3. Contributor Information E3 Add Remove
. Full Name, Mailing Address & Phone
b. Type of Contributor _
c. Comments_
(include city, slate. & zip)Individual
__—
❑ Candidate
❑ Party
-
hr�l d 0I-rC 6(Je3
:D79
❑ PAC
d. Election Sum to Date
Tvi d I a v, Tra ; l
❑ Referendum
❑ (hbtt Receipt Sou ce
r� —7
, oC
$ / q' 5
D. Destdpdm
L Date (mmMtUyyyy)
Z. Fur Markel Armrunl
e D i i er5 V
07/2-40 3$
5-
VV ehsi 17 Ca ���3
07 27023
2
$
V,6 -"a Orin > flers 03
0012. 7_oZ3
$ 52,02-
3.Contributor Information Add ❑ Remove
. Full Name, Mailing Address & Phone
b. Type of Contributor
C. Comments -
-
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a. Total only ells Page
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$ -7 9 .54
5. Total of ALL CRO -1510 ages
$ Z
(This line must be on fine 17 of Detailed Summary Page CRD -1100)
CRO -1510 NC State Board of Flections Limannv 2tlu/
Amendeteal
In -Kind Contributions Pg of Z ❑ yes No
Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund.
Use CRO -1215 if In -Kind Contributions were or will be refunded within 7 days.
1. FA' iris ""` )
3 ID Number
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3. Contributor lnformatirm Add 0 Remove
. Full Name, Mailing Address & Phone
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b. Type of Contributor
❑ Individual
❑ Candidate
❑ Party
❑ PAC
❑ Referendum
❑ lJther Receipt Source
c. Contents
d. Election Sum to Date
$ &—O '41
. Description
V 16 -1 a Prl e)+ I/
E Date (®fddfyyyy)
g. Fair Market Amour
$
$
3. Contributor Information ❑ Add ❑ Remove
. Foil Name. Mailing Address & Phone
(include city, stalq & A! � Glu (r
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2 7 2023
h- Type of Contributor
c. Comments
❑ Individual
❑ Candidate
❑ Party
❑ PAC
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❑ Referendum
❑ Other Receipt source
d. Election Sum to Date
g
. De cription
f. Date (mmidd/yyyy I
g. Fair Market Amount
S
S
5
3. Contributor Information 13 Add ORcmove
. Full Now, Mailing Addres & Phone
(include city, stale, & zip)
It. Type of Contributor
Qlndividual
c. Comments
❑ Candidate
❑ Pam
❑ PAC
❑ Referendum
❑ Other Receipt source
d. Election Sum to Date
. Description
E Date (mm/dd/yy yy)
g. Fav Market Amount
$
$
4. Total only this Page y
5. Total of ALL CRO -1510 Pages
(771is line must be on line 17 of Detailed Summary Page CRO -1100)
CRU -1510 NC State Roans of Elections December 2007