Elam,Edwin_2022-4th-qtrAmemlmenl
Disclosure Report Cover ❑ Yes vo
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 update information.
1. Committee Information
. Full Name
e. In Number
411 Z
-ElAm
. Mailing Address (include City, State and Zip Code)
d. Date Filed
I Zd
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e. Pluine umber
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2. Report Y1
3. Period tart Date (mrWdd/yy) 4. Period End Date (mnddd/yy)
5. Treasurer Full Name
6.17 of Committee (Check One)
9. Type of Report (check
only one type of re_ port
from one category)
Referendum
andidate Campaign ❑ Party
Municipal
State/County
❑ PAC ❑ Referendum
❑ Organintional
❑ Organizational
❑ OrgaNradonal
❑ 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
. Type of Fund (if applicable, check one)
❑ Booster Fund
Semi-annual
Fourth
❑ Special
❑ Building Fund
❑ Mid Year
Semi-annual
❑ Year End
❑ Mid Year
. Special Report Name
❑ Other:
❑ Final
❑ Special
❑ Year End
❑ Final
. Number of Fundraisers this Report
❑ Special
11. Account Information
11. Account Information
. Financial Institution Full Name
a. Financial Institution Full Name
e
>1✓ 1'O AL 1�-
. Purpose
ja Aece®t Code
Z/c e�z L
Ii. Purpose
—
c. Account Code
-
FOP- CAI-Iia7
ke (4W 4//V'
d. Period Begin Balance _
d. Period Begin Balance _
$
$
CERTIFICATION
I certify that the Committee or Fun 's in compliance with all licable rt 22A, 22B & 2213-22M of Chapter 163
of the NC General Statutes at n funds are co ed wit prohi-disclosed funds. 1 further certify that this
repo com , true and ect d that I hav t eNElections.
W
Printed Name of Signer Si nature of Appointed Treasurer Pate
OR OFFICE USE ONLY
Date Received: Employee: Delivery Method
❑ Normal Mail
❑ Registered Mail
Date Postmarked: Employee:
❑ Hand Delivered
Date Scanned: Employee: ❑ Electronically Filed
❑ Signer has not received
Date Data Entered: Employee: mandalory tramin
Please Note: This form cannot be used to amend committee information such as the committee address, treasurer,
FT(� aSs� Cg er, custodian of books information, or account information.
s me d 41me tement of Organization (CRO -2 I OOA-E) to make committee changes.
CRO -1000 JAN 12 2023 NC State Board of Elections August 2008
Union Co. Board of EIQ"os
Detailed Summary 0 yes nt Nu
Use this form to summarize all disclosure rcnortine lona and to total monetary information
1. CommitteeFullName (and Fund if applicable)
�W1,ej . HWS J2 ( AJt
2. Type of Report
13. ID Number
L O
Start of Election Cycle: January 1,
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 Nat -For -Profit Organizations
110 Outside Sources of Income
lid) Legal Expense Fund - Other Sources
Ile) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1210)
(07110-1220)
(CRO -1230)
(CRO -1410)
(CRO -1240)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1270)
(CRO -1265)
$
$
$ �r
$
$ �i
$
$ Aor,
$
$ 06�
S
$
$
$
$
$
12) TOTAL RECEIPTS (Add lines 5.6.7. 8.9.10,1 Ia.1 lb.l Ic,l Id and I le
$—
XPENDITURES
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-IGnd Contributions (CRO -1510)
$
$
$ ��
$
$
$
$
$
$ T�
$
$
$
$
$
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
$
$
DITIONAL INFORMATION
U) Non -Monetary Gifts Given to Other Committees
2l) Outstanding Loans (incl. ones from other campaigns)
2) Debts and Obligations owed by the Committee
3) Debts and Obligations owed to the Committee
24) Account Transfers Within the Committee
25) Administrative Support
26) Forgiv
7) 48 -Hour Notice Reports Sum
8) Contributiotisto be Refunded
(CR04330)
(CRO -1430)
(CRO -1610)
(CRO -1620)
(CRO -1720)
(CRO -1710)
(CRO -1440)
(CRO -1220)
(CRO -1215)
$
$
$
$
$
$
$
$
$
$
$
$
$
CRO -1100 NC State Board of Elections August 2008
Union Go. Board 01 Elections