Elam,Edwin_2023-Finaldmnt
Disclosure Report Cover E3 yes
_0N4
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 undate information.
1. Cotmnittee Information
Full Name
c. DNumber
[
J �l'Am C9u C6l,.r
AT
-jwt f r to ger
z l7
. Mailing Address (include City, State and 7Jp Code)
it. Date Filed
/60 LAJ k 047 a3
9 z
e. Phone Number
2X,
2. Report Year
3. Period Start Date (remild lyy) 4. Period End Date ( Treasurer Full Name'
1
. TyloIof Committee (Check One) _
9. Type of Report. (check
only one type of report
from one category)
undidate Campaign ❑ Party
Municipal
StatelCounty
Referendum
PAC ❑ Referendum
❑ urvunimtional
❑ Organizational
❑ Organiialional
❑ Independent Expenditure ❑ Joint Fundraiser
❑ Thirty-five day
Quarterly
❑ Pre-reterendum
❑ Legal Expense Fund
❑ Pre-primary,
❑ First
❑ Final
❑ 1'r, -,lection
❑ Pr: -runoff
❑ Second
❑ Third
❑ Supplemental Final
❑ Annual
. Type of Fund (if applicable, check one)
❑ Booster Fund
Scmi-annual
❑ Fourth
❑ Special
❑ Ituilding Fund
❑ Mid Year
Semi-annual
❑ Year End
❑ Mid Year
10. Special Report Name
❑ other:
❑ Final
❑ Special
❑ Year End
Final
8. PildlWof Fundraisers this Report
Special
11. Account Information
11. Account Information
a. Financial institution Full Name
a. Financial Institution Full Name
r
-f-Fr �� _.Iar.lAl.. ,-j.
. Porpoue
c. Account Code
Ct�Z�
b. Purpose
c. Account Code
1a
2 AV"
d. Period Begin Balance
it. Period Begin Balance
CERTIFICATION
I certify that the Committee or Fund is in compliance with all applicable provisto Article 22A, 22B & 22D -22M of Chapter 16.,
of the NC General Statutes and that no funds are commin attty h prohibited o oth r non -disclosed funds. I further certify that thi,
report is complete, we and correct and that I have Ind y the N e and of Elections.
Printed Name of Signer Signature of Appointed Treasurer e
OR OFFICE USE ONLY
Date Received: Employee: Delivery Method
❑ Normal Mail
❑ Registered Mail
Date Postmarked: Employee:
Hand Delivered
Date Scanned: Employee: Electronically Filed
Date Data Entered: Employee: ❑ mandaatoryer has oo�t�neived
PleaseThis form cannot be used to amend committee information such as the committee address, treasurer,
11 ILS [ asurer, custodian of books information, or account information.
You mu� S tement of Organization (CRO -2100A -E) to make committee changes.
CRO -1000 JAN 12 2023 NC State Board of Elections August 2008
Union Co. Board of Electlopg
Detailed Summary 0 Yemen[ MIN.
Use this form to summarize all disclosure renortine forms and to total monetary information
1. app Fall Name (and Fund _ cab e)
jQlk'iA G Ap of Qu, 01V'101 iS1
} pe o _ port
C - a C4, AM4-
�J M7G Ci
Start Of Election Cycle: January 1,
Total this
Re ortin 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
11) l Refunds/Reimbursements to the Committee
11) Other Receipt Sources
Ila) Interest on Bank Accounts
I lb) Contributions from Not -For -Profit Organizations
I lc) Outside Sources of Income
ltd) Legal Expense Fund -Other Sources
1 le) Exempt Purchase Price Sales
(CRO -1205)
(CRO -¢m)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CRO. 1240)
(CRO -1250)
(CRO -1250)
(CRO.1250)$
(CRO -1270)
(CRO -1265)
$ ��
$
$ �—
$
$
$
$
$
$
$
$
$
$
$
$ �/
$
.ff
$
$
$
$ .tar,
$
12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,11a,t lb.l lc,l Id and Ile)
$
EXPENDITURES
13) Disbursements
13a)Operating Expenditures- ND/��e ,
(CR0.1310)$
S
$
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)
$
$
$
$
$
$
$
$
$ O�
$
$
$
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 1-5, 16 and 17)
$
—2,
$
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
21) Outstanding Loans (incl. ones from other campaigns)
22) 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) Forgiven Loans
7) 48 -Hour No tIBRep=f='6=y1/ E D
8 ContributiohFs{tbl'be�K,etltl_bB�e�B/
(CRO -1330)
(CRO -1430)
(CRO -1610)
(CRO -1620)
(CRO -1720)
(CR04710)
(CRO -1440)
(CRO -2220)
(CRO -1215)
$
$
$
$
$
Is
$
$
$
$
$
CRO -1100 JAN 12 2023
Union Co. Board of Elections
NC State Board of Elections
August 2008
� '.Atcemlmeot
Disbursements Pg _ of _ j❑ Yes __. Q ->-
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)
2. m Number
Lc7M
3. Type of Disbursement (Please use separate RO-1310 forms for each Noe of Disbursement.)
❑ Op, ruiiu Ee en,aes ❑ Con(ribu(ions (o Candid;nc.i Puli oaal Cnmmlucr. ❑ Coordlnuied P.uu i j and -i .11,1
4. Payee Information Add Remove
a. Full Name, Mailing Address & Phone
(include city,state,&`zip) _
h. Coordinated Cnmmiuee Name
it. Comments
I
VN>bt`j
/ ",,!_ �/' /fr
� LAJAy/c/Ae� c_//Poltuu"A /43
�rS/-/''�(A�f „' C ` t��L
J
-C
c. Level Registered lSpeci[y) ..
❑ Fedcr;d aunty:
❑ State ❑ Municipality:
e. Flection Som to Date
$
. Account Code
g. Form of Prymnat
h. Purpose Code
L Date (mmtddlyyyy)
. Amount
k. Required Remarks
$
$
. Payee Information EJ Add Ll Remove
. Full Name, Mailing Address & Phone
b. Coordinated Committee Name
it. (momma.
(include city, state, & zip)
c. Level Registered (Specify)
❑ Federal ❑ County:
❑ State ❑ Municipality:
e. Election Sum to Date
$
f. Account Code
g. Form of Payment
It. Purpose Code
L Date (mmlddlyyyy)
. Amount _r
"red Remarks
si
4. Payee Information LJ Add LJ Remove
• . Full Name, Mailing Address & Phone
It. Coordinated Committee Name
d. Comments
(include city, state, & zip)
_
c Level Registered (Specify)
❑ Federal ❑ County:
❑ State ❑ Municipality:
e. Election Sum to Dale
$
. Account Code
g. Form of Payment
h. Purpose Code
i. Date (ntndddlyyyy)
Amount
it. Requited Remarks
C
5. Total only this Page S
6. Total of ALL CRO -1310 Pages
(This line goes in line l3a of Detailed Summary Page CRO -1100 if Operating Expenses) $
(This line goes in line 13b of Detailed Summary Page CRO -1100 if Conrrib to Candidates/Political Comm)
(This line goes in line 13c of Detailed Summary Page CRO4100 if Coordinated Party Expenditures)
7. Purpose Codes (List detailed expenditure code in (h.) above)
A* - Media B* - Printing C* - Fundraising D - To Another Candidate
E - Salaries R E rft G - Political Party H* - Holding Public Office Expenses
I - Postage J ' enP a a K* - Office Expenses Q* - Donation to Legal Expense Fund
O* Other )elged a b ' 1 ,(J,
* Codes airs on in required remarks field k
CRO -1310 VC Slate Roanl ,at P.lecti ,r, December 211(19
Union Go, bi)aid ai E,ual�na