Loading...
Gay,Dennis_2021-PreElection-amendRECEIVED Amendment Contributions from Individuals OCT 2 7 2021 Pg 2 of 2 ® Yes ❑ No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee Full Name and Fund if applicablepnion Co. BoaFd of EIBCtIons 2. ID Number Committee To Flect Dennis Gay OJMOJ 1 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Titie/Profemion d. Comments Salesman William Dennis Gay 4705 Pioneer Lane Indian Trail, NC 28079 (704) 345-8616 e. Employer's Name/Specifie Field Steel e. Election Sum to Date $ 1857.14 E Prior g. Account Code h. Form of Payment I. In -Kind Description I. Date (mm/d d/yyyy) h. Amount ❑ o1 In -Kind Newspaper Ad 10/13/2021 $ 66.67 ❑ O1 Check Fund Check Acct 07/21/2021 $ 150.00 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Self-Employed/Owner James Howard Cherry 319 Medearis Drive Charlotte, NC 28211-6043 (704) 821-6425 c. Employer's Name/Specific Field Carolina Made/Apparel e. Election Sum to Date $ 1000.00 I. Prior g. Account Code It. Form of Payment i. In -Kind Description I. Date (mm/dd/yyyy) h. Amount ❑ of Check 10/08/2021 $ 1000.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state. & zip) b. Job Title/Profession d. Comments c. Employer's Name/Specific Field e. Elation Sum to Date $ E Prior g. Account Code h. Form of Payment 1. in -Kind Description j. Date (mm/dd/yyyy) k Amount ❑ $ ❑ $ ❑ $ 4. Total only this Page $ 1216.67 5. Total of ALL CRO -1210 Pages $ 2857.14 (This fine nmst be on fine 6 of DetalledSunmsaq Page CRO -1 100) CRO -1210 NC ,tate Board of I lecoons April 2007 Amendment Contributions from Individuals Pg I or z ® Yes ❑ NU Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee Full Name and Fund ifs licable) 2. ID Number Committee to Elect Dennis GM f OJMOJ 1 3. Contributor Information ❑ Add ❑ __ Remove a. Full Name. flailing Address & Phone 0 (include city, state, & tip) 8. b �n; d. ( omments Salesman William Dennis Gay 4705 Pioneer Lane Indian Trail, NC 28079 (704) 345-8618 e. Employer's Name/Specific Field Steel e. Election Sum to Date $ 1857.14 f. Prior it. Account Code h. Form of Payment I. to-IOad Description j. Date (mm/dd/yyyy) k. Amount ❑ 01 In -Kind Filing Fee 07/14/2021 $ 5.00 ❑ 01 In -Kind Yard Signs 09/01/2021 $ 597.50 ❑ 01 In -Bind Yard Signs 10/07/2021 S 119.56 3. Contributor Information ❑ Add ❑ Remove a. Full Name, flailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Salesman e. Election sum to Date $ 1857.14 William Dennis Gay 4705 Pioneer Lane Indian Trail, NC 28079 (704) 345-8616 c. Employer's Name/Specific Field Steel C Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ 01 In -Kind Trunk or Treat 10/07/2021 $ 101.16 ❑ 01 In -Kind Trunk or Treat 10/08/2021 $ 39.25 ❑ 01 In -Kind Postage 10/14/2021 $ 464.00 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state. & tip) In. Job Title/Profession d. Comments Salesman William Dennis Gay 4705 Pioneer Lane Indian Trail, NC 28079 (704) 345-8616 c. Employer's Name/Specific Field Steel e. Election sum to Date $ 1857.14 E Prior g. Account Code It. Form of Payment I. to -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ 01 In -Kind Copies 9/20/2021 $ 60.00 ❑ 01 In -Kind Color Copies 10/08/2021 $ 114.00 ❑ 01 In -Kind Elders I0'13'2021 $ 140.00 4. Total only this Page $ 1640.47 ............ 5. Total of ALL CRO -1210 Pages $ 2857.14 (This Rae must be on fine 6 ofDeraifed Summary Page CRD-11RO) CRO -1110 NC State Board of Hections April 2007