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Holtey,Elizabeth_2023-35-DayAmendment Disclosure Report Cover p V. p No 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 . Full Now c. ID Number Elizabeth Holley 3JM453 . Mailing Address (Include qty, Stafe and Zip Code) d. Date Filed 5017 Woociview Lane Weddington, NC 28104 -7 �� 3 e. Phone Number (917) 531-4433 2. Report Year 3._ Period Start Date (ntmldmyy) Period End Date 15. Treasurer Fall Name 2023 T. aOa q a� aoa3 Elizabeth Coble-Holtey of Committee Check One 9. Type of Report (c/reek onlyone type of report from one category) ❑X Candidate Campaign Party Municipal Stafe/Comty, Referendum PAC El Referendum Organizational Organizational Organizational Independent Expenditure ❑ Jnim Fundraiser Thirty-five day Quarterly Pre -referendum Legal Expense Fund Pre-primary First ❑ Final QPre-election Pre -runoff r3 Second C) Third E] Supplemental Final Annual 7. Type of Fund_ (ifopplieuble. <'heeA one Booster Fund Building Fund Semi-annual Mid fear r3 Fourth Semi-annual Special Other Year End Final special Mid Year Year End [3 Final ❑ Special 10.$ Report Name Number of Fundraisers this Report 11. Account Information 11. Account Information . Financial Institution Full Name SouthState Bank a. Financial Iastifudo ,f, ,�� �' o , . Purpose c. Account Code b. Purpose t Cod / / A /-'ti L� Campaign lections d. Period Begin Balance �•mdaoo — od Begin Balance Union $ CERTIFICATION 1 certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B & 22D -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, true and correct and that 1 have been trained by the NC State Board of Elections. Elizabeth Coble-Holtey Printed Name of Signer Sfgnaturc of Appointed Treasurer Date FOR OFFICE USE ONLY Date Received: f Employ Delivery Method ❑ Normal Mail Date Postmarked: Employee: ❑ R gistered Mail and Delivered Date Scanned: / Employee: ectronically Filed Date Data Entered: ( ' Employee: E3 Signer has not receivedmandatory train 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 -21 OOA-E) to make committee changes. URU-10M) NC State Board of Elections August 2008 Amendment Detailed Summary ❑ Yes1 N„ Use this form to summarize all di,i lo,ure reporting forms and to total monetary information 11. Committee Full Name (and Fund ifapplicable) T of Re 13.IDN vt�E 3JMyS3 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 l lb) Contributions from Not -For -Profit Organizations 11 c) Outside Sources of Income 1Id) Legal Expense Fund - Other Sources Ile) Exempt Purchase Price Sales (CRO -1205) (CRO -1210) (CRO -1220) (CRO -1230) (CRO -1410) (CRO -1240) (CRO -125U) (CRO -1150) (CRO -1150) (CRO -1170) (CRO -1265) $ $ $ %j J(Q • a $ $ $ $ $ $ 3 377 $ $ $ $ $ $ $ $ $ $ $ $ $ 12)TOTAL RECEIPTS (Add lines 5,6.7,8,9,10,1 Ia. l l b. l l c, l l d and l Ie) $o.00 36Sa• $ EXPENDITURES 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 -Kind Contributions (CRO -1510) $ 3/0 D $ $ $ $ $ c $ $ 3 _ $ $ $ $ $ $ 18) TOTAL EXPENDITURES (Add lines 13a, 13b. 13c. 14, 15, 16 and 17) $0.00 $ 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line I S $ 0.00 h $ ADDITIONAL INFORMATION O) Non -Monetary Gifts Given to Other Committees 1) 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 5) Administrative Support 6) Forgiven Loans 48 -Hour Notice Reports Sum (CRO -1330) (CRO -1430) (CRO -1610) (CRO -1620) (CRO -1720) (CRO -1710) (CRO -1440) (CRO -2220) $ $ $ $ $ $ $ $ $ $ $ Contributions to be Refunded (CRO -1215) $ $ UKU-I1W NC State Board of Elections August 2008 Reset Form 'I ,ns Loot Judy sunp.�al3 Jo pirop m.ls JN olzroma $ (ooll oNJ a2vd tiowwnS Pallmoo fo g auq uo aq lznw auq anll) sa:'ud oul-ORD 'I'IV P Ielox 'S $ a;lud sigl Sjuo [MOL •p $ ❑ 00 lunomy "l uopdp3aa0 pu01-ul,l vd apo lmway •9 aol.ld . ('"S/PPAM) a1W '( luaw <ud Jo uuod •q � . oS� $ -7 yoM-z" £G 18 � --)IV'MVH,* (V 1-'d ?/ Zt�7 (dlz V `mins'.Up apnpul) auogd 8 mippV llullluK'awuN llnd " alga m mng aopaalg a u01u jl sluammoj •p Pnld a®paft/ m N s,aaSoldmg a - - uol—j-ldppll qo( •q o anowag ❑ PPV ❑ uopowolulj(inggWoZ)' --- $ ❑ $ ❑ - 4.G.f6/PPIu1m1 anowr nopolJaza4 pnlg•ul •l InamSud to maod'q `Z aPo'J pJuoaiy •8 ❑ aolad . luuomy'A iF- oS�YJ plaid aptaadSrmuN s,ao,(oldwg •a 7,n �G `4 �/ / / J,'� l ►'I L I Q�aflaa� �JJIt<t'Nd91S' (dlzy aluls'.yp apnlam) auogd p ssaappV aoipul�'a=N llnd' alga In quawwoJ •p �S/1otJ uolssa)oid/allU. 1,, q anowag pPd uol)tnulq{ul Joingcyao7 $ ❑ s ❑ 00 • oo l uopolaa-a Pum -al *1 ❑ aou.l lnnomy •q (.ULSrypAM) alae •( luaul[ed to uuod'q apo lunoaay •8 f 7 0 8L° '� N 'rtj �llJ�(/✓ l*WJYIg s NO�f also of ms uopaalg � sluaunuo7 •p Plaid aU!aadS/auMN s,aafoldwg e �nI — - - vol�load/apl.L q"I (d1z V'alup'mia apnpup auogd P ssaJPpV gugluy� •awuN 1lud' aeowag ppm llollmwom ioingulnco £S/i PaSF9-0(2#�f1b'2r La WON GI'Z (alqua. a A PMA PUB) amN BRA aaplmw '1 pgsn lou sl SOZ I o,dD waol li os$ iapun suoiingwuoa io os$ Jana suoilnquluoo lunp!nIPw uo ai of wiol slgl rill nN t�AJ,I �'" ❑ '° �d slenp�n�puI wo.1; suo�;nq uo� luampuamy Amendment Loan Proceeds Pe —1 a L ❑ Yes`� No Use this form to report proceeds from a loan and loan endorsers information 3. Lender Information . Full Name, Mailing Address & Phone (include city, state, & zip) &r d $eT<1 ATE 3 TM yS 3 Add ffRemove b. Job Tine/Profession Id. Comments of ( b� vv oW V �C//l! �' " `� a Employer's Name/Specific Field e. Start Date (dd/yyyy) k eD 61 NhToN, NC -51114 M��uirz�w6o� 7 �4 aDa 3 f. End Date (mmlddlyyyy) 6/;Mc67TE, Nc . Rate h. Security Pledged i. Acrnunt Code . Form of Payment L Amo®t % 1$ 3 3oa . Full Name of Lending Insntutim on. Loan Number 4.EndorserS/Makers Mee people who guarantee the loan.) . Full Name. Mailing Address & Phone (include city, state, & zip) E m 6T fE sloi WMDV1G-%.j 6J�Ne jV60DMl61WI PC 41 b q (include cirv. state. & Full Name, Mailing Address & Phone . (include city, state, & zip) Job Title/Profession c. Employer's Name/Specific Field %41 101�74-L Percentage e. Amount rh $ OCT 0 3 2023 %I$ e. Amount �r $ 5. Total of ALL CRO -1410 Pages $ (This line must be on line 9 of Detailed Summary Page CRO -1100) I CRO -1410 NC SLuc Boaul of Flection. April 2007 Amendment Disbursements Pg —L of 13Y. to No Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated party expenditures .Committee FA Name (andFond If applicable) _ ,Eua�C � DL-r�y 2. Number 3Ti� �{S3 Type of Disbtn sement (Please use separate CRO -7370 forms for each type of Disbursement.) — - urs Operating Expensex C,mutbutwns n. (m"fidates/Palitwal Conunmecs Qwnlinated Pan, Es. ndlmues Payee Information 10 Add Remove a. Full Name, Mailing Address & Phone (include city,, & zip) b. Coordinated Committee Name d. Comments /00 -YG'V state, .5161ALS 01i / �% eWG4F-') a C011 11L25'9 -SrOX&kIOLIZW 4)Q.IV4r-El TX 787s8 c. Level Registered (Spedty) Federal EICounty: ❑ State ❑ Municipality: t. Election Sum to Date 1 $ 1 . Account Code IS. Form of Payment Its, Purpose Co Date (mmlddlyyyy) P. Amount k Requited Remarks 1 Peslr 796 aa;Z3 $ 5377•a loo S/6N.S Is I 4. Payee Information JW Add Remove . Full Name, Mailing Address & Phone (include city, state, & zip) /V G\/ - lnV RIV B�� Cf/ , �G It. Coordinated Committee Name d. Comments c. Level Registered (Specify) Federal Cnnmy: ❑ State ❑ Municipality: e.Eiecdon Sumto Date $ _. Acco nt Code g. Form of Payment h. Purpose Code It. Date (®lddlyyyy) . Amount k Regdred Remarks N2 Is 4. Payee Information Add U Remove . Full Name, Mulling Address & Phone (include city, state, & zip) It. Coordinated Committee Name d. Comments e-IfM pme 91d//VEss /I d.n A r ( d*4s isT� Ri/v7• , CoM GFX/NST°N M14 % c Level Regtstaued (Specify) Federal County: ❑ State ❑ Municipality: C. Elecdon Sam to Date f.:\ecount Code g. Form of Payment It. Purpose Code it. Date (mm/ddlyyyy) j. Amountk $ , `�a` Required Remarks CMP14-l61V SUs. C"D Is I 5. Total only this Page $ 6. Total of ALL CRO -1310 Pages i 7 his line goes in line 13a of Derailed Summary Page CRO -1100 if Operating Expenses) ( 7his line goes in line 13b of Derailed Summary Page CRO -1100 ifConfrib to CandidateslPolifical Comm) (This liner goes in line Lie of Derailed Summary Page CRO -1100 if Coordinated Partv Expenditures)t- $ e . Purpose Code& (List detailed expenditure code in (h.) above) A* - Media B* - Printing C* - Fundraising D - To Another Candidate E - Salarie+ F* - Equipment G - Political Party H* - Holding Public Office Expenses - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* Other * Codes remithre detailed ex lanation in required remarks field k CRO -1310 NC State Board of Election. December 2009 y 2� tons Disbursements Amendment Pg of _ ❑ Yes ❑ No Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated oariv expenditures Committee ame (a ad ap cable) C)LTE ID Number 3�Mbursement _(Pkaseuse .separate CRO -1310 forms for each type of Disbursement )x cone. Conmhuw.n. in C.mJidute*/Rdilical Conuniln•en Cundinutui Part Ex •nditure, FName, matioD Add Remove Mailing Address &Phone (include city, slate, & zip) 6. Coordinated Committee Name - d. Comments CNIAA/6� l RAlkIWAL V/��ts/Tt4 /PA i NT. ,Ct oM b&K11V0To/V Nlt4 / c. Level Registered (Specify) Federal County: ❑ State ❑ Municipality: e. Elation Sam to Date . Accouat Code 2 1g.FormofPayment 1h. Purpose Code 1. Date (mmlddlyyyy) b. Amount V' 63 1k. Required Remarks D lISYNIX23 4. Payee Information Add El Remove . Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments /t dM M.�6 • / (M/�fYTFrTlTi4L�� ' / T H�2r25 ViSM PAINT eom GEleh1/ ToN, A4LJ l-./ c. Level Registered lSpecifY) FeJcrai uomY: ❑ State ❑ Municipality: a Election Sum to Date . Account Code g. Form of Payment 1h. PurposeCode t Date (ttttdddlyyyy) . Amount k Required Remarks g 4. Payee Information Add L3 Remove . Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments �tlDM hC�4v1NoTS MgNU DUDZlK To r—/4N&t( ^n C M41VC1A.&t JJ1C ;Ig/by a Level Registered (Specify) Federal 3County: ❑ State ❑ Municipality: e.Decline SumtoDate f. account Code 2 14 g. Form of Payment It. Purpose Code i. Date (mmlddlyyyy) 8 , 023 . Amount ISD- � k Required Remarks P/km -/kkrl 5 5. Total only this Page $Ir h. Total of ALL CRO -1310 Pages l hie line goes in line 13a of Detailed .Summary Page CRO -1100 if Operating Expensed i (his line goes in line 13b of Detailed Summary Page CRO -1100 ifContrib to CandidateslPolitical Comm) (lbi.c line Ears in line /Jr of Detailed .Summon• Page CRO -1 100 if Coordinated Pally Expenditures) 0 IOn . Purpose Codes (List detailed expenditure code in (h.) above) A* - Media B* - Printing C* - Fundraising D - To Another Candidate E - Salaries F* - Equipment G - Political Party He - Holding Public Office Expenses I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* Other * Codes require detailed explanation in re wired remarks field k CRO -1310 NC State Board of Elections December 2009 t10A A07 suogaal3 to PJeog ales .-)\ 01 £1-093 pleg s1l1emau paam a1 ul uogeuel xa pallelap aim sapoO 13410 *0 pun, asuadxg 10a7 of uoOeuoQ - *� sasuadxg a3WO - *3l sanleuad - p a8eisod I sasuadxg aag10 aggnd $u!ploH . *H ��d Ie31140d - O luawdmbd - *d saueles - I aluptpurD Jagloud oy - u 8ulslelpund - *0 sulluud - sS elP h - *t' (anoge ('y) ul apo3 amllpuadxa pa11¢l2p lsl l) sapoj asod.nld i ,.,nu!pua rg Suvd paivurpjooJ ! oo11-ONJ a8od k-wwng panvlao fo aft alin u! sao8 auy snll) (wwaJ tvap!lod/sa)vplpuD3 of q!quoJ ft 0011-o8J a8vd Saowwng pa/!maofo qfl au!t w sao8 au0 sulp $ (sasuadr3 8uuvaado fl 0011-089 a8od .Gowwng papvaao fo oft auy u! s008 avy ny f/ saftd offl-oma -nv 3o W L ' aged slgl ,Cpm pnod, S cllv'YR slauluaN pwinbaN .y Le -9 s lunowy • S (SSSStpp!tuwl aleu •! apoa asodand •q luautSud )o uuo9'X T111 apo.) tunoaay $ !�,-1-/ C� V tf Yy I • V l �N/ l¢ldl�b'cl ale(1 q umg twpaard a :Slgedp!unly❑ aietS ❑ :,p a 1 � a, / M No –jD cac11`vV/`y3?l `9 fUW2dS) Pa al>gaa RA'1 a N aallPuwoJ patuu!paooJ •q (dR IP'alels `Slp apopup auogd '8 ssaappv Bu!pu)t; •awuN Ilnd' pvamuoJ R anowag El ppd 0 aogewlo}al aased • -;)91VW67 �QhV d bS'lb $ £r2 116 � o e nW—aN pinball •t ")aleo'I apo, auodand •q luawSed to mao9'$ 3PoJ lmlwiatl' JIB-/ t -y ✓ NQ cwt' Y, Idlzy`alnt`S1W aPnWul� auogd R ssaapptl 8u11PJNi'awvN Iln.d sM of umS uopaapd•a :+liP!du!unK ❑ ate1S ❑ :,(t�esapad rl �lS ^� IAW6 57t SV Af;YQDdV J�V9 "310/1 G slu Oj •p (im3 �IWadS) Paaalel8a8 Naa'1 'a awuN aaupeweJ paleujpaooJ •q anowag ppy uogeuuolul aatCed SN lS Qot, 1SS' /o s c C8 --7rfl ®pe a palptbaa -41 lunowtl' ("SSIpp)v=) aavU'! apaomodAnd-ql lvawivd to wlod •P apoJ /unojav $ �S� 8 L xl N �LsrYd �l1J21Q Mgl�oj13�� S ' 31 37Jv9/r also ro wnS uopaard v :(tlptdp!unW❑ aletS ❑ :StunoJ ❑ Iunpaj ❑ 5�91� 0 slue of •p l+JpadS)PaaalslBaapealy awuN aanrymwJ Pa)mlpmo;) -q (¢ tg `alsls'. p apnjau! auogd 28 ssaJPPV 9uptrIVawarj llnd t, anowag r, ppy uollemaglol as Ced saJnnpu %� 1LCd Pa1RUl Plaq� r7 Saalnluuluj IP"I'l(WrMPplPuP3 of wolinglnuoJ❑ aaa u0 a j Tullcl o - •lnawasings o Yana to soon OIF/-09J atua am lnamast mMjo a([,l• 17 eA PUB) samupuaaxa,kljuci polewpaow put, saaulwwo3 p)3p4od/alt,p!plle3 of suopnquluoo 'sosuodxo dunt,aado Joj aanwwoo agl waU saJnvpuadxo JJodaJ of uuol slgl asn ON ❑ saA ❑ Jo T 8d sluaniasingsl luawpuawN- Refunds/Reimbursements From the Committee Pg or Amendment ❑ Yes ❑ No Use this form to report refunds/reimbursements, including contributions returned to the contributor. 1. Committee Fall Name to Fund If applicable) _ 2. ID Number - LI ZkBE a_T� 3?m 4.53 3. Payee Information 0 Add 0 Remove . Full Name, Mailing Address & Phone I include city, siatq & zip) d. Type of Committee h. Original Receipt Dale UrCaml.dat. ❑ PAC Referendum ❑ Party ZR❑ ter(r� T � W t/ �y ,,4w A,/1 ? 1 � 2 /+'/l f'f ) , `r li K O J e. Level 'I 1. Recelpt Amount Federal County: ❑ stale Municipality: $ '200 - — L Purpose Code . Election Sam to Date b. Job Tiae/Professionc. Employer's Name/Specific Field g. Comments IL Account Code 4kiwokiz- I LekART, Aic ieeirvNo- telow, wV I N2 . Form of Payment Im. Required Remarks 1ZC-fVND AVE &o &-V NESS A- ,cy In. Daft (nvWdd/yyyyl 3 8 �4�3 o. Amoum o /NE $ a0o' 00 3. Payee Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone (Include city, state, &zip) d. Tvpe of Committee ❑ Candidate PAr' ❑ Referendum ❑ Pant h, Original Receipt Date e. revel Registered 13 Pederal counly. ❑ Slate ❑ Municipality: L Original RecNpt Amount $ E Purpose Code . Election Sam to Date Job Title/Profession C. Employer's Name/Specific Field g. Comments L Account Code . Form of Payment Im. Required Remarks In. Date (mm/dd/yyyy) o. Amomt $ 3. Payee Information ❑ Add 0 Remove . Full Name, :Nailing Address & Phone (include city, state, & sip) d. Type of Committee It. Original Recelpt Date L3Candidate PAC ❑ Referendum E3 Party a Level Registered 1. Ori "t 13­Fcci_cr_Ai___0County: ❑ State ❑ Municipality: $ t3 2p C 1 L Purpose Code . Ekv io Sum to Date $ 3n%a .Job TitWProfes,ionc. Employer's Name6pee is Field&Comments V_ Account Code . Form of Pa) mem m. Required Remarks _ n. Date (rnnJddlyyyy) jo.Amound $ . Total only this Page i S 5. Total of ALL CRO -1320 Pages $ (This line muss Kean lute 16of Demifed Summary Pae CR04106) 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 re uire detailed ex lanation in rermired remarks CRO-1320 NC Slur nwrd til' fileclions Decemher 2007