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Holtey,Elizabeth_2023-35Day-report-amendDisclosure Report Cover Use this form for general report and committee information, must be signed and submitted along with ther detailed forms. Do not use this form to update information. 1. Committee Information . Full Name c. ID Number �GI2AI�TI ���Y�� �TM�-fS3 b. Moftlng Address (include City, State and Zip Code) d. Date Filed JJV �c l / / /'✓l/� _ „>� l �4 a Phone Number 2. Report Year 3. Period Start Date (n odddl)y) 4. Period Emd Date run ddd/yy) 5. "frcatsurer Full Name 6. Type of Cot mittee-i Check One)- ). Type of Report (ch ck onh one trpe-of`rerur! from one categm N, - _ Candidate Campaign ❑ Parly Municipal Stale/County, Referendum PAC ❑ Referendum ❑ Organizational ❑ Organizational ❑ Organizational ❑ Independent Expenditure Ioini Fundraiser Thirty-five day Quarterly © Pre -referendum ❑ Legal Expense Fund Pre-primary ❑ First ❑ Final ❑ Pretlecdon ❑ Pre -runoff O Second ❑ Third ❑ Supplemental Final © Annual 7: Type of Fu'.uble, cheek one) ❑ Roaster Fmd Semi -annum ❑ Fourth ❑ Special ❑ BuilJinr PnnJ El Mid Year Semi-annual M Year End ❑ Mid Year 10. Special Report Nance ❑ Uilier Final Special © Year End ❑ Final S. Number of Fu_ ndraisers this Report '` ❑ Spenal 11. Account Information 11. Account Information a. Financial Institution Full Name a. Financiol Institution Full Name 1 t0b Q "�- -rE 346k - h. Purpose c. Account Code b. Purpose c. Account Code - - — - MAR 19 2P \ l RECEI d. Period Begin Bala_ nce_ d. Period Begin Balance — $ CERTIFICATION I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B & 22D -22M of Chapter 163 ol'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 I have been trained by the NC State Board of Elections. Printed Name of Si ner Si nature of A ointed Treasure— D to FOR OFFICE USE ONLY Date Received: Q a Employee: Delivery Method ❑ Normal Mail Date Postmarked: Employee: Registered Mail Hand Delivered Date Scanned: Employee: Electronically Filed Date Data Entered: Employee: ❑ Signer has not received mandatory 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 make committee changes. CRO -1000 NC State Board of Elections Augusl2008 +nse Detailed Summary Indment 0 -No - 1. -no Use this fornt to summarize all disclosure reoortine forms and to total monetary information vy s_--- _ 1 Committee Full Name (and 12. Type of Report 13. ID Number 3JM 1-40 Start of Election Cycle: January 1, Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start $ $ CEIPTS 5) Aggregated Contributions from Individuals (CR0-1205) $ $ 6) Contributions from Individuals (CRO -1210) $ 3e2 b ' $ 7) Contributions from Political Party Committees (CRO -1220) $ $ 8) Contributions from Other Political Committees (CRO -12-+0) 9) Loan Proceeds (Ca0-1410) 10) Refunds/Reimbursements to the Committee (CRO -1240) 11) Other Receipt Sources Ila) Interest on Bank Accounts (CRO -1250) $ $ $ 3 as . -7 $ $ $ $ $ 11b) Contributions from Not -For -Prost Organizations (CRO -1250) $ $ llc) Outside Sources of Income (CRO -1250) 11d) Legal Expense Fund - Other Sources (CRO -1270) l le) Exempt Purchase Price Sales (CRO -1265) $ $ $ $ $ $ 12) TOTAL RECEIPTS (Add lines 5.6, 7, 8,9, 10,11 a. 1 I b, l Ic,l Id and I I e)l $ a, $ EXPENDITURES' 13) Disbursements 13a) Operating Expenditures (CRO -1310) $ 3 IU $ 13b) Contributions to Candidates(Political Committees (CR0.1310) $ $ 13c) Coordinated Party Expenditures (CRO -1310) $ $ 14) Aggregated Non -Media Expenditures (CRO -1315) $ $ 15) Loan Repayments (CRO -1410) 16) Refunds/Reimbursements from the Committee (CRO -1320) 17) In -Kind Contributions (CRO -1510) $ $ $ A00, o $ $ $ 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $7j C () $ 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line I8:AZ]0Ajj ADDITIONAL INFORMATION 20) Non -Monetary Gifts Given to Other Committees (CRO -1330) 1) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) 2) Debts and Obligations owed by the Committee (CRO -1610) 3) Debts and Obligations owed to the Committee (CRO -1610) 4) Account Transfers Within the Committee (CRO -1210) 5) Administrative Support (CRO -nm) $ 6) Forgiven Loans (CRO -1440) $ 7) 48 -Hour Notice Reports Sum (CRO -2210) $ $ 8) Contributions to be Refunded (CRO -1215) $ $ CRO -1100 NC State Baud of Elections August 2008 LOOZ Judy suoua31310 piuog a)u)s'N(IIY -09.) IRPinlpm ue wojj si wqi ueo1 gnea nueawo:)ae ssnw woulams spaaaaa ueo) y uoyguuojw s lasiopua ueol pug ugol a woJ,l spoaooid sJodaJ o) uuol siyt asn ❑ -A701 Ja ad spaaaold aeo'j luampuamy (0011.OH9 a8nd Lnmwng paJ!maQ fo 6 awry uo sy 1rnw aup r!yl) saaPd oir[-ox3 rirfv3Q 18;01 •s lunomV •a o� aEeluaatad'P v3AI3038 AZ ag 'algls'gp apnpup .. n iyo d.'$�£3I9tl11y au!pgtq!'amgN 1113.4' Plaid atspadg/awgN s,aa.(osdwd •a uo!naJoid/aIIIJ. gof'9 s -. lunomv •a 'G - - asuuaazad •p Az g 'aluls Soo apnsauP auogd V -MJPPV au!1!"M'awgN 1149' psa!d au!aadg/awep! s,aa,fosdwd o uo!ssaJuid/all!,L Sof'q $ lunomv •a o/0 aaquaaad •p (d!z �g'algys'.yp apnpu!) auogd V narPPV 8u1119{q'aweN '13 Pla!d ag!aadg/awep! s,aa.fosdwd o uo!ssaJoud/all!J, 90( •q - - lgnomy•a f�v/ ON nu��r✓� M Aq �1-�IA�iooM 1l�3 ' - (d!z 1g'am'.4p apnpu!) auogd og ssaappy Au!pu)s'amu\!149' - a5uluaajaa•p APIA .,plaadg/awes',aa Ggdu)d'a uo!na)oad/agll gof-q Gunn! np aa!umm�a nq.n a!doad ;n(,1) sta�elV/sJasaopug'q aayumy taw I w uonnglsul IUIpua•j J00WVN 1113.4'I 1 L' i`0/�-s 7I17��1� PaaPatd ,ysanaag •q algg z lunomtl'1I lusmind Jo Woo 8pwjlmloaaV'1 ('"/PP/M) alga Paz •J ow 99W4 /090 N fiQ J (5 r JN /VJ `G rof-)Zf/L P1043 a!IpodS/amup! s,40,01dm7•a no!ssaJoad/ah!,l. qo!',q awmuwu,)Jp (d!z ,g'aluls 14!3 apnpu!) agoysx swppy 8&ngelQ'au'e.V Ilud 'e anowag ❑ PPV ❑ 9zolJuw]o,Ial Japua-I •t JaqulnN (11.Z _. - - - (olgeogdde P. puna puu) aumN Ilna a4jj!un oj •I IRPinlpm ue wojj si wqi ueo1 gnea nueawo:)ae ssnw woulams spaaaaa ueo) y uoyguuojw s lasiopua ueol pug ugol a woJ,l spoaooid sJodaJ o) uuol siyt asn ❑ -A701 Ja ad spaaaold aeo'j luampuamy NORTH CAROLINA State Board of Elections & Ethics Entorcement Loan Proceeds Statement This Statement is used to report detailed information about a new loan and is required to accompany the Loan Proceeds Form in the report for which the loan is initially disclosed. If the loan is from an individual, the lender's signature is required on this form. This Statement is to be filed with the Election Board where the committee's reports are filed. • Name of committee to receive loan: • Person or committee to make loan: — u zffDET Motmal • Date of loan to committee: —7/c96 �aJ • Name of lending institution and ac/e unt number (source): W • Amount of loan: 3t Ida, 171 • Description (if in-kind loan):.y�{N�s /TC !/V N Names foi grantors): • of all parties respons�tile payNmen o�loanl iNlnnl cnl INN • G p_� ;APJPAIGN FINANCE Period of loan: 7 C • Rate of interest of loan: (21- MAR 19 2024 • Security pledged for loan: 'Aer RFr.FivFn I,CU7A&--f HB L7 G 7 , acknowledge that all of the information (Person lending money to committee) provided is complete, true, and accurate. I further understand I may not forgive a loan that has an outstanding balance to any source. of Lender of Treasurer of CRO -6100 Loan Proceeds Statement