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Holtey,Elizabeth_2024-FinalDisclosure Report Cover Amendmentr]40 Use this form for general report and committee information, must be signed and submitted along with ,1 herdetaM forms. Do not use this form to undete information. 1, Committee Information - . Full Name c. 11) Number . Mailing Address (Include City, State and Zip Code) it. Date Filed e. Phone Number 2 Report Year 3. Period Start Date (mm/dd/yy) 4. Period End, Da LC onnlldd/pp ^. I reasurer full Name `r 11kt 7 6. Type of ColWee Wheck One_ Y. Type of Resort (check on[>yo type w i cporr fiom (m �alcgor)') Candidate Campaign ❑ Party Municipal Mate/County Referendum 0 PAC ❑ Referendum Organizational ❑ Organizational ❑ Organizational ❑ independent Expenditure © Joint Fundraiser Thirty-five day Quarterly ❑ Pre -referendum ❑ Legal Expense Fund Q Pre-primary ❑ First ❑ Final © Pre-election Pre -runoff ❑ Second ❑ Third ❑ Supplemental Final ❑ Annual 7.'rype of Fund tifapphI ohl , ❑ Rooster Fund Semi-annual Fourth Special ❑ Building Fund [3 Mid Year Semi-annual M Year End ❑ Mid Year 10. Special Report Nance ❑ Oilier Final Special ❑ Year End ❑ anti 8. Number of Fundraisers this Report 11. Account Information " 11. Account Information a. Financial Institution Full Name a. Financial Institution Full Nance IWA iiIUUV1 b. Purpose c. Account Code b. Purpose tipi FifqAmc. Account Code # 1- 19 2024 RFrFf\/f-r� d Period Begin Balance d. Period Begin Balance - $ CERTIFICATION I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B & 2213.22M of Chapter 163 of the NC General Statutes and that no funds are conuningled with prohibited or other non -disclosed funds. I further cer iry that this report is complete, we and correct and that I have been trained by the NC State Board of Elections. �Wzio kl d'CE-L%( 9 6, o/ -'?// Printed Name of Signer Signature of Appoked Treasurer Date FOR OFFICE USE ONLY Delivery Method Date Received: Employee: ❑ Normal Mail Registered Mail Date Postmarked: Employee: Hand Delivered A Electronically Filed Date Scanned: Employee: Pate Data Entered: Employee: [3 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 August 20Ug Detailed Summary Use this form to summarize all disclosure reoortina forms and to total monetary information 1. Committee Full Name (and Fund it applicable) 2. Type of Report13. ID Number �Ll2PrSET`( ATE /NAL 31in- q.�-3 Start of Election Cycle: Jan Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start $ 5 RECEIPTS - 5) Aggregated Contributions from Individuals 6) Contributions from Individuals — (CRO -1205) (CRO -1210) $ $ $ $ 7) Contributions from Political Party Committees (CRO -1220) $ $ 8) Contributions from Other Political Committees (CRO -1230) $ $ 9) Loan Proceeds (CRO -1410) $ $ 10) Refunds/Rehnbursements to the Committee (CRO -1240) $ $ 11) Other Receipt Sources Ila) Interest on Bank Accounts (CRO -1250) $ $ 11b) Contributions from Not -For -Profit Organizations (CRO -1250) $ $ Ile) Outside Sources of Income (CRO -1250) $ $ 11d) Legal Expense Fund - Other Sources Ile) Exempt Purchase Price Sales (CRO -12.10) (CRO -1265) $ $ $ $ 12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10,11 a.I l b.I l e, l ld and l le) $ $ 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) $ $ 5) Loan Repayments (CRO -1420) $ $ 16) Refunds/Reimbursements from the Committee (CRO -1320) $ $ 17) In -Kind Contributions (CRO -1510) $ $ 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 $ $ ADDITIONAL INFORMATION 0) Non -Monetary Gifts Given to Other Committees 1) Outstanding Loans (incl. ones from other campaigns) (CRO -1330) (CRO -1430) $ $ 2) Debts and Obligations owed by the Committee (CRO -1610) $ 3) Debts and Obligations owed to * 1O110N"19t —1Y (CRO.1610) $ 24) Account Transfers Within the (CRO -1720) $ 5) Administrative Support MAR 19 2024 (CRO -1710) $ $ 26) Forgiven Loans (CRO -1440) $ a / d(a . a a $ 7) 48 -Hour Notice Reports Sum (CRO -2220) $ $ 128) Contributions to be Refunded (CRO.1215) $ $ CRO -1100 NC State Board of Elections August 2008 PTH CAR STATE BOARD ELECTIONS Forgiven Loan Statement This form is used to report a loan that has been forgiven by the lender. The lender's signature is required on this form and it must accompany the next filed report. This Statement is to be filed with the Election Board where the committee's reports are filed. Name of Lender: ELI BC- OLTE Committee receivingloan: iL/Z &c--% Acr6 Date of loan: '% a( a0a S Amount of original loan: !A 3 / 6a,-777 'Amount of loan to be forgiven: 4�2 70(0, 2 I, z12APC--74 110L7 -Ey , do not wish to be reimbursed for the amount of the loan indicated above* and will consider the amount loaned a contribution to the committee. I understand and confirm no other parties are rei�IiA^yment of this loan. I may not forgive a loan for which there is an outstan ing a a c ed to any source. 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