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Horn,Craig_2023-Year-endAmendment Disclosure Report Cover o Yea EON, 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 uWate information. 1 b&rmation FLIT Name c. ID Number N-aRrr N m/9 oR GAJ tc- b.Halling Address Wude City, State std Zip Code) - - d. hate FBed --� I Z I Z 14 S`i o9 31 LLC bt r-ck "•1l La nit we Mu "Ito Ni fes: C- Z$ I Inq e. plume Number Ytear 3 areiliftl 4. P- 2CL 6. TYpe of Coulon (Check One)— 9. Type of Report (check only one type of report from one category) Candidate Campaign ❑ party, Stawcounty Rdereadum Municipal ❑ PAC ❑ Referendum ❑ Organizational ❑ Organizational — -❑ Organisational ❑ Independent Expenditure ❑ Join Fundraiser ❑ 'Mirty-five day Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ Pre-primary ❑ Fnst ❑ Final ❑ preelection ❑ Pre-mnoff ❑ Second [3 Third ❑ Supplemental Final ❑ Annual Type of Farad (Ifapplkahk, check one) [3 Booster Fund - -- — -- semi-annual ❑ Fourth ❑ Special ❑ Building Fund ❑ Mid Year Sem -annual El' Year End ❑ Mid Year I& SPKW Report Name ❑ Other: 113 Final ❑ Special ❑ Year End 13Final _ . Number of FuDdraiserg tbb RePcrct .— L) - 10 special 11, Account Information 11. Atxotmt Effannadon Financial Imiltntloa Full Name FLmncial Insatudi m Full Name 50o+ . St p t E 3 A +S l Purpose c. Account Code b.Parpe6e c.Acro art Code d. Period Begin Balance d. Period Begin Balance _ aa-7sl.c -;, $ 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 commingled with prohibited or other non -disclosed funds. 1 further certify that this report is complete, true and correct and that I have been by �e NC State Bo of Elections. �i•Cfi1'ir �1err\ �'t L�`-` Print6d Name of Signer Si lure fated Treasurer Date FOR OFFICE USE ONLY Delivery Method Date Received: Employee: ❑ Normal Mail �❑ Registered Mail m Date Postmarked: Employee: Hand Delivered Q Date Scanned: Employee: 'J EleclronicallFiI - Date Data Entered: Employee: ❑ mandr� fri Please Note: This form cannot be used to amend committee information such as the committee address, trwf9r, assistant treasurer, custodian of books information, or account information. y? You must amend the Statement of Organization (CRO -2I OOA-E) to make committee changes. — < CRO -1000 NC state Board of Elections august mim 7�,,♦,,�1 Amendment Deta1 ed Summary ❑ Yes ❑ No Use this form to summarize all disclosure reoortine forms and to total monetary information 1. Committee Full Nam (and Fund if applicable) � mit 2. Type of Report I YeQr -f,K;J c amber .gym3 kc- cStalN62RA Start k of Election Cycle: January], 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) Loon Proceeds 10) Refunds/Reimbursements to the Committee 11) Other Receipt Sources Ila) Interest on Bank Accounts 11b) Contributions from Not-For-Pnofft Orgenizefim Ile) Outside SourcesofIncome 11d) Legal Expense Fund - Otber Sources Ile) Exempt Purchase Price Saks (CRO -1205) (CRO -1210) (CRO -1220) (CRO -IM) ([341410) (CR&120) (C20-1230) (CRO -1250) XM1250) (CR41270) (CRO -1265) $ $ $ $ ct ' 2-b $ $ $ $ 0, o i $ $ $ $ $ $ $ $ $ $ $ $ $ $ 12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8,9,10,1 laj 1b,I lc,1 td and I le) $ $ L ;4 2 i EXPENDITURES 13) Disbursements 13a) Operating Expenditures (CR41310) 13b) Contributions to Candidates/Political Committees ([30-1310) 13c) Coordinated Party Expenditures (CRO -1310) 4) Aggregated Non -Media Expenditures (CR01315) 5) Loan Repayments - - (CRP -142) 167 Refunds/Reimbursements from the Committee (CRO.1320) ') In -Sind Contributions (CR41510) $ 10190-7C $ 10(- O : 7C $ $ $ $ $ $ $ $ $ $ $ $ 8) TOTAL EXPENDITURES (Add linea 13a, 13b, 13c, 14,15,16 and 17) $ $ Q, ii' 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 (CRO -1330) I) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) 22) Debts and Obligations owed by the Committee (CRO -1610) ) Debts and Obligations owed to the Committee (CRo-1620) 24) Account Transfers Within the Committee (CR41720) 5) Administrative Support ha Z-931 (CRO -1710) 6) Forgiven Loans 1-3313 41,� �©9 (CRO -1440) 7) 48 -Hoar Notice Reports iNM NolNR (CRO -2220) ) Contributlo s to be Refunded ([30.1213) $ $ $ $ $ $ $ $ $ $ $ $ $ CRO -1100 NC Shoe Board of Elections August plus Amendment Mburnments Pg _ of ❑ Yes ❑ No Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political enmmiftet•.s and a rdinated nartv exnenditures ap e) ID Number int° i ii Ll PIln/� 12. 3. Type of Disbursement (Please use separate CRO -1310 forms for each fuse of Disbursement Opcxating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information E3 Add Remove a. Full Name, Mailing Address & Phone b. Coordinated Caromitlee Name d. Common (include city, state, & zip) C. Level Registered (Specify) Federal County: ❑ State ❑ Municipality: aHxike8om4aDate . Account Cade g. Form of payment h. PER" trade L Dale (®tdd/yyyy) J. Anmwt Ir. Remarb $ Is 1 4. Payee Information Add ❑ Remove R. Fall Name, Mailing Address & Phone b. Coordleuded Committee Name d. Comments (include City, shit, & amp) c J� tt > �L '• I c Level Registered (Specify) F,- V M �i 20 w '\—( GRe �7 % \C S \\50j, (' tS�N Corp t3a9 n4 FederalE] county. �o\1`�b N[ �� ���✓J ❑_State Municipality: m Eactiott$®bDate $ 1680, 7� . Acwmt Cab b Form ofpgt®t b pmpm Code L Daft 0=AJ1dyyyy) Ama®t IL Wi acted RmarW Z2 $ 16 G, l C st�r,� iN5 �ry, r-k� DS k a Is Pa orkfitio,n Add ❑ Remove a. Full Madlitg Address & Phone b. Coordinated Committee Name d. Comments (inclam d�y, st2 tri & zip) L• p o w a Level RegMbeed (Speckly) Z�".. Federal 0 County, e. weciba Soo to Date Q ❑ Stan ❑ Municipality.. O M $ Atxomt Code g. Form of paym®t � 6. pie Code L Dab () • Amoat $ i Be'dredRemarb _ I Is 5. Total only this Page $ Q rO , 7 D 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Erpenres) $ (This Gne goes in One 136 of Detailed Summary Page CRO -1100 if Conrrib to Candidates/Political Comm) (This Gne cars in line 13c of Detailed Summary Page CRO -1100 if Coordinated Pady F nditures) 7. 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 H* - Holding Public Office Expenses I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* Other • Codes r vire deUtiled ex lavation in wired refatarha field CRO -1310 NC State Board of Elections December 2009