Horn,Craig_2023-MidyearAmendment
Disclosure Report Cover p Yesa
Use this form for general report and committee information, must be signed and submitted along with other de ' ed forms.
Do not use this form to update information.
1. Committee Information
a. Full Name
a m Nomber
K� OR- -
V,J m 5BG
. Mailing Address (include City, State and Zip Cade)
d. hale Filed
AUG 02 2023
-8 a 1,9,oa-!;
Union Co. Elections
e. Phone Number764.19
II_ 99�
2. Report Year
3. Period Strut Date (mm/dd/yy) 4. Period End Date (mwddyy)
S. Treastngr Fall Namel
- -3
7 -CZ -3 ZbZ3
Db i41 -Cf -a4 �46r0
6. Tyme of Committee (Check One)
9. Typeof Re rt (check
only one type of report
from one category)
Candidate Campaign ❑ Party
Municipal
Statelcounty
Referendum
❑ PAC ❑ Referendum
'❑ Organirational
❑ Organvational
❑ Organizational
❑ Independent Expenditure ❑ Joint Fundraiser
❑ 'Itritty-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑ Pro -pr wary
❑ First
❑ Final
❑ Pre-election
❑ Pre -runoff
❑ Second
❑ Third
❑ Supplemental Final
❑ Annual
7. Type of Fund (if applicable. check one)
❑ Booster Fundannual
C]Fourth
❑ Special
❑ Building Fund
Mid Year
Semi-annual
❑ Year End
❑ Mid Year
10. Special Report Name
❑ Other:
❑ Final
❑ special
❑ Year End
❑ Final
8. Number of Fundraisers this Report
❑ Special
11. Account Information
11. Account Information
. Financial Imtibdion Full Name
a. Financial institution Fail Name
501C't� �flT� �rt n
b. Purpose
e. Amount Cade
b. Purpose
c Aaron Cade
d. Period Begin Balance
d. Period Begin Balance
$2?SI
$
CERTIFICATION
I 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 n -disclosed funds. 1 farther certify that this
report is complete, true andcorrectcorrect and that I have been b e NC State B f Elections.
� . QA tit 1. �6 r-v�
l
Rind Nam of Signer Sij&xtum of Ajfifointed i>3 r
OR OFFICE USE ONLY r� //�I_1 Deliver Method
3
Date Received: Employee: IaOU
❑ Normal Mail
Date Postmarked: Employee: E] Registered Mail
[� Hand Delivered
Date Scanned: Employee: �] Electronically Filed
Af
Signerdatohas notrn received
Date Data Entered: Employee: ❑ manryng
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 2008
Atnendroen
Detailed Summary ❑ „`
mNn
Use this form to summarize all disclosure reDorfing forms and to total monetary information
1. Committee Full Name and -Fund If ap le) _-
o rJ
2. o
A
eport
C'4N-
-
lcjms SC.
Start of Election Cycle: January 1, o l
Total this
Re 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
11b) Contributions from Not -For -Profit Organizations
11c) Outside Sources of Income
l ld) Legal Expense Fund - Other Sources
l le) Exempt Purchase Price Sales
(CRO -1205)
(CRo-1210)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CRO -1240)
(CR
(CR 1250)
(CR 12 n I
(CR
(CRO -1265)
$
$
$
$
$
$
- = '
FSG 0 2 2023
$
$
$
$
$
$
(3
$
$
$
$
$
$
$
12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,1la l lb,l lc,l ld and lie)
$
$
L, 2-t
EXPENDITURES
13) Disbursements
13a) Operating Expenditures
13b) Contributions to Candidates/Poll ical Committees
13c) Coordinated Party Expenditures
14) Aggregated Non -Media Expenditures
15) Loan Repayments
16) Refunds/Reimbursements from the Committee
17) In -Kind Contributions
(CRO -1310)
(CRO -1310)
(CRO -1310)
(CRO -1315)
(CRO -1420)
(CRO -1320)
(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
$
I $
a j ( o2—
ZADDITIONAL
ADDITIONALINFORMATION
0) 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
26) Forgiven Loans
7) 48 -Hour Notice Reports Sum
Contributions to be Refunded
(CRO -1330)
(CRO -1430)
(CRO -1610)
(CRO -1620)
(CRO -1720)
(CRO -1710)
(CR04440)
(CRO -2220)
(CRo-1215)
$
$
$
$
$
$ $
$ $
$ $
$ $
CRO -1100 NC State Board of Elections August 2008