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Jones,Michael_2023-35-DayDisclosure Report Cover Ameodmenl ` r l Yes No Yl 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 update information 1. Committee Information a. Fall Name e. ID Number Citizens for Mike Jones b. Mailing Address (include City, state sad Zip Code) d. new Find 1202 E Franklin St Monroe, NC 28112 9/27/23 e. Phone Namber 704-668-6445 2. Report Year . Period Start Date (mm/dd/yy) 4. Period End Date (mm/dd/yy) 5. Treasurer Full Name 2023 8/26/23 9/27/23 Salem Boulware . Type of Committee (Check One) 9. Type of Report (check only one type ojreporl from one category) Candidate Campaign Party PAC Referendum Independent )Dint Fundraiser Expenditure Joint Legal Expense Ford Municipal Smte/Counry Referendum fh woationalI Thirty-five day Prc-primary Pmelectlon Prc-runoff Semiannual Mid Year Yew End Final Special R E MED SCP Z U rtOrrra L F/3 nrsr Union Cu. gourd of Lib'ullb115 Third Fawd, Semi-annual Mid Your Yew End Few] Special (hgamnaianal Finn) Supplemental Final Annual Special 7. Type of Fund !i{Wptirable. rhxk oral "Bounder Fond" Building Fund Otho. 10. Special Report Name 8. Number of Fundraisers this Report e 11. Account Information Il. Account Information a- Financial Insulation Fug Name a. Financial Inautauon Full Name First Citizens Bank b. Purpose c. Acrount Cade n. Purpose c. Account Code Committee Funds MCC23 d. Period Begin Balance d. Period Begin Belnnrr S 0 $ 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 C 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. ZSalem Boulware 4 V /It l L' 2_3 Printed Nae of Signer signature ol'Apt"Acdfogy. Dare FOR OFFICE USE ONLY n _ Date Received: Date Postmarked: Date Scanned: / l/ Date Data Entered: Employee: Delivery Method Normal Mail Employee: Registered Mail s/Fiand Delivered Employee: Electronically Filed Signer has not received Employee: 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. Detailed Summary Use this form to summarize all disclosure reporting fors and to total monetary information. Ameadawat Yes No 1. Committee Full Name (and Fund if applicable) 2. Type of Report 3. ID Number Citizens for Mike Jones 35 Day Report Start of Election Cycle: January1, 2022 Trial this Reporting Period Total this Election Cycle 4) Cash on Hand at Start $ 0 $ 0 RECEIPT 5) _ Aggregated Contributions from Individuals (CRO -1205) S 280.59 $ 280.59 6) Contributions from Individuals (CRO -1211) $ 1591.33 $ 1591.33 7) Contributions from Political Parry Committees (CRO -122s) $ $ 8) Contributions from Other Political Committees (CRO -1230) $ $ 9) Loan Prnceeds (CRO 1410) S $ 10) Refunds/Reimbumements To the Committee (CRO -1249) S $ Il) Other Receipt Sources Ila) Interest on Bank Accounts (CRO -1250) $ $ Ilb) Contributions from Not -for -Profit Organizations (CRa1250) S $ lic) Outside Sources of Income (CRO -1250) $ S lid) Legal Expense Fund—Other Sources (CRO -1270) S 11 e) Exempt Pumbase Price Sales (CR0,1265) E S 12) TOTAL RECEIPTS(Addiinea5.6.7,8.9, lo. It.. 116, 11, 11dand1le) $ 1871.92 IS I WAIJ2 4,r L EXPENDITURES _ 13) Disbursements L rc 13s) Operating Expenditures (CRa1319) $ $ 136) Contributions to Candidates/Polhical Committees (CRO -1319) $ $ 13c) Coordinated Party Expeoditum (CRIX1310) S $ 14) Aggregated Non -Media Expenditures (CRO -1315) $ 39.01 $ 39.01 15) Loan Repayments (CR&1420) $ S 16) Refunds/Reimbursements From the Committee (CR0,1320) S S 17) In -Kind Contributions (CR&ISIO) S 1591-33 S 1591.33 18) TOTAL EXPENDITURES (Add It., 13..13h. 13e, II, 15, 16 and 17) S 1630.34 $ 1630.34 19) Cash on Hand at End (Add linea I and 12 together, then ..whrmci line 18) S 241.58 $ 241.58 INFORMATION _ADDITIONAL 20) Non -Monetary Gifts Given to Other Committees (CRo.1339) $ $ 21) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) $ 22) Debts and Obligations owed By the Committee (CR41619) $ 23) Debts and Obligations owed To the Committee (CRO -1620) $ 24) Account Transfers Within the Committee (CRO -1720) $ $ Z3) Administrative Support (CRO -1716) $ S 26) Forgiven Loans (CRO -1440) S S 27) 48 -Hour Notice Reports Sum (CRO -2229) $ $ 28) Contributions to he Refunded (CRO.1215) CRO -1100 NC State Bnard of El Wiarts August 2008 IVED 2023 of Elections Aggregated Contributions from Individuals Page Optional form used to report NC Contributions From Individuals of $50 or less I of I Ameodmenr Ym No)4 1. Committee Full Name (and Fund if applinble) 2. ID Number Citizens for Mike Jones . Contributor Information a. Amend b. Att000t Code c. Form of Permem d. In -Kind Beurlption e. Dne (moUdNyyyy) L Among Add MCC23 Card 07/25/23 S 10 Remove Add MCC23 Card 07/29/23 $ 50 Remove Add MCC23 Transfer 08/10/23 S 12.81 Remove Add MCC23 Transfer 08/12/23 $ 7.78 Remove Add MCC23 Card 08/18/23 $ 50 Remove Add MCC23 Card 09/10/23 $ 25 Remove Add MCC23 Card 09/10/23 $ 25 Remove Add MCC23 Card 09/10/23 $ 25 Remove Add MCC23 Card 09/10/23 $ 25 Remove Add MCC23 Card 04/10/23 $ 25 Remove Add MCC23 Card 09/10/23 $ 25 Rcmovc Add S Remove Add $ Rcmovc Add $ Remove Add S Remove Add $ Rcmovc Add $ Rcmovc Add $ Remove Add $ Rcmovc Add $ Rcmovc Add $ Remove Add $ Rcmovc 4. Total only this Page S 280.59 5. Total of ALL CRO -1205 Pages frhir line was( Ar mr line S ofOemiled Summery Peer CRO -/100) $ 280.59 CRO -1205 NC State Board of Election April 2007 RECEIVED SEP 2 3 2023 Union Co. Board of Elections Contributions from Individuals Pg i of 1 Amandment \ / Ym No y Use this form to report individual contributions over S50 or contributions under $50 if form CRO 1205 is not used 1. Committee Full Name (and Fund If applicable) 2. ID Number Citizens for Mike Jones . Contributor Information Add Remove a. Full Name. MaRing Address & Phone (include dry, state. & rip) b. Jab Tltle/Proression d. Comments Realtor Karyl Jones 1202 E Franklin St Monroe, NC 28112 c. Employer's NameSpecinc Field Heart and Home Realty c. Election Sum to Dale S 1591.33 f. Prior e& Account Code h. Farm of Pavmem I. Io-Klnd Description J. Date (mmtdd/yyyy) k Arsonist MCC23 In -Kind Hangers/Flyers 07/16/23 S 326A MCC23 In -Kind T -Shirts 08/1923 S 271.70 MCC23 In -Kind T -Shirrs 082123 S 43.42 3. Contributor Information Add Remove e. Full Name, Mailing Address & Phone (include dry, state. & rip) b. Job Thl./Profembv d. Command Reallor NEC S[ i Karyl Jones 1202 E Fmnklin St Monroe, NC 28112 c. Employer's NameSpedac Field Heart and Home Realty e Election Sum S 841.83 C Prior a. Account Cade h. Form of Payment I. Io -Kind Denalprbo I. Dale (mm/dd/yyyy) 11L Amount MCC23 fn -Kind T -Shirts 09/06/23 S 200.30 MCC23 In -Kind Shirts &signs 09/1523 S 749.50 S . Contributor Information Add Remocc s. Full game. Alallivg Address & Phare (tndud, city, dale. & rip) b. Job Title/Pmfmkn d. Comments c. Employer's NameSpedDc Field e. Election Sum to Dale S f. Prior g. Account Code h. Form of Povmem i. In Mcad Dcscription '. Dam (mmlddlvy ) k_Amount S s $ 4. Total only this Page $ 1591.33 5. Total of ALL CRO -1210 Pages $ 1591.33 (Th& line must he online 6 oJDemiled Summary Page CRO -1100) CRO -1210 NC Stam Hoard ol'Elcctians April 2007 -EIVED 2 3 2023 ioard of EleC fors dt Aggregated Non -Media Expenditures Page - or t o Yetis [D No Optional form used to report NC Non -Media Expenditures of $50 or less. 11. Committee Full Name (and Fund It applicable) 9L ED Number C+Szens for Mike Jones 3. Payee Information Ammd b. Aa *=1 Code c. Form of Paned d. Ptrpme Code e. Dak (mm/dWyM) L Anoint e. Yegdred Amarlo Q Add ❑ Remove MCC23 bank transfer O 07/25/23 $ .78 _ service charge Add 13 Remove MCC23 bank transfer O 07/29/23 $ 1.9q service charge Add ❑ Remove MCC23 paypal O 08/11/23 $12.81 logo design Add Q Remove MCC23 paypal O 08/14/23 $ 7.78 logo design Add MCC23 bank transfer O 08/18/23 $ 1.94 service charge V[3R=ow emove MCC23 bank transfer O 08/31/23 $6.50 paper statement fees Add ❑ Remove MCC23 bank tranfer O 9/10/23 $ 1.21 service charge Add ❑ Remove MCC23 bank tranfer O 9/10/23 $ 1.21 service charge LJ Add Q Remove MCC23 bank tranfer O 9/10/23 $ 1.21 service charge Add Remove ❑ MCC23 bank tranfer O 9/10/23 $ 1.21El service charge Add Q Remove MCC23 bank tranfer O 9/10/23 $ 1.21 service charge Add ❑ Remove MCC23 bank tranfer O 9/10/23 $ 1.21 service charge Add $ ❑ Remove Add $ Q Remove $ $ rRmove $ 13 Add $ Q Remove Add10 $ Remove 4. Total only this Page $39.01 5. Total of ALL CRO -1315 Pages $39.01 (This fine mmar be on fine 14 of Defailed Sumotary Page CRO -1100 6. Furpose Codes (List detailed 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* - Donations to Legal Expense Fund O* - Other * Codes require detailed exDlanatlon in reauired remarks field (j _ $ NC State Board of Electioma December 2009 In -Kind Contributions Pg I or i Am.+dmest Yes No x Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund. Use CRO -1215 if In -Kind Contributions were or will be refunded within 7 days. 1. Committee Full Name (and Fund if applicable( 12. ID Number I. Contributor Information t. Full Nome. Mailing Address & I (Include city, stale. & cip) Karyl Jones 1202 E Franklin St Monroe, NC 28112 Door hangers and flyers T -Shins T -Shpts S. Contributor Information t. Fu11 Name. Milling Address & I (include cin. state. & rip) Karyl Jones 1202 E Franklin St Monroe, NC 28112 yard signs Contributor Information Full Name. Malang Add. & Ph., linelude city, Shue. & AP) Add Remove b. T,vpe of Coo Wbmor Individual Candidate Pane PAC Referendum Other Recept Source Add Remove b. Type of contributor lielMdoill Candidate Pony PAC Referendum Other Receipt Source Individual Candidate Part PAC Referendum Other Receipt Source r ommm�t. Election Sum to Date $ 841.83 Vyyyr) g. Fair Maras i/23 $ 326.41 923 $ 271.70 123 $ 43.42 Id. Election Sum to Date S 1591.33 09/1523 S 200.30 S 749.50 S d. Ekubn Som to No, $ S S S 4. Total only this Page 1591.33 S. Total of ALL CRO -1510 Pages S 1591.33 (This If., 1truw be an line 17 MDefalled.Sumnan Pger f RO-1100) CRO -1510 NC Stat. Board of Eleenons Doccmbcr 2007 EIVED 2 u 2.023 o?rJ Cf E'e:: r,,