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Jones,Michael_2023-Pre-electionHLUEIVEDAmendment Disclosure Report Cover I ❑ Yes ® No Use this form for general report and committee information, @&Tb§ *Mod submitted along with other detailed fors. Do not use this for to update information L Committee Information Union Co. Board of Elections a. Full Name c ID Number Citizens for Mike Jones b. Mailing Address (include Caty, State and Zip Cade) d. Date Filed 1202 E Franklin St Monroe, NC 28112 e. Phone Number 2. Report Year 3. Period Start Date (mm/ddtyy) 4. Period End Date mm/dd 5. Treasurer Full Name 2023 9/27,-, 10/30,23 Salem Botdware :6 Type of Committee Check One 9. Type of Report (check on1 one tvmpeof report om one m o ® Candidate Campaign ❑ Party Municipal State/county Referendum ❑ PAC ❑ Referendum ❑ Orgardrational ® Organisational ❑ Otgani>ational Independent ❑ Joint Fundraiser ❑ Expenditure ❑ Thirty-five day Quarterly ❑ Pre -referendum Legal Expense Fund ❑ ❑ Pre-primary Pre-election ❑ First ❑ Second ❑ Final ❑ Supplemental Final 7. Type of Fund (i( applicable, check ore) ❑ "BuaSlef hind" ❑ Building Fund ❑ Pre-ruewff ❑ Third ❑ Annual Semi-annual ❑ Fourth ❑ Special ❑ Mid Year Semi-annual ❑ Other- ❑ Year End ❑ Mid Year 10. Special Report Name ❑ ❑ Final special ❑ Year End ❑ Final ❑ Special 8 Number of Fundraisers this Report 11. Account Information 11. Account Information a. Financial Institution Full Name a. Financial Institution Full Name First Citizens Bank b. Purpose c. Account Cade b. Purpose c. Account Code Campaign Funds MCC23 d. Period Begin Balance d. Period Begin Balance $ $ CERTIFICATION I certify that the Committee or Fund is in compliance with all applicable provision of Article 22A, 22B, & 22D -22M of Chapter 163 of 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 1 have been trained by the NC tate Board o lection. /Z Salem Boulware q g / u 4 Printed Name of Signer gnatum of inted'freasurer Date FOR OFFICE USE ONLY Date Received: �� Employee: n Delivery Method ❑ Normal Mail Date Postmarked: Date Scanned: Employee: Employee: Registered Mail Hand Delivered Electronically Filed ❑ Signer has not received Date Data Entered: 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. You must amend the Statement of Organization CRO -2100A -E to make committee changes. CRO -1000 NC State Board of Elections August 2008 Detailed Summary htutivtu Use this form to summarize all disclosure renortinp forms and to totOC arm n" 4+NCrAnation. Amendment 11 Yes ® Vn ' Committee Full Name and Fund ifapplicable) 2. R o 3. ID Number Citizens for Mike Jones pre- I u' Start of Election Cycle: January 1, 2019 Y �' Total riod Reporting Period Total this Elecfioo Cvcic 4) Cash on Hand at Start $ 241.58 $ $ 0 280.59 12EC 5) Aggregated Contributions from Individuals (CRO -1205) 6) Contributions from Individuals (CRO -1210) 7) Contributions from Political Party Committees (CRO -1220) 8) Contributions from Other Political Committees (CRO -1230) 9) Loan Proceeds (CR&1410) 10) Refunds/Reimbursements To the Committee (CRO -1240) 11) Other Receipt Sources Ila) Interest on Bank Accounts (CRO -1250) llb) Contributions from Not -for -Profit Organizations (CR&1250) Ile) Outside Sources of Income (CR&1250) 1ld) Legal Expense Fund — Other Sources (CRO -1270) 11 e) Exempt Purchase Price Sales (CRO -1265) 12) TOTAL RECEIPTS (Add lines 5, 6.7. 8, 9. 10, La, 11b, Ile. Ildand Ile) $ $ $ 1591.33 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 1871.92 EXPENDi ES' 13) Disbursements 13a) Operating Expenditures 13b) Contributions to Candidates/Political Committees 13c) Coordinated Party Expenditures 14) Aggregated Non -Media Expenditures 15) Loan Repayments 16) Refunds/Reimbursements From the Committee 17) In -Kind Contributions (CR&1310) (CRO -1310) (CRO4310) (CR&1315) (CRO -1420) (CR&1320) (CR&1510) $ 253.17 $ 253.17 $ $ $ $ $ 57.30 $ 96.31 $ $ $ $ $ $ 1591.33 18) TOTAL EXPENDITURES (Add lines 130.13b, 13c. 14. 15, 16 and 17) $ 310.47 $ 1940.81 19) (ash on Hand at End iaddlines 4and 12 together, then subtract line 18) AMODOMWINFORMM 20) Non -Montan Gilts Gi%en to Other Committees (CR&1330) 21) Outstanding Loans (incl. ones from other campaigns) (CR&1430) 22) Debts and Obligations owed By the Committee (CRO -1610) 23) Debts and Obligations owed To the Committee (CR&1620) 24) Account Transfers Within the Committee (CRO -1720) 25) Administrative Support (CRO -1710) 26) Forgiven Loans (CR&1440) 27) 48 -Hour Notice Reports Sum (CRO -2220) 28) Contributions to be Refunded (CR&1215) $ $ -68.89 $ -68.89 $ $ $ $ $ $ $ $ $ $ $ $ CRO -1100 NC State Board of Elections Auger 2008 RECEIVED OCT 3 0 2023 1 Aggregated Non -Media Expenditures Union Co. Boaa d of �lections age or Ontional form used to reoort NC Non -Media Expenditures of $5� or ess. Amendment [3 Yes E] No 1. Committee FuH Nwae (and Funda e tunber Citizens for Mike Jones 3. Payee Information a. Amend b. Account Cade c. Form of Payment d. Purpose Code e. Date (mmlddlyyyy) L Amount g. Required Reawarks Ll MCC23 bank transfer o 9/26/23 $ 20 petition donation ❑ Remove Re Add ❑ Remove MCC23 bank transfer o 9/26/23 $ 30.80 deal dash Add ❑ Remove MCC 23bank transfer o 9/29/23 $ 6.50 paper statement fee Add $ Q Remove Ll Add $ ❑ Remove Add $ ❑ Remove Add $ $ $$ [Remve $ $ eme Add $ ❑ Remove LF—Add $ 13 Remove Add $ QRemove Add $ QRemove Add $ 13 Remove Add $ ❑ Remove Add $ 0 Remove Add$ 13 Rem 4. Total only this Page $57.30 5. Total of ALL CRO -1315 Pages $57.30 (This line must he on tine 14 0 *Detailed Summa Pa a CRD -1700 6. Purpose Codes (List detailed expenditure code in (d) above) 13* - Printing C* - Fundraising D - To Another Candidate E - Salaries F* - Equipment G - Political Party a* - Holding Public Office Expenses I - Postage J - Penalties K* - Office Expenses Q* - Donations to Legal Expense Fund O* - Other * Codes require detailed explanation in required remarks field CRO -13l $ VC State Roard o! Elections December 2009 Disbursements OCT Pg l of I Amendment 3 0 2023 ❑ Yes ® No Use this form to report expenditures from the cotice for, operating expenses, contributions to candidate/political rnmmiurrc and rnnniinatrd nano cerendihlres ""00 Co Board of � , '"... -_.._..----- - 1. Committee FLIT Name and Fund ifapplicable) 2. ID Number Citizens For Mike Jones 3. T e of Disbursement ase use separate CRO -1310 forms or each e of Disbursement OpnITg Expenses Contributions to Candidalcv?olrucal Corrunwices Coordinated Party Expendittucs 4. Payee Information Add Rcmovc a. Full Name, Mailing Address & Phone (include city, state, & zip) It. Coordinated Committee Name it. Comments Vista Print 275 Wyman St Waltham, MA 02451 c. Level Registered (Specify) 0 Federal 11 Conroy: ❑ State ❑ Municipality: e. Electiso Sum to Date $ 253.17 f. Account Code g. Form of Payment Is. Purpose Code i. Date (mm/ddlyyyy) j. Amount k Required Remarks MCC23 Card O 10/3/23 $159.41 Yard signs MCC23 Card o 9/26/23 $93.76 Brochures 4. Payee Information Add Lj Remove a. Full Name, Mailing Address & Phone (include city, nate, & zip) b. Coordinated Committee Name it. Comments c. Level Registered (Specify) Federal El courtly: ❑ State Municipality: e. Election Sum to Date L Account Code g. Form or Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k Required Remarks $ $ 4. Payee Information I I Acid Lj Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments c. Level Registered (Specify) Federal County: State Municipality: e. Election Sum to Date $ f. Account Code & Form of Payment Is. Purpose Code i. Date (mmlddlyyyy) j. Amount it. Required Remarks $ 5. Total only this Pae $ 25' , 17 6. Total of ALL CRO -1310 Pages (This hlte goes in line l3a of Detailed Summary Page CRO -1 100 if Operating Erpensei) (I his line goes in line 136 of Delailed Summary Rage CRO -1)00 if Contrib to CandidatexftUtical Comrrrl (I his line gory in line 13e of Detailed Summon' Page CRO -1100 if Coordinated Porte Expenditures) $ 253.17 7. Pu ose Codes(List detailed expenditure code in h. above A* - Media B* - Printing C* - Fundraising D - To Another Candidate E - Salaries F* - Equipment G - Political Pam H* - Holding Public Office Expenses 1 - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* - Other * Codes require detailed explanation in srequired remarks field CRO -131 D NC State Board of Elections December zoov