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King,Michele_2023-Year-endndi Disclosure Report Cover Am Yea °` Use this form for general report and committee information, must be signed and submitted along wth o ither detailele®o s. Do not use this form to update information. 1. Committee Information Fu8 Name c, m Nt®ber b. Mdit Aadta s game CRY, Stab and Zip Code) d. twe Feed ��� (G Jrtt�ftlUiv 6 01- 1$ - 2ta,— Phaas N®her LY"43. PWW Shit Duh moat 0. Pernod Fad Date S. Name ;fib, c'� ct ��.�� (-3►_.�.0 a3ao�1�, ,i ��, . IL CoummU Check One) . of (check pal owe o n ort m one care o ) rof Candidate Campaia gn Party � st■tereounty admmdom ❑ PAC ❑ Referendum ❑ Independent Expenditure ❑ Joint Ptmdraisa ❑ Used Expense Fund -❑ Qganiiationel _ —0 Quarterly ❑ First 0 Saved 0 Third Fourth Semi-annual [3 Mid Year ❑ Year End ❑ Finat 0 Special Q Otgamm oral - — 1Lirty-five day ❑ Pr Jximwy ❑ Pre<Iection Pro-mnoff Semi-annual Mid Year M Year End ©.firma] Special Organizational ❑ Pre -referendum [] Final ❑ Supplemental Final ❑ Annual Special • Of Ftud /iloPPlicable, check one) Sonata Pund ❑ Building Pond^/ ❑ Other: 10. SpaW Relport Name Number of Fundraisers this Report 11. Account Information 11. Account Wormatbn Financial Institution, Finn NemsFinan- ImtlpQlm o �T10 97 44 9rr� b. Purpose c. Account Code c. --t c-& c" r J Union Co. Electio -- Begin Balance d. Period National $ I k. V"a�P.s�t t $ CER CATION 1 certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B t$ 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 y�the NC State Board of Elections. and correct and that I have been trained b`A atuf -1- ( � 6/-(.3- r)9'9- �. Printed Name of Signer signature of A ' t Date OR OFFICE USE ONLY Date Received: 1 2 ��� Employee: (lA 1iL1� Delivery Method ❑ Normal Mail Date Postmarked: Employee: Registered Mail Hand Delivered Date Scanned: Employee: ❑ Electronically Piled Signer has not received Date Data Entered: Employee: mandatory mandato traimn 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 Moctiona August 2008 Ame.Mmerd Detailed Summary El Yea ro _ Use this form to summarize all disclosure reoortine forays and to total monetary information 1. Committee Full Name (and Fund if applicable) 2. Type of J Report &t' 3. ID Number �1�u1u v�u U CdAjda I CTM 24-(-- Start of Election Cycle: January 1, fi Total this Reportim Period Tocol this Election Qycle 4) Cash on Hand at Start I $ q 1 $ RECEII'TS 5) Aggregated Contributions from Individuals (CRO -1205) 6) Contributbroham Individuals (CRO -Z210) 7) Contributions from Political Party Committees (CRO -U2!) 8) Contributions from Other Political Committees (CRO.1230) 9) Loan Proceeds (CRO 1110) 0) Refunds/Reimbursemenb to the Committee (CRM -12 0) 1) Other Receipt Sources Ila) Interest on Bank Accounts (CIO -1250) lib) Contributions from Not -For -Profit Organixadoos (CRP1250) ilc) Oafside Sources of Income (CRO -1250) ltd) IAA Expense Fund - Other Sources (C20.1270) Ile) Exempt Purchase Price Sales (CRO.1265) $ $ $ $ $ JAN $ $ L..f13 $ $ $ $ $ $ $ $ $ $ 2) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,lla l lb,i lc,l ld and Ile) $0.00 $ C C,) CJ XPENDITURES 13) Disbursements 13a) Operating Expenditures (CR41310) 13b) Contributions to Candidates/Political Committees (CRO -1310) 13c) Coordinated Party Expenditures (CRO.1310) 4) Aggregated Non -Media Expenditures (CRO -1313) 5) Loan Repayments X204430) 6) Refunds/Reimbursements from the Committee (010.1320) 7) In -Kind Contributions (C204510) $ $ $ $ $ $ $ $ $ $ $ I $ S $ 8) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, l4, 15,16 and 17) $ 096 l $ I Z(p 9) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18 $ 9:80 $ DITIONAL INFORMATION 0) Non -Monetary Gifts Given to Other Committers 1) Outstanding Loans (incl ones from other campaigns) 2) Debts and Obligations owed by the Committee 3) Debts and Obligations owed to the Committee Account Transfers Within the Committee 5) Administrative Support 6) Forgiven Loans 48 -Hour Notice Reports Sum (CRO.1330) (CRO -1430) (CN&1610) (CAM -16") (CRO -t720) (CM1710) (CRO tMa) (CRO -2220) $ $ $ $ $ $ $ $ $ $ $ Contributions to be Refunded (CRO -1215) $ $ CRO -1100 NC State Board of Elections August 2008 ReStOt.FOFi1l Refunds/Reimbursements From the Committee Pg 1 of i A❑meYdment M< Use this form to report refundsheimbucsen)ents. including contributions returned to the contributor. Lt,goinnW&Full Name (and Fund if applicable) Q' L( i i 2. ED Number_ I Ljol 24c- 3. Payee Information [r]'Ad ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & rip) J e h in E / �s, p , B 6 Z E . ��� YYY(1 U' ^^ 6 rb� yet 1 C IV V oto l d.Type of Committee 0-17"didate ❑ PAC ❑ Referendum C:3b Pan) h. Original Receipt Date h S `JA -,j -ao)L D, e. e. Level Registered ❑ Federal ❑ County: ❑ state ER -municipality: (.Original Receipt Amount I ' (P/ 3x7 $ 10 I f. Purpose Code I. Election Stmt to Date $ b. Job 15tie/Profession c. Employer's NLame/Specific Feld g. Comments L AciamInt Code . Form of PayineW Im. Required Remarks in. Date (mitildlyyyy) - p2 - 3 1 202 In. Amount $ 14 UP 3. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, &zip) ��aC1 11r�D JAN 19 2024 Union Co. Elections d. Type of Committee ❑ Candidate ❑ PA( ❑ Referendum ❑ Pam h. Original Receipt Date e. Level Registered L original Receipt Amount $ Federal 13County: ❑ state ❑ Municipality: f. Purpose Code J. Election Sum to Date $ b -lob TitletProfession e. Employer's NamelSpecific Feld g. Comments It. Account Code . Form of Payment Im. Required Remarks a. Date (mm/ddlyyyy) In. Amount 3. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) it. Type of Committee [3 -Candidate ❑ I'AC ❑ Referendum ❑ Pany h. Original Receipt Dade e. Level Registered Federal ❑ County: ❑ state ❑ Municipality: 1. Original Receipt Amount $ L Purpose Code '. Election Sum to Date . Job ntleMrofesido t c. Employer's Name/Specific Feld g. Comments k Account Code . Form of Payment in. Required Remarks n. Date (mmlddlyyyy) o. Amount 4:°Total only this Page 1 $ 14. Z 5. Total of ALL CRO -1320 Pages its line must be on line 16 vf Detailed Summar • Page CRO -1100) $ 14 • �� 6. Purpose Codes (List detailed disbursement code in (t) above) L - Returned to Contributor M - Overpacn)ent (or Sen ice N - Exceeded Contribution Limit 1"" - Reimbursement of ❑t -Kind OY Other m Codes recruire detailed es lavation in re uired remarks field m CRO -1310 NC state Board of Elections December 2U07