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Klaus,Heather_2023-35-Day-amendedAmen nt Disclosure Report Cover Yea ❑ No Use this form for genual report and committee information, must be signed and submitted along with other detailed forms. D" 1, 1 ;,,, !'; 7, nn k, 11,1itc ul„rmation. 1. Committee Information -.Full \ume c. ID Number becf t "j MSM Y q D h. Mnilbig Address (include City, State amt Zip Code) _ d. Date Ftkd 3(Po8 (3wJc1,Aad l-ar L to 130 1 a3 e. Ptmae Number -- -7p lv\&an 9/"A1i, ne kYo-M -,aoo-W93 2. _Report Year 3. Period Start Date (mmiddtyy) 4. Period End Date (mm/dd/yy) 5. TreasarerFull Name �leci L• K�Czc(J U 3 S/03 /4?3 4? 49 a3 • Type of Committee (Check One) 9. Type of Repots (cWeck only one type of repos from one category) Municipal Stale/Counh Referendum (' andidate Campaign ❑ Pum ❑ PAC ❑ Referendum ❑ Organizational ❑ Organizational ❑ Organizational ❑ Independent Expenditure ❑ Joint Fundraiser [ijoIbirty-five day Quarterly ❑ Pre -referendum ❑ Iced Fund ❑ Pre-primary ❑ Fust ❑ Final ❑ Pre-election ❑ Pre-mnoff ❑ Second ❑ Third ❑ Supplemental Final (3 Ann" . Type of Fund (if applicable, check one) ❑ ': Semi-annual ❑ Fourth ❑ Special ❑ F.0 l:im h.: r,d ❑ Mid Year Semi-annual ❑ Year End ❑ Mid Year 10. Special Report Name ❑ Uihcr ❑ Final ❑ Special ❑ Yew End ❑ Final . Number of Fundraisers this Report ❑ .Special 11. Account Information 11. Account Information . Financial Institution Full Name a. Financial Institution Full Narne Fprh Th)rGf &AOL ./Purpose c. Account Code b.E c. Amain Code C.L1YYtlJiA-l8'Yt (.ICG OCT 3 0 2023 it. Period Begin Balance it. Period Begin Balance $ o D $ 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 non -disclosed foods. I ftirther certify that this report is complete, true and correct and that I have been trained by the NCStateBoard of Elections. 4awle r l. )K 010 f �; CC[ D ht 47.3 Printed Name of Signer Si nature of Appointed Treasurer Date OR OFFICE USE ONLY Delivery Method Date Received: IR3 Employee: ❑ Normal Mail Date Postmarked: Employee: Registered Mail Hand Delivered /�, Date Scanned: JU 1 a Employee: Electronically Filed / ( Date Data Entered: Employee: [3 Signer has not received mandato 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 Flections August 2008 Amendment Detailed Summary ❑ res _❑ No Use this Form to summarize all disclosure reoortine forms and to total monetary information L Committee Fufl Nam and Fond' apace_ e_ - — K6f I 2. Type of Report _ _ 3Sd ort Number _ID hum 9 D Start of Election Cycle: January 1, Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start $ $ RECEIPTS 5) Aggregated Contributions from Individuals (CRO -1205) $ $ 6) Contributions from Individuals (CRO -1210) $ /0:3 7) Contributions from Political Party Committees (CRO -1220) $ $ 8) Contributions from Other Political Committees 9) Loan Proceeds 0) Refunds/Reimbursements to the Committee 1) Other Receipt Sources Ila) Interest on Bank Accounts llb) Contributions from Not -For -Profit Organizations Ile) Outside Sources of Income 11d) Legal Expense Fund - Other Sources Ile) Exempt Purchase Price Sales (CRO -1230) (CRO -1410) (CRO -1240) (CRO -1250) (CRO -1250) (CRO -1250) (CRO -1270) (CRO -1265) $ $ $ $ $ �Q(P, rJB $ $ $ $ $ $ $ $ $ $ $ 12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, t0, 11 a, 11 b.1 Ic, l Id and I Ie $'d 8B $ XPENDITURES 3) Disbursements 13a) Operating Expenditures (CRO -1310) 13b) Contributions to Candidates/POIIticall Committees (CRO -1310) 13c) Coordinated Party Expenditures (CRO -1310) 14) Aggregated Non -Media Expenditures (CRO -1315) 1s) Loan Repayments -- - -- (CRO -1420) 16) Refunds/Reimbursements from the Committee (CRO -1320) 7) In -Kind Contributions (CRO -1510) $ . 4r- $ $ $ $ $ $ $ $ $ $ $ $ $ 8) 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 $ �D, q3 $ DITIONAL INFORMATION 0) Non -Monetary Gifts Given to Other Committees (CRO -1330) 1) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) 22) Debts and Obligations owed by the Committee (CRO -1610) Debts and Obligations owed to th FINANC�Ro•1620) 24) Account Transfers Within the Committee(CR&1720) $ $ $ $ $ 25) Administrative Support (CRO -1710) $ $ 6) Forgiven Loans I ).1440) $ $ 7) 48 -Hour Notice Reports Sum (CRO -2220) $ $ 8) Contributions to be Refunded (CRO -1215) $ $ CRO-II00 NC Slue Board of Elections August 2008 Amendment Contributions from Individuals Pg _ of _ ❑ Yes ❑ No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Conunittee Full Name and Fund if applicable "•• 2. ID Number � Iec t Llcuaj 3. Contributor Information_ Ll Add •i❑ Remove n. Dull Name. )tailing Address & Phone i include city, state, & zip) h. Job Title/Profession d. Cnnunents 3(vog b-1 ad ueltl-Ucir� �t"AIat) (:�U; / &(C a80 c. Employer's Neme/SpeclPie Field Y i m I _ `'I (J 9._. Df�'.fi-�c.�� a Election Sum to Dale $ '3!.110 . Prior g. Acer mt Code h. Form of Payment 1. In -Kind Description J. Date (mtn/dd/yyyy) IL Amount ° coo a crtish /a3 a 3 $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) T/�I � _- � un �,{'I�%"f (J c. 31q M eda rl' Or. harlo-e, Ca8a11-coo43 b. Job Title/Profession d. Comments Ckvn.ar Employer's Name/SpeciDc Field Ca�l`� tatL e. Election Sum to Date 00 $ ovv f. Prior g. Account Code h. Form of Paymeut 1. In -Kind Description J. Date (mmldd/yyyy) IL Amount ❑ 3 $ IDOp ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone (include city, state, & zip) UNION COUNT' -;pp,1PAIGN FINANC b. Job Title/Profession d. Comments c. Employer's Name/Specific Field e. Election Scum to Date $ . Prior g. Account Code h. Form of Paymev 111494riplion J. Date (mm/ddtyyyy) k Amount ❑ $ ❑KMEHPP $ ❑ $ 4. Total only this Page $ /p3 , cc 5. Total of ALL CRO -1210 Pages (This line must be online 6 of DelaAed Summar Page CRO -1100) $ 0c /03 1- CRO -1210 NC State Board of Elections April 2007 A endmenl J Refunds/Reimbursements To the Committee Pg _ of _Yes 13No Use this form to report refunds received by the committee or reimbursements for a previous expendi ire. 1. Committee Full Name (and Fund if applicable) 2. ID Number 71 j- /t1 `lD 3. Contributor Information ❑ Add '❑ Remove a. Full Name, \tailing Address & Phone (include city, state, &zip) d. Type of Committee tJ. Candid'ate y PAC ❑ Referendum ❑ Pany g. Comments ret�-hi,k^u {9An/12Y p (tr' 17 awde roo f /1/a&5cg Laht /te-/ (A/� - `901 -_f l /� �nC4�1C a -jq e. Level Registered (Specify) h. Original Expeaditure Dale ❑ Federal El County: 13Stale 13Municipality: LOrigiaal Expenditure Amt $ b. Job TItle/Protession 1c. Employer's Name/Specific Field f. Purpose j. Election Sam to Date - R-Ogwm D11CI- iT $ Account Code 1. Form of Payment L:hec% m. In -Kind Description in. Date (mm/ddlyyyy) lo.Ammmut cb c �la& a3 $ /go. ou 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, &p) } GD toYi h (UJyI d. Type of Committee ❑ Candidate 0_PAC ❑ Referendum 13 Party g. Comments ,,/ 1 {; A, �-n e. Level Registered (Specify) h. Original Expenditure Date Federal County: ❑ State ❑ Municipality: i. Original Expenditure Amt $ b .8S h. Job TDIelP.roffesdon Jr. Employer's NarnalSpeelfic Field if.Purpose J. Election Sam etogDate $ �, DU Prrnl aPht J 6otP-lri f ,f Ctv[�Cf k. Account Code I. Form of Payment m. In -Kind Description In. Date (nWddlyyyy) lo.Amount ooa a3 $ �S VC6fitilhiftor Information ❑Add 0 Remove . Full Name, Mailing Address & Thune (include city, state, & zip) UNION COUNTY CAMPAIGN FINANCE OC I O 2023 d. Type of Committee ❑ Candidate OPAC ❑ Referendum ❑ Panv g. Cununam, e. Levet Registered (Specify) h. Original Expenditure Date Federal CYC nunty: ❑ State ❑ Municipality: i. Original Expenditure Amt b. Job Tiaeftofession 1j. Election Sum to Dale $ k. Account Code I. Form of Payment m. In -Kind Description n. Date (mmlddlyyyy) o. Amount 4. Total only this Page S Af 5. Total of ALL CRO -1240 Pages (This line must be on line 10 of Detailed Summary Page CRO -1100) s CRO -1240 NC State Board of Elections December 2007 Disbursements {}'Iy,'�tj� A�prendment iN]/�t��l_ of Fy Yes ❑ No Use this form to report expenditures from the committee oWr operating exppenses, contributions to ca//nddidate/political committees and conrdinatrd nwrty ..-..a:...-e- . %4"rT rvv. AX, 1. o flee Name (and Fund v applicable) 2. ED Number Uft�+ UM�� 49 S p • Type o[ Disbursement (Please use seaarate CRO 1320 forms for each Nae of DisbursemerN ) O tin Ex ses Conuibudoas to Candide[eslPoti[icel Committees Coordinated Pan Ex adi[ures Payee Information Add L3 Remove a. ndude Full Name, Mailing Address & Phone b. Coordinated Committee Name d. Comments --II I city. state &zip) rG�C,I I ��// KOK 61 krpriy-a LCC, ; Level Regletered (Spectty) � fy vu Federal County: JJ nn ,h n ❑ state [3 Municipality: e. Election sura to Date I lccoual Code g. Form oiDom o C. $ 4 `i 3. �a - .:r Payment b. Purpose Code i. Date (mm/ddfyyyy) J.Amoum 1k. Required Remarks Gw;i 1 15 0� a9 3 $ X23. o0 o Llwg� de -b, 7 1 B og a3 $V. 4. Payee Information11Add Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments I ��a3 ) l n �e b//11 V at'd 6 •� ( Oy10 c. Level Registered (Specify) Federal County: ❑ State Q'1'vtunicipality: e. Election Sum to Date $ �00 r.:lccoumt Code It. Form of Paymenth. Purpose Code t Date (mm/ddlyyyy) J. Amount k. Required Bemarks ODa t/c dcb, 0 iD a3 $ fl as $ 4. Payee Information U Add Lj Remove . Full Name, Mailing Address & Phone ,include city, state, & zip) b. Coordinated Committee Name d. Comments TY kNCE �ea „/t , J CAMPAIGN FIN C � V 1 -6 I I OCT 3 0 2 • Uil� Qt�1 1 NC . RECEI c. Level Registered (Specity) Federal County: LJ State 4"unicipal(ty: e. Electlon Sum to Date ED $ I+'4.g . Account Code Ig.Form or Payment h. Purpose Code i. Di (mmldd/ YYYY) I -Amount 1k. Required Remarks L vial d�C 0 'f /o a3 $ S. Total only this Page $ 0 6. Total of ALL CRO.1310 Pages (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Detailed Summary Page CRO.1100 if Comrib to CaadidateslPolitfcol Comm) (This line goes in line 13e o Detailed Summary Fare CRO -1100 if Coordinated party Ex enditures L,(/ /^- $ -/ `r' t!D• 1/0 7.Purpose Codes (List detailed expenditure code in (h.) above) * - Media B* -Ming C* - Fundraising D - To Another Candidate Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses Postage j - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* Other * Codes require detailed explanation in required remarks field k cRn-it1/I _ _ rC ma¢ Board of Elections December 2009 Agendme i�S nt Disbursements Pg _ of Yea 13 No Use this form to report expenditures from the committee for operating expenses, contributions to ca daWpoliticai committees and coordinated narty exnenditures Cammitta Full —Name (— — f applicable) �1rc+ 11the �I�L(, D • _of Disbursement (Please Alae separate CRO -1310 forms for each type ToffDsbursement.) Operating Ex sea L3 Contributions to Candidates/Poli ical Committees t_t Coordinated Party Expendinues Payee Information 0 Add U Remove Full Name, Mailing Address & Phone iaelude city, b. Coordinated Committee Name d. Comments_ AY>1AILO n C ay.- Lit e ""-t-�' f. t�E3 �YsGI IGn pY�� �'G•`�-�C.� e. Level Registered(gPelly) Federal E3 Counry: ❑ State ©'fAunicipality: a Election Sum 't1orDate $ aa. Iry . Account Code g. Form or Payment 1b.Parposecode It. Date (mmlddlyyyy) . Amomt JIL Required Remarks 0OIQ v cLeht 0 (0 /1(" a3 $ .V3- ooa CUlk.11 0 4. Payee Information U Add U Remove . Fall Name, Mailing Address & Phone (include city, state, & rip) G/��-,� D t �Y t v1 1 - ti Ir -c 1 oY-, Cli ,AS b. Coordinated Committee Name d. Comments c. Level Registered (Speelty) Federal [3 County: ❑ State C2 MUnicipe(iry: L Election Sum to Date . Account Code 002 g. Form of Payment h. Purpose Code L Date (®ldd/yyyy) . Amount R Required Remarks d. 3 3 s 68.7& 0o a $ UNi N (.�, 4. Payee Information U Add U Remove . Full Name, Mailing Address & Phone (include city, state, & zip) - _ _ — CCCCJJJJ ���u YYI S CI �� t,( ��l b. Coordinated Committee Name d. n r r^C'`\ /, T T '��n VVVTTT11fII1000ttt111 CCC000... VVV C�„� Il9n 6d 91rdogpons c. Level Registered (specify) Federal County: ❑State �Muoicipaary: t a Ekctlon S� m Date $ (05- o I . Account Code g. Form of Payment 1h. Purpose Code L Date (mmiddlyyyy) J. Amount L Required Remarks cit O Wa f 3 s S. Total only this Page $ 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Detailed Summary Page CRO -1100 if Com#0 to Candidates/Political Comm) (This line goes, in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures) �J • Purpose Codes (List detailed expenditure code in (h.) above) * - Media B* - Printing C* - Fundraising D - To Another Candidate Salaries F* - Equipment G - Political Party He - Holding Public Office Expenses Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund * Other * Codes require detailed explanation in rewdred remarks field W CRO -1310 NC State Board of Elections December 2009 M Disbursements RIC%—endmemt ICY/ of Yp ❑ No Use this form to report expenditures from the committee forp�atina eses, contributions to candidate/political committees and coordinated narty croon tlr,,.uo i Illi �I H R • Committee Name (and Fund a _ cab e) - - - - ID umber • ,� d of Diabutsement (PJease use separate CRO -1 ? 1n iarntg for each type of Disbursement ) ratio Ez ses Contributions to Candidates/Politicel Committees Coordinated Pan Ex nditures Wormation Add Remove Name, Mailing Address & Phone b. Coordinated Committee Name d. Comments (include cl ,state, & d) Fr` n , o�(rf�t c. Level Registered (Specify)al Jnr l e� s 13Federal �County: iA,I �y r/AI R07t state _ Municipatity: a Election Sam to Date (11 1$ (0 01 . Accomt Code g. Form of Payment It. Purpose Code 1. Date (mmldd/yyyy) . Amount k Required Remarks Is I 4. Payee Information ❑ Add L3 Remove . Full Nacre, Mailing Address & Phone (Include city, state, & zip) b. Coordinated Committee Name d. Comments C. Level Registered (Specify) W� Lj Federal County: ❑ state ❑ Municipality: e. Election Sum to Date U. Amount JIL Required $ �o o A Remarks . Accouml Code g. Parm of Payment h. Purpose Code 1. Date (moVddlyyyy) 0 a (v 9 3 $4. .? $ Payee Information Add 17 Remove . Full Nance, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Nanta d. Comments LU'4 L t-• I���++t���...000LLL // ` i Q h Ta I I N(.. c. Level Registered (Specify) Federal County: ❑ State ❑ Municipality: e. Election Sum to Date J. Amount kRequired sZ' $.Account Remarks Code g. Form of Payment h. Purpaae Code f. Date (mmlddlyyyy) a >c Is So. $ 5. Total only this Page $ 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Detailed Summary Page CRO -1100 if Contrib to Candidates/Political Comm) (This line son in line 13c of Detailed Summary pope CRO -1100 if Coordinated Party Expenditures) $ 13Y. Oe 7.Purpose Codes (List detailed expenditure code in (h.) above) * - Media B* - Printing C* - Fundraising D - To Another Candidate 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 mire detailed explanation in r aired remarks field k CRO -1310 y C State Board of Elections December 2009 Pi