Klaus,Heather_2023-Year-endDisclosure Report Cover Atae rrt Na
Use this form for general report and committee information, must be signed and submitted along with other detailed fortes.
Do not use this form to update inim umnon.
1. Committee Information
a. Full \uma
c. ID Number
kct (LU S
V1SAlly`1D
b. Mailing. Address (include City, State and Dia Code)
d. Date Flied
71 a 3 124
3(ooe e"&P-'e rj l.arte.
1 ridIan Tra l v lv c 0 60—+01
e. Phone Number
oLcl-(c 19
2. Re ort Year
3. Period Start Date famittidlyp
14. Period End Date'(mm/d7
5. Treasurer Full Name
6. ` r-._ ttee (Check k_ One)
9. Type of Report
(c!¢eck
only one type of reportfrom
one edte' ary)
❑ CandidateCampaign ❑ Part}
Municipal
State/County
Referendum
❑ PAC ❑ Referendum
❑ Organizational
❑ Organizational
❑ Organizational
❑ Independent Expenditure ❑ Joint Fundraiser
❑ Thirty-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑ Pre-primary
❑ First
❑ Final
❑ Pre-election
❑ Pre -runoff
Second
❑ Third
❑ Supplemental Final
❑ Annual
7wType of Fund '"`°ft`f applicable: check one)
❑ lion.tcr Fund
Semi-annual
❑ Fourth
❑ Special
❑ Building Fund
❑ Mid Year
Semi-annual
[2-' Year End
❑ Mid Year
10. Special Report Name
❑ Othec
❑ Final
❑ special
❑ Year End
❑ Final
8. Number of Fundraisers this Report
_
❑ Special
11. Account Information
11. Account ' orntation
a. Financial institution Full Name
a. Financial Institution Full Name
rI_Hl Thir-d 6�t„k
b. Purpose
c. Account Code
— -
b. PurIUIN
t;tP`i _'N FM 1'
c. Acteotmt Code
CarTvaAZCO W
OO a
JUL 2 3 20211
d. Period Begin Balance
it. Period Begin Balance
$ 140.14
$
T(osed)
I
WFrFiVED
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 funds. I further certify that this
report is complete, true and correct and that I have been trained
NC State Board of Elections.
byby��the
Q IPcx4er k-LuS
-7.93
Printed Name of Signer Signature of Appointed Treasurer Date
FOR OFFICE USE ONLY
Date Received: Employee:
Delivery Method
❑ Normal Mail
*P
Date Postmarked: Employee:
Registered Mail
Hand Delivered
Date Scanned: Employee:
❑ Electronically Filed
Date Data Entered: Employee:
[3 Signer has not receivedmandatory 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',
Amendment
Detailed Summary ❑Yes ❑ No
Use this form to summarize all disclosure reoortina forms and to total monetary information
1. Committee Full Name (and Fund if applicable)
12. Type of Report
3. ID Number
Start of Election Cycle: January 1,
Total this
Reporting Period
Total this
Election Cycle
4) Cash on Hand at Start
$ 'z/0.
$
RECEIPTS
5) Aggregated Contributions from Individuals (CRO -1205) $ $
6) Contributions from Individuals (CRO -1210) $ $
7) Contributions from Political Party Committees (CRO -1 I COUNTY
$
8) Contributions from Other Political Committees wjwchm T
$
9) Loan Proceeds (CRO -141 �$ 2 320
$
10) Refunds/Reimbursements to the Committee (CRO -1140
11) Other Receipt Sources
$
Ila) Interest on Bank Accounts (CR&1250) $
$
llb) Contributions from Not -For -Profit Organizations (CRO -1250) $
$
l lc) Outside Sources of Income (CRO -1250) $
$
lld) Legal Expense Fund - Other Sources (CRO -1270) $
Ile) Exempt Purchase Price Sales (CRO -126S) $
$
$
12) TOTAL RECEIPTS (Add lines 5. 6. 7, 3, 9,10,1 la.l Ib.I Ic.l Id and I le) $ C
5
EXPENDITURES
13) Disbursements
13a) Operating Expenditures (CRO -1310) $ x+71 $
13b) Contributions to Candidates/Political Committees (CRO -1310) $ $
13c) Coordinated Party Expenditures (CRO -1310)
$
$
14) Aggregated Non -Media Expenditures (CRO -1315)
$
$
15) Loan Repayments (CRO -1420)
$
$
16) Refunds/Reimbursements from the Committee (CRO -1320)
$
$
17) In -Kind Contributions (CRO -1510)
$
$
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)
$
1 $
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18
$ Ay&mro AA
ADDITIONAL INFORMATION
20) Non -Monetary Gifts Given to Other Committees (CRO -1390) $
21) Outstanding Loans (incl, ones from other campaigns) (CRO -1430) $
22 i Debts and Obligations owed by the Committee (CRO -1610)
$
23) Debts and Obligations owed to the Committee (CRO -1620)
$
e
24) Account Transfers Within the Committee (CR04720)
$
5) Administrative Support (CRO -1710)
$
$
6) Forgiven Loans (CRO -1440)
$
$
7) 48 -Hour Notice Reports Sum (CRO -2220)
$
$
Contributions to be Refunded (CRO -1215)
$
$
CKU-11 UU NC State Board of Elections August 2008
Disbursements Pg _ of Amendment
_ ❑ Yes ❑ No
Use this form to report expenditures from the committee for operating expenses, contributions to candidate/poGtical
committees and coordinated partv expenditures
1. Committee Full Name (and Fund if applicable)
3. Type of Disbursement ' (Please use se orate CRO -1310 forris for each type of IMbursem
❑ Oprruina k_,fefuec ❑ Contrii utionn to C:nWid.ac" P, 1, Comfill Lice, ❑ Coordinated ParyExpenditures
4. Payee Information ❑Add ❑Remove
n. Full Name, Mailing Address & Phone
(include city. state,&zipp))
b. Coordinated Committee Name
d. Comments
(/',,,, q
�"" v ` PCL j-1 h
acct! t n
-To Ci d —)ar- 60 Y
�1 /� n
�Q 1 r' sl ✓IQ Or ILe
Q 1 Q
MLW) roe , N % I 0
c. Level Registered 5
al (Specify)
Federal County:
❑ State ❑ Municipality:
e. Election Som to Doh
s
. Account Code
g. Form of Paymenth
Purpose Code
i. Date (mmiddlyyyy)
. Amount
k Required Remarks
C'o�
Cush
////3 3
sc<lr22,>?
r,h
J. Payee Information Add ❑Remove
it. Ftill Name, Mailing Address & Phone
(include city, state, & zip)
7—u r') %C.
/SOXf� li,nr�f, N(l1/
b. Coordinated Committee Name
d. Comments
er'-.77s
D81o,cY a h
I '
eLevel Registered (Specify)
yTFdcral County :
❑ State ❑ Municipality:
e. Election Sam to Date
$ J11U.10
f. Account Code
g. Form of Payment
It. Purpose Code
i. Date (mmlddlyyyy)
j. Amount
k. Required Remarks
4. Payee Information ❑ Add Remove
it. pull Name, Mailing Address & Phone
(imdude city, sate;'�"7)tlp�L,-, 1,- -
,UL 2 3 20Z�:
G
b. Coordinated Conmtiltee Name
d. Comments
c. Level Registered (Specify)
❑ Federal ❑ County:
❑ State ❑ Municipality:
e.Election Sumto Date
$
. Account Code
g. Form of Payment
h. Purpose Code
It. Date (mm/dd/yyyy)
1j. Amount
k. Required Remarks
5. Total only this Page
6. Total of ALL CRO-1310.Pag,
(This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) $
(This line goes in line 13b of Delailed .Summary Page CRO -1100 if Contrib to Candidates/Political Comm)
(This line goes in line Lie of Derailed Sunmmry Papp CRO -I 100 i%Ca)rdmaled Parti' P.,,pendirnres
7. Purpose Codes (List detailed expenditure code in (h.) above)
A* - Media B* - Printing C* - Fundraising D - I u Another Candidate
E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses
1 - Postage j - Penalties K* - Oftiee Expenses Q* - Donation to Legal Expense Fund
O* Other
F Codes re (tire detailed explanation in re aired remarks field W
CRO -1310 NC State Board of Elections December 2009
arO6 r