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Martin,Steve_2022-3rd-qtrAmendment Disclosure Report Cover ❑ Yea ® No 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. Full Name c. ID Number Committee to Elect Steve Martin It. Mailing Address (include City, State and Zip Code) d. Date Filed P.O. Box 1593 11/01/2022 Matthews, NC 28106 e. Phone Number 704-254-4789 2. Report Year 3. Period Start Date (mmidd yy) mm/dd 4. Period End Date 5. Treasurer Full Name 2022 07/01/2022 10/22/2022 Stephen D. Martin 6. Type of Committee (Check One) 9. Type of Report (check nnl • one ttlJoe of report oin one cateiii&Wn -. ® Candidate Campaign ❑ Partp Municipal State/County Referendum ❑ Organizational ❑ Organizational ❑ Organizational ❑ PAC ❑ Referendum 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 (ti'apfaliedhin, check one) ❑ "nnnucr I Lind ❑ Building Fund ❑ Pre-mnoff ® 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 tbis_Report lI 11. Account Information' 11. Account Information a. Financial Institution Full Name a. Financial Institution Full Name Wells Faro Bank, NA It. Purpose c. Account Code LINTY c. Account Code all campaign expenses A NOV 0 1 2022 _ d. Period Begin Balanced. Period Begin Balance $ 2,908.87 $ ECEiVED CERTIFICATION 1 certify that the Committee or Fund is in compliance with all applicable pr visions of Artic 22A, 22B, & 22D -22M of Chapter 163 of the NC General Statutes and that no funds are commingled with prohibite r e non -d' osed funds. I further certify that this report is complete, true and correct and that I have been trained by the NC St Stephen D. Martin 11/01/2022 Printed Name of Signer zeSt azure of Appointed Treasurer Date FOR OFFICE USE ONLY Date Received: 009 --Employee:❑ Delivery Method Normal Mail Date Postmarked: Employee: Registered Mail Hand Delivered Date Scanned: Employee: 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 Amendment Detailed Summary ❑ les ® No Use this form to summarize all disclosure reportinp forms and to total monetary information. 1. Committee Full Name (and Fund if applicable) 2. T pe of Report 3. ID Number Committee to Elect Steve Martin Organizational Start of Election Cycle: January 1, 2019 Total Pehis Reporting Period Total this Election C cle 4) Cash on Hand at Start S 2.908.87 S 0.00 UC,_EIPTS 5) Aggregated Coni ibutionc from Indicidualy 6) Contributions from Individuals 7) Contributions from Political Party Committees 8) Contributions from Other Political Committees 9) Loan Proceeds 10) Refunds/Reimbursements To the Committee 11) Other Receipt Sources I la) Interest on Bank Accounts I l b) Contributions from Not -for -Profit Organizations Ile) Outside Sources of Income l Id) Legal Expense Fund — Other Sources 11 e) Exempt Purchase Price Sales ir7t1)-Gael (CRO -1110) (CRO -1220) (CRO -1130) (CRO -1410) (CRO -1140) (CRO -1150) (CRO -1150) (CRO -1150) (CRO -1170) (CRO -1165) S 6;8.22 ti S 1.7j7.20 8,009.04 $ 3.454.93 $ 50.00 S 100.00 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 12) 13) 14) 15) 16) 17) TOTAL RECEIPTS (Addlines5.6,7.8.9.10,Ila, 11b.11c.11dandlie) Disbursements 13a) Operating Expenditures (CRO -1310) 13b) Contributions to Candidates/Political Committees (CRD -1310) 13c) Coordinated Party Expenditures (CRO -1310) Aggregated Non -Media Expenditures (CRO -1315) Loan Repayments (CRO -1410) Refunds/Reimbursements From the Committee (CRO -1310) In -Kind Contributions (CRO -1510) $ 4,143.15 $ 9,866.24 $ 3,870.62 $ 5,279.75 $ 383.41 $ 551.41 $ $ $ 93.29 $ 116.49 $ $ $ $ $ 2,554.93 $ 3,768.82 18) TOTAL EXPENDITURES (Add lines 13a. 13b. 13c. 14, l5. I6 and 17) $ 6,902.25 $ 9,716.47 19) Cash on Hand at End (Add lines4 and n>,r�•dur. rn,» a�r.��,�� m,�. ic, S 149.77 S 149-77 Alt)j ONAL . 20) Non -Monetary Gifts Given to Other Committees 21) Outstanding Loans (incl. ones from other campaigns) 22) Debts and Obligations owed By the Committee 23) Debts and Obligations owed To the Committee 24) Account Transfers Within the � t(gOUNTY 25) Administrative Support CAMPAIGN FINANCE 26) Forgiven Loans Nov 0 1 2022 27) 48 -Hour Notice Reports Sum RECEIVE 28) Contributions to be Refunded (CR04330) (CRO -1430) (CRO -1610) (CRO -1610) (CRO -1720) (CRO -1710) (CRO -1440) (cRO-1120) (CRO -1115) $ $ $ $ $ $ $ $ $ $ $ $ $ CRO -1100 NC State Board of Elections August 2008 Amendment Aggregated Contributions from Individuals page I of 2 ❑ <a ® No Optional Corm used to report NC Contributions From Individuals of $50 or less 1. Committee Full Name (and Fund if applicable) 2. In Number Committee to Elect Slue Martin 3. Contributor Information a. Amend b. Account<• Code Form of Payment d. In -Kind Description e. nate mm/dd/vvv C Amount ❑ Add A electronic 07/01/2022 $ 5.00 ❑ Remove Add A electronic 07/05/2022 $ 6.00 Remove Add A electronic 07/06/2022 $ 10.00 Remove Add A electronic 07/06/2022 $ 50.00 Remove Add A electronic 07/19/2022 $ 5.00 Remove ❑ Add A electronic 07/25/2022 $ 3.00 ❑ Remove Add A electronic 07/25/2022 $ 25.00 Remove Add A electronic 07/27/2022 $ 50.00 Remove Add A electronic 07/28/2022 $ 10.00 Remove Add A electronic 07/28/2022 $ 20.22 Remove rl Add A electronic 07/29/2022 $ 10.00 ri Remove ❑ Add A electronic 07/31/2022 $ 25.00 ❑ Remove ❑ Add A electronic 08/01/2022 $ 5.00 ❑ Remove ❑ Add A electronic 08/05/2022 $ 6.00 Remove Add A electronic 08/06/2022 $ 10.00 Remove A electronic \3N\0\G MFA E 08/07/2022 $ 25.00 Remove Add A electronic V Q 2�i� 08/10/2022 $ 10.00 Remove Add A electronic �1V 08/19/2022 $ 5.00 Remove Add A electronic 08/25/2022 $ 3.00 Remove Add A electronic 08/29/2022 $ 10.00 Remove Add A check 08/22/2022 $ 25.00 Remove Add A check 08/29/2022 $ 50.00 Remove 4. Total only this Page $ 368.22 5. Total of ALL CRO -1205 Pages $ 638.22 (This line must be on line S ojDetafled Summary Page CRO -1100) CRO -1205 NC State Board of Elections April 2007 Aggregated Contributions from Individuals Amendment Page 2 of 2 ❑ Nes ® No Optional form used to report NC Contributions From Individuals of $50 or less 1. Committee Full Name and Fund if applicable) 2. ID Number Committee to Elect Steve Martin 3. Contributor Information a. Amend V. Account Code C. Form of Payment d. In -Kind Description e. Date mm/dd/vvv) I. Amount Add A electronic 09/01/2022 $ 5.00 F1 I Remove F1 I Add A electronic 09/05/2022 $ 6.00 Remove Add A electronic 09/06/2022 $ 10.00 Remove Add A electronic 09/13/2022 $ 50.00 Remove Add A electronic 09/19/2022 $ 5.00 Remove Add A electronic 09/25/2022 $ 3.00 Remove Add A electronic 09/29/2022 $ 10.00 Remove Add A electronic 09/30/2022 $ 25.00 Remove Add A check 09/16/2022 $ 50.00 Remove Add A electronic 10/01/2022 $ 5.00 Remove Add A electronic 10/05/2022 $ 6.00 Remove Add A electronic 10/06/2022 $ 10.00 Remove Add A electronic 10/06/2022 $ 35.00 Remove ❑ Add A check 07/23/2022 $ 50.00 Remove Add A electronic $ Remove Add A electronic COUNT $ Remove Add A electronic CAMPPJGN F $ Remove AddNov A electronic $ Remove Add A [� electronic 1 Remove Add A electronic $ Remove Add A check $ Remove Add A check $ Remove 4. Total only this Page $ 270.00 5. Total of ALL CRO -1205 Pages $ 638.22 (This line must be on lute 5 oJDetailed Summary Page CRO -1100) CRO -1205 NC State Board of Elections April 2007 Amendment Contributions from Individuals Pg I of 3 ❑ Its ® No Use this form to report individual contributions over $50 or contributions under S50 if form CRO 1205 is not used 1 Committee Full Name' and Fund if applicable) 2. m Number Committee to Elect Steve Martin 3. Contributor Information ❑ Add ❑ Remove a. Fall Name. Mailing Address & Phone (include city, state, & zip) b. .lob -fide/Profession d. Comments Operations Coordinator Teresa Johnston-Bassham 1209 High Brook Drive Waxhaw, NC 28173 c. Employer's Name/Specific Field Nomad Health e. Election Sum to Date $ 300.00 E Prior g. Account Code It. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) L Amount ❑ A electronic 07/04/2022 $ 200.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Not Employed Lisa Walker 5008 Laurel Grove Ln Weddington, NC 28104 c. Employer's Name/Specific Field Not Employed e. Election Sum to Date $ 250.00 f. Prior I g. Account Code It. Form of Payment I. In -Kind Description j. Date (mm/dd/yyyy) L Amount ❑ A electronic 07/21/2022 $ 200.00 ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Nailing Address & Phone (include city, state, & zip) It. Job Title/Profession d. Comments Physician Sandeep Patel 1205 Thistledown Ct Matthews, NC 28104 UNION COUNTY CAMPAIGN FINANCE NOV 0 1 2022 c. Employer's Name/Specific Field Eventus WholeHealth e. Election Sum to Date $ 900.00 E Prior g. Account Code h o o t o -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ A e 08/03/2022 $ 200.00 ❑ $ ❑ $ 4 Total only this Page $ 600.00 5. Total of ALL CRO -1210 Pages $ 3,454.93 (This line amst be on Uu 6 of Detailed Summary Page CBO.1100) CRO -1210 \Yatc Board of loco on, April 2007 Amendment Contributions from Individuals Pg 2 or 3 1:1 Nes ® No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 11 Committee Full Name'(and Fund if applicable) 2. ID Number Committee to Flect Steve Martin 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Not Employed Elisabeth Scotto-Lavino 41962 Zircon Dr Aldie VA 20105 c. Employer's Name/Specific Field Not Employed e. Election Sum to Date $ 100.00 f. Prior g. Account Code It. Form of Payment 1. la -Kind Description j. Date (mm/d(/yyyy) k. Amount ❑ A electronic 08/29/2022 $ 100.00 ❑ $ ❑ S 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job-Title/Profcssiun d. Comments Physician Sandeep Patel 1205 Thlsteldown Ct Matthews, NC 28104 c. Employer's Name/Specific Field Eventus WholeHealth e. Election Sum to Date $ 900.00 E Prior g. Account Code It. Form of Payment i. In -Kind Description J. Date (mm/dd/yyyy) k. Amount ❑ A electronic 09/10/2022 $ 100.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove •''. a. Full Name, Mailing Address & Phone (include city, state, & zip) uNiON COUNTY b. Job Title/Profession d. Comments Not Employed Teresa Johnston-BasshJUA IPAIG 1209 High Brook Dr. Waxhaw, NC 28173 NOV 01 2022 RECEIVED c. Employer's Name/Specific Field Not Employed e. Election Sum to Date $ 300.00 f. Prior g. Account Code It. Form of Payment i. In -Kind Description J. Date (mm/dd/yyyy) k. Amount ❑ A electronic 10/08/2022 $ 100.00 ❑ $ ❑ $ 4.'`1`D61 only this Page $ 300.00 5. Total of ALL CRO -1210 Pages S 3,454.93 (This line must he on Une h of Detailed Summary Page CRO -1100) CRO -1210 NC State Board of HlecGwu April 2007 Amendment Contributions from Individuals Pg 3 of 3 ❑ Nes ® No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1 Committee Full Name and Fund if applicable) 2. ID Number ' Committee to Elect Steve Martin 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Attorney Stephen D. Martin 405 Alueio Ct. Wesley Chapel, NC 28104 c. Employer's Name/Specific Field Vaya Health e. Election Sum to Date $ 3,878.82 E Prior g. Account Code It. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ see 1510 $ 2,554.93 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, &zip) b. Job I ille/Profession d. Comments VNn �, c. Employer's Name/Specific Field e. Election Sum to Date $ E Prior g. AF Vvorm of Payment E In -Kind Description j. Date (mm/dd/yyyy) It. Amount ❑ cP 121 $ ❑ D $ ❑ a_ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state. & zip) b. Job Title/Profession d. Comments e. Employer's Name/Specific Field e. Election Sum to Date $ E Prior g. Account Code It. Form of Payment i. Io -Kind Description j. Date (mm/dd/yyyy) it. Amount ❑ $ ❑ $ 4. Total only this Page $ 2,554.93 5. Total of ALL CRO -1210 Pages $ 3,454.93 (This line moot be on fine 6. of Derailed Summary Page CR0.1100) CRO -1210 C(Smic Board ofIlecoons April 2007 Amendment Contributions from Political Party Committees Pg I or I ❑ Yes ® Na Use this form to report contributions from a political party 1. Cmamittee Full Name' and Fund ifapplicable) _ . _ 1_2. ID Number Committee to Elect Steve Martin 3. Contributor Informatiop ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Comments Union County Senior Democrats 3714 Banyan Way Waxhaw, NC 28173 c. Election Sum to Date $ 50.00 d. Account Code e. Form of Payment f. In -Kind Description g. Date mm/dd h. Amount A check 07/23/2022 $ 50.00 S 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Comments c. Election Sum to Date $ d. Account Code e. Form of Payment I. In -Kind Description g. Date mm/dd h. Amount $ T� $ SN('Y� nt F1NA� $ 3. Contributor lofor l l� i ❑ Add ❑ Remove a. Full Name. )tailing address & Phone VES (include cite, state. & A b. Comments e. Election Sum to Date $ d. Account Code e. Form of Payment f. In -Kind Description g. Date mm/dd h. Amount $ 4. Total only this Page S 50.00 5. Total of ALL CRO -1220 Pages S 50.00 (This Rine mast be on line 7 of Detailed Summary Page CRO4100) CRO -1220 NC State Hoard of Elections April 2007 Amendment Disbursements Pg I of 6 ❑ yes ® No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political committees and coordinated parm expenditures. 1. Committee Full Name and Fund if applicable) 2. 1D Number Committee to Elect Steve Martin 3. Type of Disbursement lease use se orate CRO -1310 forna kr each type of Disbursement ® Opuanng Expenses ❑ Comrihution.a lu Candidnles,l'ohlical Cnnuniuee. ❑ t ,ordinated Pam I y rcndilurc, 4. Payee Information Add Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments ActBlue, LLC 366 Summer St Somerville, MA 02114 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Date $ 63.17 E Account Code g. Form of Payment It. Purpose Code i. Date (mm/dd/yyyy) j. Amount IL Required Remarks A debit C 07/07/2022 $5.33 fees 4. Payee Information rl Add It. Coordinated Committee Name d. Comments a. Full Name, Mailing Address & Phone include city, state, & zip) Vantiv, LLC 38500 Governors Hall Dr. Symmes Township, OH 45249 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Date $ 55.44 E Account Code g. Form of Payment It. Purpose Code i, Date (mm/ddlyyyy) J. Amount k. Required Remarks A debit C 07/11/2022 $16,88 CC fees $ 4. Payee Information _❑_ _ .Add 0 Remove; ` it. foil \arae, ylailing ,Address & Phone include city, state ,& zip) b. (uurdinated Committee Name d. Comments 5Boys Apparel UN;ON GOUNTY 113 Jetplex Circle OAh1PAIGN FINANCE Madison, AL 35758 99 NOV O 2�L2 or-rFiVED c. Level Registered(Speeify) ❑ Federal ❑ County: ❑ Sod- ❑ Municipality: e. Election Sum to Date $ 473.55 E Account Code I g. Form of Pay en . Purpose Code i. Date (mm/dd/yyyy) j. Amount It. Required Remarks A debit O 07/25/2022 $473.55 Campaign shirts 5. Total only this Pae S 495.76 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summan, Page CRO -1100 if Operating Expenses) S 3,870.62 (This line goes in line 13b of Detailed Summon, Page CRO -1100 ifContrib to Candidates/Paatical Comm) (This line goes in line 13c of Detailed Summon, Page CRO -1100 if Coordinated Parry Expenditures) 7. Purpose Codes (List detailed expenditure code in (h.) above) A* - Media 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* - Donation to Legal Expense Fund O* - Other * Codes require detailed explanation in required remarks field k) CRO -1310 NC State Board of Elections December 2009 Amendment Disbursements Pg 2 of 6 ❑ 1es Use this form to report expenditures from the committee for: operating expenses, contributions to candidate/political committees and coordinated party expenditures. ;i 1, Committee Full Name and Fund if applicable) 2. ID Number Committee to Elect Steve Martin 3. Type of Disbursement Please use separate CRO -1310 fanny for each (vae of Disbursement) ® ( �peralmg Fypcnscs ❑ Contributions to Candidmc� I'din—d Cnnmiillccs ❑ Courdinatrd Pom l ymnd ilurr< 4. Payee Information Add Remove a. Full Name, flailing Address & Phone include cit , state, & a h. Coordinated Cnnmtitlee .Name it. Comments AC(Blue. LLC 366 Summer St Somerville, MA 02114 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Date $ 63.17 t Account Code g. Form of Payment It. Purpose Code i, Date (mm/dd/yyyy) j. Amount k. Required Remarks A debit C 08/05/2022 $9.32 fees 4. Payee Information El Add Remove a. Full Name, Mailing Address & Phone include city, state & a b. Coordinated Committee Name it. Comments Vantiv, LLC 38500 Governors Hall Dr. Symmes Township, OH 45249 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ Stale ❑ Municipality: e. Election Sum to Date $ 55.44 E Account Code g. Form of Payment h. Purpose Code L Date (mm/dd/yyyy) j. Amount L Required Remarks A debit C 08/09/2022 $16.32 CC fees S 4. Payee Information Add Remove a. Full Name, Mailing Address & Phone include city, state & zip) b. Coordinated ('ommittee Name it. Comments PC Signs UNICif1 GOUNI 2534 Commerce Blvd CAMPAIGN FINANGL Cincinnati, OH 45241 NOV 0 1 2022 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Date $ 2,433.96 f. Account Code g. Form bfYayment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount L Required Remarks A debit O 08/15/2022 $2,433.96 Campaign signs 5. Total only this Pae $ 2,459.60 6. Total of ALL CRO -1310 Pages f 71,A line gars in lure 13a of Detailed Summon, Page CRO -1100 if Operating Expenses) (This line goes in line lab of Detailed Summate Page CRO -f 100 if Contrib to Candidates/Political Comm) $ 3.870.62 (This fine goes in line 73c of Detailed Summarr Page CRO -7700 if Coordinated Party Expenditures) 7. Purpose Codes(List detailed expenditure code in h. above A* - Media B* - Printing C* - Fundraising D - To Another Candidate L - 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 CRO -1310 NC State Board of Elections December 2009 Amendment Disbursements Pg 3 of 6 ❑ Yes ® No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political committees and coordinated oaity exoenditures. 1. Committee Full Name and Fund if applicable) 2. ID Number Committee to Elect Steve Martin 3. Type of Disbursement lease use se arate CR /37p orms or each twe of Disbu mens ® Operating I vpen,<, ❑ Cojanbonone to candidate, PoInical Committees ❑ Coordinated Pam Ihpcnditures 4. Payee Information Add Remove a. Full Name, Mailing Address & Phone include ciij, state & ri b. Coordinated Committee Name d. Comments ActBlue, LLC 366 Summer St Somerville, MA 02114 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Date $ 63.17 f. Account Code g. Form of Payment is. Purpose Code i. Date (mm/dd/yyyy) j. Amount k Required Remarks A debit C 09/06 $5.63 fees S 4. Payee Information F1 AddEl Remove a. Full Name, Mailing Address & Phone include city, state & a b. Coordinated Committee Name d. Comments e. Election Sum to Date Vantiv, LLC 38500 Governors Hall Dr. Symmes Township, OH 45249 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: $ 55.44 E Account Code g. Form of Payment It. Purpose Code L Date (mm/dd/yyyy) j. Amount k. Required Remarks A debit C 09/09 $1708 CC fees 4. Payee Information Add Remove a. Full Name, Mailing Address & Phone include city, state ,& zip) b. Coordinated Committee Name d. Comments V istaprint Wyman Street �t.AN NFiCOUNTY 275 W y CAMPAIGN FNANNCE Waltham, MA 02451 NOV 01 2022 c. Level Registered (Specify) (� ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Date L Account Code g. Form of Pa pose Code J. Date (mm/dd/yyyy) j. Amount k. Required Remarks A debit O 08/22/2022 $288.64 post cards 5. Total only this Pae $ 311.35 6. Total of ALL CRO -1310 Pages (This line goes in line Ma of Delailed SlmtmanPage CRO -1100 if Operating Expenses) $ 3,870.62 (This line goes in line 13b of Detailed Summary Page CRO -1100 if Contrib to CandidalevPolitiral Comm) (This line goes in line He of Detailed Summatr Page CRO -1100 if Coordinated Party Expenditures) 7. Purpose Codes List detailed ex enditore code in h.) above A* - Media B* - Printing C* - Fundraising D - lb Another Candidate E - Salaries F* - Equipment G - Political Pavy 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 required remarks field k CRO -1310 NC State Board of Elections December 2009 Amendment Disbursements Pg q of 6 ❑ Yes ® No Use this form to report expenditures from the committee for: operating expenses, contributions to candidate/political committees and coordinated party expenditures. 1. Committee Full Name and Fund if applicable) 2. ID Number Committee to Elect Steve Martin 3. Type of Disbursement lease use separate CRO -1310 forom for each type of Disbursement ® Operating F%penses ❑ Conlributions to Candidates Political Comminee, E C oordinated Pam Fcpenditures 4. Payee Information Add Remove a. Full Name, ]tailing Address & Phone include City, sate & Zip) b. Coordinated Committee Name d. Comments ActBlue, LLC 366 Summer St Somerville, MA 02114 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ Slate ❑ Municipality: e. Election Sum to Date $ 63.17 E Account Code g. Form of Payment h. Purpose Code 1. fate (mmldd/yyyy) J. Amount L Required Remarks A debit C 10/05/2022 $3.23 fees $ 4. Pa gee Information Add El Remove a. Full Name, Mailing Address & Phone include city, state & zip) b. Coordinated Committee Name d. Comments Vantiv, LLC 38500 Governors Hall Dr. Symmes Township, OH 45249 e. Level Registered (Specify) ❑ Federal ❑ county: ❑ State ❑ Municipality: e. Election Sum to Date $ 55.44 E Account Code g. Form of Payment Is. Purpose Code 1. Date (mm/dd/yyyy) j. Amount Is. Required Remarks A debit C 10/12 $12.37 CC fees 4. Payee Information Add Remove a. Full Name, )tailing Address & Phone include city, state ,& Aul b. Coordinated Committee Name d. Comments Vistaprint IJNIUIN 275 Wyman Street CAMPAIGN FINANCE Waltham, MA 02451 NOV 0 1 20�2 FcEIVED e. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Date $ E Account Code g. Form of Psymeat I h. PurposeCode i. Date (mm/dd/yyyy) j. Amount L Required Remarks A debit O 09/19/2022 $528.31 door hangers 5. Total only this Pae Z $ 543.91 b. Total of ALL CRO -1310 Pagesl:;, l (This fine goes in line 13a of Detailed Slmmrarr Page CRO -1100 if Operating Expenses) . (This line goes in line 13b of Detailed Summaq Page CRO -1100 if Comrib to Candidates/Pnlidral Comm) $ 3,870.62 (This line goes in line 13c of Derailed Summan' Page CRO -1100 if Coordinated Party Expenditures) 7. Pu ose Codes(List dijid1ed expenditure code in h. above A* - Media B* - Printing C* - Fundraising D - lb Another Candidate E - Salaries F* - Equipment G - Political Party 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 required remarks field k CRO -1310 NC State Board of Elections December 2009 Amendment Disbursements Pg 5 of 6 ❑ Y'es ® No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political rnmmittaas and mnrdinated nnrty exnenditures. 1. Committee Full Name and Fund if applicable) 2. ID Number Committee to Elect Steve Martin 3. Type of Disbursement Please use se art CRO -1310 forna for each type of Disbursement)_ ® Operutnry Fxpeiues ❑ Contributions to C'andidatesi Fohncul C niumiuees ❑ C'oo,omaled I'am I ymnditurc. 4. Payee Information rl Add 0 Remove _ a. Full Name, Mailing Address & Phone include city, state, & zip)_ b. Coordinated Committee Name d. Comments Facebook c. Level Registered (Specify) ❑ Federal ❑ county ❑ State ❑ Municipality: e. Election Sum to Date $ E Account Code g. Form of Payment h. Purpose Code L Date (mm/dd/yyyy) j. Amount k. Required Remarks A debit A 10/12/2022 $10.00 Facebook ad $ 4. Payee Information Add Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments Facebook c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Date $ L Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks A debit A 10/14/2022 $10.00 Facebook ad S 4- Payee Information Add F1 Remove a. Full Name, Mailing Address & Phone (include city, stab & zip) h. Coordinated Committee Name d. Comments Facebook n NO" 01 it122 Y FINED SEC - 1 c. Level Registered (Specify) ❑ Federal ❑ County: E -]State E]Municipality: e. Election Sum to Date $ L Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks A debit O 10/20/2022 $10.00 Facebook ad 5. Total only this Pae $ 30.00 6. Total of ALL CRO -1310 Pages (This fine goes in line 13a of Detailed Sunman Page CRO -1100 if Operating Expenses) $ 3,870.62 (This line goes in line 13b of Detailed Summary Page CRO -1100 if Contrib to CandidatesiPolitical Comnr) (This line goes in line 13c of Detailed Sumnan' Page CRO -1100 if Coordinated Parry Expenditures) 7. Purpose Codes List detailed expenditure A* - Media B* - Printing C* - Fundraising D - To Another Candidate E - Salaries F* - Equipment C - Political Party 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 required remarks field k CRO -1310 NC State Board of Elections December 2009 Amendment Disbursements Pg 6 of 6 ❑ Yes ® No Use this form to report expenditures from the committee for: operating expenses, contributions to candidate/political committees and coordinated party expenditures. 1. Committee Full Name and Fund if applicable) 2. ID Number Committee to Elect Steve Martin 3. Type of Disbursement Please use separate CRO -1310 forins for each type of Disbursement ® Operanna Geprnses ❑ Contributions to Candidate+ Political Committees ❑ Coordimucd Pam I xpendaores 4. Payee Information Add Remove a. Full Name, Mailing ,address & Phone include city. state & zip) b. Conrdinated Committee Name d. Comments Facebook c. Level Registered (Specify) ❑ Federal ❑ County: ❑ Slate ❑ Municipality: e. Election Sum to Date E Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) J. Amount It. Required Remarks A debit A 10/21/2022 $15.00 Facebook ad 4. Payee Information M Add Remove` a. Full Name, Mailing Address & Phone include city, state, & zip) It. Coordinated Committee Name d. Comments Facebook c. Level Registered (Specify) ❑ Federal ❑ County: ❑ slate ❑ Municipality: e. Election Sum to Date $ f. Account Code g. Form of Payment Is. Purpose Code i. Date (mni/ddlyyyy) j. Amount k. Required Remarks A debit A 10/21/2022 $15.00 Facebook ad S 4. Payee Information Add El Remove a. Full Name, Mailing Address & Phone Include city,State & opaloN b. Cuurdlnated ('nmmittee Name d. Comments ,�(,p„9PAIGN Y LL RECEIVE e. Level Registered (Specify) ❑ Federal ❑ Counry: ❑ State ❑ Municipality: e. Election Sum to Date $ f. Account Code g. Form of Payment I h. Purpose Code i. Date (mm/ddtyyyy) j. Amount IL Required Remarks 5. Total only this Pae $ 30.00 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Derailed Sumnwj Page CRO -1100 if operating Expenses) (This lingoes in line 13b of Delailed SummanPage CRO -1100 if Comrib to Candidates/Political Comm) $ 3,870.62 (This line goes in line 13e of Detailed Summan• Page CRO -1100 if Coordinated Paro' Expenditures) 7. Pu ose Codes(List detailed expenditure code in h.) above A* - Media B* - Printing C* - Fundraising D - Ib Another Candidate E - Salaries F* - Equipment G - Political Party H* - holding Public Office Expenses 1 - Postage .1 - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* - Other * Codes require detailed explanation in required remarks field k CRO -1310 NC State Board of Elections December 2009 Amendment Disbursements Pg 1 of 1 ❑ t es ® x,, Use this form to report expenditures from the committee for: operating expenses, contributions to candidate/political committees and coordinated party expenditures. L Committee Full Name end Fund if applicable) 2. Ill Number Committee to Elect Steve Martin 3. Type of Disbursement Please use separate CRO -1310 forilin for each Dipe of Disbursement ❑ Operating Ecpcnscs ® (mit rib Lit ion, to Candidates: PoGtieaI Committees ❑ (tu. rdmated Parti I \peuduurc. 4. Payee Information Add Remove a. Full Name, .Mailing Address & Phone include chy. state & zip) h. Coordinated Comminee Name d. Comments Committee to Elect Weston Burroughs 6720 Old Monroe Rd Suite B1466 Indian Trail, NC 28079 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Date $ 551.41 E Account Code g. Form of Payment It. Purpose Code i. Date (mm/dd/yyyy) I. Amount L Required Remarks In Kind O 09/29/2022 $383.41 Door hangers "Information Add Remove-' a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name it. Comments c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Dale $ f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount L Required Remarks $ 4. Payee, Information Add Remove a. Full Name, Mailing Address & Phone include city, stale & Zi[o It. Coordinated Committee Name d. Comments JN Vjgn'�t�F,1Ca N FINAL \1 Q 1 2022 NOV qectiaN c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Dale E Account Code I g. Form of Payment I It. Purpose Code i. Dale (mm/dd/yyyy) I. Amount k. Required Remarks $ Pae 5. Total only this L $ 383.41 6. Total of ALL CRO -1310 Pages E (Thio line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Frpenses) $ 383.41 (This line goes in line 13b of Detailed Summar' Page CRO -1100 if Contrib to Candidates/Pofidced Comm) (This line goes in line 13c of Detailed Summarr Page CRO -1100 if Coordinated Party Expenditures) 7. Purpose Codes(List detailed expenditure code in h. above A* - Media B* - Printing C* - Fundraising D - I o Another Candidate E - 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 require detailed explanation in required remarks field k CRO -1310 NC State Board of Elections December 2009 Amendment In -Kind Contributions Pg , or I ❑ ves ® No Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund. Use CRO -121 i if In -Kind Contributions were or will be refunded within 7 day's. L Committee Full Name and Fund if applicable) 2. ID Number Committee to Klett Steve Martin [tributor Information Add Remove a. Full Name, Mailing Address & Phone (include city, state, &Ali) b. Type of Contributor c. Comments ❑ Individual ® Candidate ❑ Parry ❑ PAC ❑ Referendum ❑ Other Receipt Source Stephen D. Martin 405 Alucio Ct. Wesley Chapel, NC 28104 d. Election Sum to Date $ 3,772.12 e. Description f. Date (mm/dd/yyyy) g. Fair Market Amount Google Domains - website hosting 07/27/2022 $ 6.00 Google Domains - website hosting 08/27/2022 $ 6.00 Amazon - mailing envelopes 09/27/022 S 6.00 3. Contributor Information Add Remove a. Full Name. Mailing Address & Phone (include city, state,&tip) It. Type of Contributor c. Comments ❑ Individual ® Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source Stephen D. Martin it. Election Sum to Date $ e. Description E Date (mm/dd/yyyy) g. Fair Market Amount V istaprint - campaign door hangers 08/22/2022 $ 288.64 PC Signs - campaign signs 08/29/2022 $ 629.16 US Postal Service - postcard stamps 09/02/2022 $ 1,322.10 3. Contributor Information Ej Add Remove _ a. Full Name. Mailing Address & Phone (include city, state, &zip) b. Type of Contributor c. Comments ❑ Individual ® Candidate ❑ Part ❑ PAC ❑ Referendum ❑ Other Receipt Source Stephen D. Martin UNION COUNTY CAMPAIGN FINANCE NOV O 1 2022 it. Election Sum to Date $ e. Description E Date (mm/dd/yyyy) g. Fair Market Amount Vistaprint - palm cards — 10/19/2022 $ 297.03 4. Total only this Page $ 2,554.93 S. Total of ALL CRO -151.0 Pages (This fine must Aeon fine 17 ojDerailee Summary Page CRO -1100) S 2,554.93 CRO -1.510 NC State Board of Elections December 2007