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Martin,Steve_2022-4th-qtr... .............. Amendment Disclosure Report Cover❑ Yes ® 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 b. Mailing Address (include City, State and Zip Code) d. Date Filed P.O. Box 1593 01/11/2023 Matthews, NC 28106 e. Phone Number 704-254-4789 2. Report Year 3. Period Start Date (mm/dd/yy) `. Period End Date (mm/dd/yy) g, Treasurer Full Name 2022 10/23/2022 12/31/2022 Stephen D. Martin 6. Type of Committee (Check One) 9. Type of Report (check only one type o report om one tate o ) ® Candidate Campaign ❑ Party 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 (ifapplicable, check one) ❑ "Booster Fund" ❑ Building Fund ❑ Pre -runoff ❑ Third ❑ Annual Semi-annual ® Fourth ❑ Special ❑ Mid Year Semi-annual ❑ Other: ❑ Year End ❑ Mid Year 10. Special Report Name ❑ ❑ Final Special ❑ Year End ❑ Final 1❑ Special 8. Number of Fundraisers this Report 0 11. Account Information 11. Account Information a. Financial Institution Full Name a. Financial Institution Full Name Wells Fargo Bank, NA b. Purpose c. Account Code b. Purpose c. Account Code all campaign A expenses d. Period Begin Balance d. Period Begin Balance $ 149.77 $ 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 prohibi d o other -disclosed funds. I further certify that this report is complete, true and correct and that I have been trained by the NC S d f ' ns. Stephen D. Martin 01/11/2023 Printed Name of Signer gnature of Appoin e Treasurer Date FOR OFFICE USE ONLY Date Received: Z n Employee: Delivery Method ❑ Normal Mail Date Postmarked: Employee:R C f- ` ,❑�/ Registered Mail Hand Delivered Date Scanned: ❑ Electronically Filed Employee: JA Signer has not received Date Data Entered: Employee: Union Co.-ftn7rj771 T ---r— - 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 -21 00A -E) to make committee changes. CRO -1000 NC State Board of Elections August 2008 Amendment Detailed Summary ❑ Ves ® No Use this form to summarize all disclosure reporting forms and to total monetary information. 1. Committee Full Name (and Fund if applicable) 2. Type of Report 3. ID Number Committee to Elect Steve Martin Organizational Start of Election Cycle: January 1, 2019 Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start $ 149.77 $ 0.00 RECEIPTS 5) Aggregated Contributions from Individuals 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) Ot11­11 1her Receipt Sources Ila) Interest on Bank Accounts 1lb) Contributions from Not -for -Profit Organizations Ile) Outside Sources of Income _ ......... ......... ........... I ld) Legal Expense Fund —Other Sources 11 e) Exempt Purchase Price Sales (CRO -1205) (CRO -1210) (CRO -1220) (CRO -1230) _ _.._... (CRO -1410) (CRO -1240) (CRO -1250) (CRO -1250) (CRO -1250) (CRO -1270) (CRO -1265) $ 29.00 $ 1,786.20 $ 216.60 $ 8,219.64 $ 200.00 $ 300.00 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 12) TOTAL RECEIPTS (Add lines 5. 6. 7, 8. 9, 10, Ila, Ilb, 11c, Ild and Ile) $ 445.60 $ 10,305.84 EXPENDITURES 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 Coin mittee .................... ................. _ .. 17) In -Kind Contributions (CRO -1310) _ .......... (CRO -1310) (CRO -1310) (CRO -1315) (CRO -1420) (CRO -1320) ..... ..................... (CRO -1510) $ 423.27 $ 5,693.72 $ 110.60 $ 662.01 $ $ $ 30.00 $ 146.49 $ $ $ $ $ 6.00 $ 3,778.12 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $ 569.87 $ 10,280.34 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18) $ 25.50 $ 25.50 ADDITIONAL INFORMATION 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 Committee 25) Administrative Support 26) Forgiven Loans 27) 48 -Hour Notice Reports Sum 28) Contributions to be Refunded (CRO -1330) (CRO -1430) (CRO -1610) (CRO -1620) (CRO -1720) (CRO -1710) (CRO -1440) (CRO -2220) (CRO -1215) $ $ $ $ $ $ $ $ � � 1 1 21.13 $ 1 $ 11f1ion0. Lui $ CRO -1100 NC State Board of Elections August 2008 Amendment Aggregated Contributions from Individuals Page , of , ❑ Yes ® 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 b. Account Code c. Form of Payment d. In -Kind Description e. Date mm/dd/ C Amount ❑ Add A electronic 10/25/2022 $ 3.00 ❑ Remove ❑ Add A electronic 10/29/2022 $ 10.00 ❑ Remove ❑ Add A electronic 11/05/2022 $ 6.00 ❑ Remove ❑ Add A electronic 11/06/2022 $ 10.00 ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add $ ❑ Remove ❑ Add "' $ ❑ Remove" 4. Total only this Page $ 2.00 5. Total of ALL CRO -1205 Pages Union Co. Board p; Elec y 29.00 (This line must be on line 5 ojDetailed Summary Page CRO -1100) CRO -1205 NC State Board of Elections April 2007 Amendment Contributions from Individuals Pg I of 3 ❑ Yes ® 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 Not Employed Janet Dalton Dickinson 20006 Oak River Dr South Chesterfield, VA 23803 c. Employer's Name/Specific Field Not Employed e. Election Sum to Date $ 100.00 f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ A electronic 11/05/2022 $ 100.00 ❑ $ 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 e. Employer's Name/Specific Field Vaya Health e. Election Sum to Date $ 3,778.12 f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ see 1510 $ ❑ $ ❑ 1 1 1 1 $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments c. Employer's Name/Specific Field e. Election Sum to Date $ f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ $ ❑ $ ❑ $ 4. Total only this Page 216.60 5. Total of ALL CRO -1210 Pages $ 216.60 (This line must be on line 6 of Detailed Summary Page CRO -1100) CRO -1-2 - ` ��' c[ Eiections - April 2007 IO NC State Board of Elections ' Amendment Contributions from Political Party Committees Pg 1 of I ❑ Yes ® No Use this form to report contributions from a political party 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. Comments Union County Democratic Women 7905 Tottenham Ct Waxhaw, NC 28173 c. Election Sum to Date $ 200.00 d. Account Code e. Form of Payment E In -Kind Description g. Date mm/dd/ h. Amount A check 10/24/2022 $ 200.00 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 E In -Kind Description g. Date mm/dd/ h. Amount 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 E In -Kind Description g. Date mm/dd/ h. Amount rItUEI\ /g..!' $ 4. Total only this Page $ 200.00 5. Total of ALL CRO -1220 Pages $ 200.00 (Tlris line must be on line 7 of Detailed Summary Page CRD -1100) CRO -1220 NC State Board of Elections April 2007 Amendment Disbursements Pg 1 of 3 ❑ 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 forim for each type of Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Parte Expenditures 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 $ 483.27 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks A debit A 10/24/2022 $25.00 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 $ 483.27 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k Required Remarks A debit A 10/24/2022 $35.00 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 $ 483.27 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks A debit A 10/31/2022 $50.00 Facebook ad 5. Total only this Pae $ 110.00 6. Total of ALL CRO -1310 Pages t„ (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses)� "s ,���� (This line goes in line 13b of Detailed Summary Page CRO -1100 ifContrib to Candidates/Politica omni') - (This line goes in line lac of Detailed Suininmy Page CRO -1100 if Coordinated Party $ 423.27 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 3 ❑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. T e of Disbursement Please use separate CRO -1310 fortm for each type of Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information ❑ Add El 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 $ 483.27 E Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks A debit A 11/01/2022 $75.00 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 $ 483.27 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks A debit A 11/03/2022 $75.00 Facebook ad $ 4. Payee Information ❑ Add El 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 $ 483.27 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks A debit A 11/04/2022 $38.27 Facebook ad Pageg,=�, t h $ 188.27 5. Total only this 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Srunmary Page CRO -1100 if Operating Expense), R $ 423.27 (This line goes in line 13b of Detailed Summary Page CRO -1100 if Contrib to Candi a es/P litical:Comnt) (This line goes in line 13c of Detailed Sannnary Page CRO -1100 if Coordinated Parry Expenditures) 7. Purpose Codes List detailed expenditure code in (h.) above) _ A* - Media 13* - 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 3 of 3 ❑ 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 fornu for each type of Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 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 $ 483.27 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks A debit A 11/06/2022 $125.00 Facebook ad 4. Payee Information ❑ Add ❑ Remove a. I-ull *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 g. Form of Payment It. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks A debit A $ 4. Payee Information ❑ Add 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 g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks A debit A $ Pae ' 5. Total only this $ 125.00 6. Total of ALL CRO -1310 Pages -r r (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating kxpenses) (This fine goes in line 13b of Detailed Sununary Page CRO -1100 if Contrib to Candidates/Political Comm) (This line goes in line 13c of Detailed Sununary Page CRO -1100 if Coordinated Party Expenditures) $ 423.27 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 Aggregated Non -Media Expenditures Page Optional form used to report NC Non -Media Expenditures of $50 or less. Amendment ❑ Yes ❑✓ No 1. Comnuttee Full Name (and Fund if applicable) 2. ID Number Committee to Elect Steve Martin 3. Payee Information a. Amend b. Account Code c. Form of Payment d. Purpose Code e. Date (mm/dd/yyyy) f. Amount g. Required Remarks ❑ Add A debit O 10/30/2022 $ 10.00 bank fee El Remove Add ❑ Remove A debit O 11/30/2022 $ 10.00 bank fee ET Add ❑ Remove A debit O 12/30/2022 $ 10.00 bank fee Add $ rl:iReniove $e $ ❑ Remove Add $ ❑ Remove Add $ ❑ Remove Add $ QRemove Add $ ❑ Remove Add $ 0 Remove Add $ ID Remove Add $ ❑ Remove Add $ 0 Remove Add $ BRemove Add LIRemove$ Add $ QRemove Add $ ❑ Remove Add $ ❑ Remove 17 Add $ ❑ Remove 4. Total only this Page $ 93.29 5. Total of ALL CRO -1315 Pages $93.29 (This line mast be on lure 14 o Detailed Summar' Page CRO -1100) 6. Purpose(List detailed x en i ure code in dabove) 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* - Donations to Legal Expense Fund O" - Other -I- Codes require detailed explanation in required remarks field ("RO-1.115 NC State Board of Elections uecember tuuy Amendment In -Kind Contributions Pg 1 of I ❑ Yes ® No Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund. Use CRO -1215 if In -Kind Contributions were or will be refunded within 7 days. 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. T} pe of Contributor c. Comments ❑ Individual ® Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source Stephen D. Martin 405 Alucio Ct. Wesley Chapel, NC 28104 d. Election Sum to Date $ 3,888.72 e. Description f. Date (mm/dd/yyyy) g. Fair Market Amount Google Domains - website hosting 10/27/2022 $ 6.00 Funds for text banking 11/23/2022 $ 110.60 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. 'I N pe of Contributor c. Comments ❑ Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source d. Election Sum to Date $ e. Description f. Date (mm/dd/yyyy) g. Fair Market Amount $ $ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name. Mailing Address & Phone (include city, state, & zip) b. 1) pe of Contributor c. Comments ❑ Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source d. Election Sum to Date $ e. Description f. Date (mm/dd/yyyy) g. Fair Market Amount JAN 11 2023 $ ! 1 ;r)r r,n Pard If Fl—fi n $ 4. Total only this Pae $ 116.60 5. Total of ALL CRO -1510 Pages $ 116.60 (This line mast be on line 17 of Detailed Summary Page CRO -1100) CRO -1510 NC State Board of Elections December 2007