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Martin,Steve_2023-MidyearAmendment Disclosure Report Cover ❑ Yea ® No Use this form for general report and committee information, must be signed and submitted along with other detailed forms. Du not use this form to update information 1. Committee Information a. Full Name c. to Number Committee to Elect Steve Martin b. MdBng Address (include City, State and Zip Code) d. Date Filled P.O. Box 1593 NC 28106 �gUMatthews, AUG n12023 08/01/2023 ePhone Number 704-254-4789 Union Co. Elections 2. Report Year 3. Period Start Date (mm/dd/yy) 4• Period End Date mm/ddl 5. Treasurer Full Name 202; 01/01/2023 06/30/2023 Stephen D. Martin 6. Type of Committee Check One 9. Type of Report check onl • one ve ore ort om one category) ® Candidate Campaign ❑ Party Municipal State/County Referendum ❑ PAC ❑ Referendum ❑ Orgam ational ❑ Organizational ❑ Organisational Independent ❑ Joint Fundraiser ❑ Expenditure ❑ 'rhiny-fiveday Quarterly ❑ Pre -referendum Legal Expense Fund ❑ Pre-primary ❑ Pre-election ❑ First ❑ Second ❑ Final ❑ Supplemental Final 7. Type of Fund Iyapplicable, check one) ❑ "Booster Pund" ❑ Building Fund ❑ Pre-nnoff ❑ 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 this Report 0 11. Account Information 11. Account Information`= a. Financial Institution Full Name a. Financial Institution Full Name Wells Faro Bank, NA b. Purpose e. Account Code b. Purpose c. Account Code all campaign A expenses d. Period Begin Balance d. Period Begin Balance $ 25.50 S CERTIFICATION of Chapter 163 of certify that the Committee or Fund is in compliance with all applicable provisions of Ar ' 22A, 228, '[further the NC General Statutes and that no funds are commingled with proh' i d r o I I t) t-discl sed Funds. I further certify that this report is complete, true and correct and that I have been trained by the N t e ectio . Stephen D. Martin 08/01/2023 Printed Name of Signer Signature of Appointed Treasurer Date FOR OFFICE USE ONLY Date Received: g I a3 Employee: ,Gn 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 ❑ Yes ® No Use this form to summarize all disclosure reporting forms and to total monetary information. 1. Committee Full Name and Fund ifapplicable) 2. of Re ort 3. ID Number Committee to Elect Steve Martin Organizational Start of Election Cycle: January 1, 2023 Total this Reporting Period Total Election Cycle Cy 4) Cash on Hand at Start $ 25.50 $ 25.50 5) 6) 7) 8) 9) 10) 11) Aggregated Contributions from Individuals Contributions from Individuals Contributions from Political Party Committees Contributions from Other Political Committees Loan Proceeds Refunds/Reimbursements To the Committee Other Receipt Sources Ila) Interest on Bank Accounts llb) Contributions from Not -for -Profit Organizations lie) Outside Sources of Income 11d) Legal Expense Fund — Other Sources 11 e) Exempt Purchase Price Sales (CRO -1105) (CRO -1110) (CRO -1220) 0 (CRO -1250) (CRO -1150) (CRO -1270) (CRO -1165) $ $ $ 40.00 $ 40.00 $ $ S $ 2023 S @C 10f1S $ $ $ $ S $ $ $ S 12) TOTAL RECEIPTS (.4dd unes5. 6. 7. 8, 9, m, Ila, rlb, 110. lldand lie) EXPENDITURE: 13) Disbursements 13a) Operating Expenditures (CRO -1310) 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 -1010) 16) Refunds/Reimbursements From the Committee (CRO -1310) 17) In -Kind Contributions (CRO -1510) S 40.00 $ 40.00 $ $ $ $ $ $ $ 60.00 $ 60.00 $ $ $ $ $ $ 18) TOTAL EXPENDITURES (Add lines 13a, 13b. 13c• 14, 15, 16 and 17) S 60.00 $ 60.00 19) Cash on Hand at End(Addlines 4and 12 together, then subtract line 18) S 5.50 $ 5.50 20) 21) 22) 23) 24) 25) 26) 27) 28) Non -Monetary Gifts Given to Other Committees Outstanding Loans (incl. ones from other campaigns) Debts and Obligations owed By the Committee Debts and Obligations owed To the Committee Account Transfers Within the Committee Administrative Support Forgiven Loans 48 -Hour Notice Reports Sum Contributions to be Refunded (CRO -1330) (CRO -1430) (CRO -1610) (CRO -1610) (CRO -1710) (CRO -1710) (CRO -1440) (CRO -1110) (CRa1115) $ S $ $ $ $ $ $ $ $ $ $ $ CRO -1100 NC State Hoard of Elections August 2008 Amendment Contributions from Individuals Pg I or 3 ❑ a'es ® 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, tlailing address & Phoae (include city, state, & zip) b. Job Title/Profession d. Comments c. Employ p Stephen D. Martin 405 Alucio Ct Wesley Chapel, NC 28104 A U G n 1 2023 Union Co. Elections I e. Election Sum to Date $ 40.00 E Prior g. Account Code It. Form of Payment i. In -Kind Description j. Date (mm/d yyyy) k Amount ❑ A bank fees 01/31/2023 $ 40.00 ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, }tailing Address & Phone (include city, state, & zip) b. .lob Title/Profession d. Comments e. Employer's Name/Specific Field e. Election Sum to Date C Prior g. Account Code h. Form of Payment i. In-Kiad Description j. Date (mm/dd/yyyy) k, Amount ❑ $ ❑ $ ❑ $ 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 $ E Prior g. Account Code h, Form of Payment 1. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ $ ❑ $ ❑ $ 4. Total only this Page $ 40.00 5 Total of ALL CRO -1210 Pages $ 40.00 (This line must be nn line b of De(ailyd Summary• Page CRO -1100) CRO -1210 til -titan Board of [!lection, April 2007 1 Aggregated Non -Media Expenditures P 1 Amendmentage nr ❑ Yes p No Optional form used to report NC Non -Media Expenditures of s50 ox Ica. 1. Coffunittee Full Name (and Fundif applicable)um er Committee to Elect Steve Martin 3. Payee information b. Account Code a Form of Payment d. Purpose Cade e. Uate (mndddlyyyy) [. Amount g. Bequlred Remarks A debit O 01/31/2023 $ 10.00 bank fee FRemove A debit O 02/28/2023 $ 10.00 bank fee A debit O 03/31/2023 $ 10.00 bankfee A debit O 04/30!2023 $ 10.00 bank fee 13 Remove CT Add ❑ Remove A debit O 05/31/2023 $ 10.00 bank fee Lj Aad F1 Remove A debit O 06/30/2023 $ 10.00 bank fee Add $ ❑ Remove Add ^ 7 ❑ Remove LL���C Lj Add $ AUG Q Remove 7 LI Add f t{O(J CO El Remove , Add $ 8 0 Remove Add $ ❑ Remove AdJ $ ❑ Remove Add $ Q Remove Add $ ❑ Remove Lj Add $ ❑ Remove Lj Add $ Remove Add E❑ $ ❑ Remove Add $ ❑ Remove Add $ ❑ Remove 4. Total only this Page $60.00 5. Total of ALL CRO -1315 Pages $60.00 (This line must be on Gne 14 o Detailed .Summan Pa a CRO -1100 �Purpose Codes (List detailed expenditure codc in (d) above) B* - Printing - Fundraising D - To Another Candidate E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses I - Postage 1 - Prnaltics K* - Office ExpensesQ'* - Donations to Legal Expense Fund O* - Other * Codes require detailed explanation in required remarks field CRO -1315 W Smic Board of Eleciiun. December 2009