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Martin,Angel_2023-Pre-electioni-iLULIVI=U OCT 3 2 Amendment Disclosure Report Cover 0 023 o i•ea ®Nn Use this forth for general report and committee infomration, must be signed and submitted along with otherdetailed fom>s. Do not use this form to update information. Unlon Co. Board of Elections a. FLIT Name c. ID Number COMMITTEE TO ELECT ANGEL MARTIN 21M5G3 b. Mailing Address (include City, State and Zip Coder it. Date Filed 8914 LAURELWOOD LN RECEIVED 10/30/2023 WAXHAW,NC 28173 OCT 3 02023 a• Pliant Number (704)400-2214 ar 2023 09/27/2023 10/23/2023 MARIA REID state/Ceusty Referendum Candidate Campaign 0 Party Municipal ❑ Inmt Fundraiser [3 PAC Organizational Organizational Q Organizational ❑ Referendum 0 Legal Expense Fund ❑ Thirty-five day Quarterly ❑ Pre -referendum ❑ Pre-primary First Q Final Q "Booster Fund' ® Pre-election Q Second Q Supplemental Final ❑ Building Fund ❑ Pre -runoff Q Third Q Annual O Presidential Election Year Candidates Fund Semi-annual Q Fourth ❑ Special Q NC Public Campaign Financing Ford Mid Year Semi-annual ❑ Year End 0 Mid Year ❑ t,ih,❑ Final [3 Year End Special Q Final 0 E3 Special Ce Institution Full N:unc a. Financial Institution Full Name a. Financial TRUIST b. Purpose c. Account Code h. Purpose c. Account Code BANK ACCOUNT FOR COMMITTEE TO ELECT d. Period Begin Balance d. Period Begin Balance ANGEL MARTIN $ 2.135.28 CERTIFICATION I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 226 & 2213-22M 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 an torr and that I have been trained by the NC State Board MARIA REID 10/30/2023 Printed Name of Signer Signal a of Appointed Treasurer Date FOR OF'FICEFSEONLY Date Received: A Errgtloyee: Delivery Method ❑ Normal Mail Date Postmarked: Date Scanned: A� Employee: Employee: Registered Mail Hand Delivered Electronically Filed Date Data Entered: Employee: ❑ Signer has not received mandatory training Please /vote: This formcannot be used to amend committee information such as the committee address, treasurer. assistant treasurer, custodian ofbooks information, or account information. You must amend the Statement of Or anvation CRO -2100A -E to make committee changes. CR04000 NC gate Board of Elections December zuu i Detailed Summary OCT 3 0 2023�El , amen® No Use this fonnto sunmiarize all disclosure reporting forms and to total ntonetary information 1. Committee Fall Name and Fund if a Re rt 3. m Number COMMITTEE TO ELECT ANGEL MARTIN 2023 Pre -Election 21M5G3 Start of Election Cycle: January 1, 2023 Reporting Total this Period Total this Election Cycle 4) Cas It on Hand at Start $ 2,135.28 S 0.00 RECEIPTS 5) Aggregated Contributions from Individuals (CRO -1205) $ 0.00 S 20.00 6) Contributions from Individuals (CRO -1210) $ 0.00 S 4,000.00 7) Contributions from Political Party Committees (CRO -1220) $ 0.00 $ 0.00 8) Contributions from Other Political Committees (CRO -1230) $ 0.00 S 0.00 9) Loan Proteeae (CRO -1410) S 0.00 $ 0.00 0) Ref in(s/Reimbursements to the Committee (CRO -/240) $ 0.00 S 0.00 1) Other Receipt Sources Ila) Interest on Bank Accounts (CRO -1150) $ 0.00 S 0.00 IIb) Contributions from Not -For -Profit Organizations (CRO -1250) $ 0.00 $ 0.00 I I c) Outside Sources of Income (CRO -1250) $ 0.00 $ 0.00 I Id) Legal Expense Fund -Other Sources (CRO -1270) $ 0.00 S 0.00 11 e) Exempt Purchase Price Sales (CRO -1265) $ 0.00 $ 0.00 2) TOTAL RECEIPTS (Add lines 5, 6.7, 8.9.10.IIa1Ib.l Ic.l ldand I le) $ 0.00 S 4,020.00 EXPENDITURES 3) Disbursements 13a) Operating Expenditures (CRO -1310) $ 649.89 $ 2,467.71 13b) Contributions to Candidates/Political Committees (CRO -1310) $ 0.00 S 0.00 13c) Coordinated Party Expenditures (CRO -1310) S 0.00 S 0.00 4) Aggregated Non-MediaExpendtures (CRO -1315) $ 66.09 S 132.99 5) loan Repayments (CRO -1420) $ 0.00 $ 0.00 6) Refunds/Reimbursements from the Committee (CRO -1320) $ 0.00 $ 0.00 7) In -IG ndContributions (CRO -1510) $ 0.00 $ 0.00 8) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c. 14. 15. 16 and 17) $ 715.98 S 2,600.70 9) Cash on Hand at End (Add lines 4 and 12 together. then subtract line 18) $ 1,419.30 S 1,419.30 ADDITIONAL INFORMATION 0) Non -Monetary Gifts Given to Other Committees (CRO -1330) $ 0.00 1) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) $ 0.00 2) Debts and Obligations oned by the Committee (CRO -1610) $ 0.00 3) Debts and Obligations ovtedtothe Committee (CRO -1620) $ 0.00 4) Account Transfers Within the Committee (CRO -1720) $ 0.00 5) Administrative Support (CRO -1710) S 0.00 $ 0.00 6) Forgiven loans (CRO -1440) $ 0.00 S 0.00 7) 48-11`llour Notice Reports Sum (CRO -2220) $ 0.00 $ 0.00 g) Contributions to be Refunded (CRO -1115) $ 0.00 S 0.00 CRO -1100 NC Slate Board of Elections .August 200s Amendment Disbursements Pg i of Ip yea ® No Use this form to report expenditures from the committee for operating expenses, contributions to candidate/po [Rica I committees and coordinated party expenditures ('/(()_];M N( tiimc Hoartln) Ir. December 2009 RECEIVED OCT 302023 Union Co. Board of Elections t ONINIITTFF TO ELECT ANGEL MARTIN 3. 2JM5G3 Operating Expenses U Contribulionsto Candidates/Political Committees U Coordinated Party Expenditures 4. . a. gull Name. Mailing Address & Phone (include city, state, & zip) It. Coordinated Committee Name d. comments VISTAPRINT.COM NC e. Level Registered (Specify) Federal 13 cowl%% p state ❑ Siumcipabty Fe—flection Sum to Date S 1,196._0 L Account Code Ig. Form of Payment Ill. Purpose Code it. Date (mm/ddtyyyy) j. Amount it. Required Remarks Dcbii Card Is 10 02 2023 $ 420.46 FLYERS I Debit Card B 10/19/2023 S 148.84 BANNER & T-SHIRTS 11110 .. a. Full Name, Mailing Address&Phone (include city, state &zi h.(lu,nlinated f'�mmiucc dam Id.k , Iu:meui. VISTAPRINT.COM NC c. Level Registered (Specify) f°Cdlral clmlm _ 0 Slate ❑ Mcninpahty e. Election Sum to Date S 1.196.30 K Account Code 1g. Form of Payment Jr. Purpose Code It. Date (mm/dd/yy ) 1j. Amount k. Required Remarks Debit Card B 10 23!2023 S 80.59 HANDOUTS S 644).39 (This line goes in line 13a ajDetaOed Summary Page CR0-1100 if Opemdng Expenses) $ 649 89 (This line goes in line 13b ofDetafted Summon, Page CRO -1100 ifContrib to CandidatevP0lltical Comm) (This line goes in line 13c of Detailed Sarttmam Page CRO-! 100 if Coordinated Party &penditares) A*-NWa Be - Printing C* - Pundraising D- To Another Candidate E- Salaries F* - Fgoiprrent G - Political Pang H* - HoldingPublicOfeeExpenses I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund 0* Other Codes re emarks field(k) ('/(()_];M N( tiimc Hoartln) Ir. December 2009 RECEIVED OCT 302023 Union Co. Board of Elections Amendment Aggregated Non -Media Expenditures Page I of I 0 Yes ® No Optional form used to report NC Non -Media Expenditures of $50 or less. CRO.131 S NC Stale Board of Elections December 2009 RECEIVED OCT 3p20 Union co. Board of Elections ECT ANGEL MARTIN P 2JM5G3 Debit Card O 10/13/2023 $ 32.00 WEBSITE MONTHLY Lj Add I Debit Card O 10.232023 $ 3.00 BANK SERVICE E3 Remove R E AddI Debit Card O 10/19/2023 $ 0.75 DEBITCARD E] Rem... E FEE AddI Debi[ Card O 10/19/2023 $ 25.00 VENDOR SPACE FEE FOR ❑ Remove CAMPAIGN INFO HANDOUT Add I Debit Card B 10/19/2023$ 5.34 DESIGN COST 0 Rcmova otal only, 'this Page $ W09 Total of ALL CRO -1315 Pages $ 66 u1) -3'his line mast he un Line./a o .L .vf d us�+Pu LRO-!1(Iti) arpose C B * - Printi D - To Another Candidate E - Salaries G - Political Party J - Penalties Q* -Donations to Legal Expense Fund O* -Other * Codes require detailed explanation in required remarks field CRO.131 S NC Stale Board of Elections December 2009 RECEIVED OCT 3p20 Union co. Board of Elections