Merrell,Melissa_2023-Year-endAnrendeneul
Disclosure Report Cover ❑ Yet No
Use this form for general report and committee information, must be signed and submitted along with other det-10 forms.
rin rut oc' thio f.. In uortate infnrmatim
1. Committee Inforndioe
a. FuR Name
e. ID Number
eI�SS C 1�-4r- -W:bj
6SN1'1Y V
Mailing Address (include City. State and T4 LWW _
Die Ina
_4L
of o9 Lo2>
Z(x,03 Moc+mss Ln •
}a11l.,54/ r1c. ZgtokF-
e,
'70q- W--5af3
eport Year
3. Period Start Date (no ddtyp
4. Period End Date (
purer Full Name
2023
70
07 01 I z.023
I IZ/3t/ZO2.-
11
6. Type of Committee (Check One)
9. Thile of Report (check
only one type of report
from one category)
Candidate Campaign I] Panv
Municipal
SY1elCouaty
Refereuduen
PAC ❑ Refert dum
❑ Orgaamwair al
a Otganim"onal
❑ Organizational
❑ Imk{tcndent Expenditure ❑ Joint Fundraiser
❑ Thirty-five day
Quarterly
❑ Pic referendum
❑ Icgal Expense Fund
❑ Pre-primary
❑ First
❑ Final
❑ Pre-election
❑ Pre -runoff
❑ Second
❑ Th rd
❑ Supplemental Final
❑ Annual
7. Type of Fund ( if applicable, check are)
❑ M."t, Fund
Semi-annual
Fourth
Special
Building Fund
❑ Mid Year
Semi-annual
❑ Year Fid
❑ Mid Year
141. Special Report Name
0 (hhet
❑ Fuel
special
Year End
❑ Final1
LCOV5 Y ��
Number of Fundraisers this Report
0
❑ Special
11. Account Information
11. Account Information
a. Financial Ikon FYI Nance
- - -
Financial Institeliaa Fal Name
co NPNCE
lON
pyoc.
Aaeewt Gale
y
2�<C
c. Account Code
rT •d.
25 1 3
FE6 12
BeginBalance
d.$ Period Begin Balance
1v `
ne
RTIFICATION
1 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 trial by the NC State Board of Elections.
556. NI. lard
Printed Name of Si Sic tum f A led T l
R OFFICE USE ONLY
Date Received: Employee: Delivery Method
❑ Normal Mail
I I Registered Mail
Date Postmarked: Employee:
Hand Delivered
Date Scanned: Employee: Electronically Filed
Date Data Entered: Employee: D S nr has received
tory training
Please Note: 'This form cannot be used to amend committee inforntatiam such as the conautittee address, treasurer,
assistant treasurer, custodian of books information, or account information.
You must amend the Statement of Organization (CRO -21011A -E) to make committee changes.
CRO -1000 NC State Board of rlechons August 2wa
Assayer
Detailed Summary 0 Yes J4 No
I I .6; Y.. X11 At -1 cortin . fn nd In tntat m netar infi m tion
1. 'nee Full Name (sell Ford if applicable) i. TyQC FAport _ _
_3. IDNumbw
Start of Election Cycle: January 1, 2 2 Z
T otal this
Re rtin Period
Total this
Election Cycle
4) Cash on Hand at Start
$ �„ g , ID
$
RECEIPTS
5) Aggregated Contributions from Individuals (CRO -1205)
6) Contributions from Individuals (CR&1210)
7) Contributions from Political Party Committees (C'R(X1220)
8) Contributions from Other Political Committees (CRO -1230)
9) Loan Proceeds (CRO -1410)
10) Refunds/Reimbursements to the Committee (CRO -1240)
11) Other Receipt Sources
Ila) Interest on Bank Accounts (CRO -1250)
11bl Contributions from Not -For -Profit Organizations (CRO -1250)
I Ic) Outside Sources of Income (CRD -1250)
I Id) Legal Expense Fund -Other Sources (CRO -1270)
Ile) Exempt Purchase Price Sales (CRO -126.5)
$ O
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
12)TOTAL RECEIPTS (Add lines 5,6.7,8,9,10,11 a,1 lb,1 Ic.l ld and l lc)
$0.00 0.00
1$
EXPENDITURES
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 -1420)
16) Refunds/Reimbursements from the Committee (CRO -1320)
17) In -Kind Contributions (CR&Imo)
T4.00
$
$ n.00$
$
$
$
$
$
$
$
$
$
$
18) TOTAL EXPENDITURES (Add lines 13a. 13b, 13c, 14. 15, 16 and 17)
$0.00 . 1D
$
19) Cash on Hand at End (Add lines and 12 together, then wbuact line 18
$0.00 Z. Z
$
ADDITIONAL INFORMATION
0) Non -Monetary Gifts Given to Other Committees (CRO -1330)
1) Outstanding Ielaas (incl. ones from other campaigns) (CRO -1430)
2) Debts and Obligations owed by the Commill614 GC)UNgf�?-/610)
Debts and Obligations owed to the Comoo&)GN F)N (CRO -1620)
4) Account Transfers Within the Committee FEg 1 21%o-/720)
5) Administrative Support 1�0)
6) Forgiven Loans l — (CRO.1440)
7) 48 -Hour Notice Reports Sum (CRO -2220)
Contributions to be Refunded - (CR0.1215)
$
$
$
$
$
$ $
$
$
$ 5
CRO -1100 Nt state Boon] of rkawws 'u,"",
Reset Form
Aaeadhowint �af
Disbursements pg _ of _ ❑ Yea P No
Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political
committees and coordinated art - exDcnditures
FuR Name (and Fund if applicable)
Mel;�mMerve II .+�, Co,r,K;�;a.�-
2. ID N®ber
S�'M Y
Type of Di laursetnent (Please ase separate CRO -1310 farms for eaeb hype of Disbursement-)
Ovratinp Lx •roc. ❑ Qnwibutions to Canddal"Pulilical Comities ❑ CcxxAinaird f'anc f.�pc�d�ur..
Payee Information ❑ Add ❑ Remove
a. Full Nana. Madim, Address & Phone
include cih, state- & ripe
l 0.eK�;yn�0�)rrerY • CD t`I`c
7 25 t MA i c)2-!5
le. Coordinated Cattltttttillu lVa�e
d. Co®eits
. Co t'^
I< el Regmie eallpv.ry)
Federal Coonly
ualWity
Q State Mm
e. Ekm m cti Suto Date
5$•o D
. Account Cede
3
g.FterstelPielvend
LFWPt+K Cade
ILDide( ) 1j.
Athol
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07 oti zoz31$2A-00
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$2q•ooWf�b!!;A-P--
4.Payee Information ❑ Add ❑ Remove
it. Full Name. Mailing Address & Phone
(include city, stale, & zip(
It. Coordinated Con ni tm Name
d, Comments
Fedtad Cattny:
❑ Suft ❑ meekipafiry-
&FJedaasm ier Daae
$ 5g . 01)
. Account Code
13
L.
g. Form td Payroeot
�b
h. Purpose Code
i- Wtc Irrrn/dd/yyyy)
oz 6.13
- .As duet
201.00
L Repaired Rernar'ks
t
6+
to io z z
$ 29.00
ebsr}e_
. Payee tnformation ❑ Add ❑ Remove
. Full Name, Mailing Addres & Phone
(include dh-, state, & zip)
UNION GOUNn-
� \ CxkPAIGN FINA \`
FEB 12 2024''
pr-
h. Coordinated Cotomid" Name
d. Comments
n —
t W I�A
(may)
Conary:
Q $me Q MtmtnpWty:
ft undee, Sum ro Date
Is 519-00
I
Acoear Cede
g. Form - Pay
lk
b ftirpaee Cade L Dale (=ldir(yyyy)
- it o wz3
Aotot
Rewired RoNarks
elc�f-W—
3
$
3
►k-
I A jjz/07jxo-x,3s
2Aq - 00
Total only this Page
6. Total of ALL CRO -1310 Pages
(This line ,Goes in fine 13a of Detailed Sawmary Page CR04100 if f penifng Erpeases)
(This line goes in line 13b of Detailed Sranwary Page CRO -1100 if Corurib w CaruGdaseelPolirieai Caww)
(This line h, fine 13r of Detailed Summary Page CRO -1100 if Coordinated Party F a%IfwrS)
$ I OL
7. Purpose Coates (List detailed expenditure code in (h.) above)
A* - Media Rx - Printing C* - Fundraising D - To Another Candidate
Salaries F* - Equipment G - Political Patty H* - Holding Public Office Expenses
- Postage J - PCnallie, K* - Office Expenses Q* - Donation to Legal Expense Fund
)* Other
* Codes reattire detailed extalanation in re uired re>marbs Geld
CRO -1310 NC Stale Board of Elections txccrnmr ttxrn