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Merrell,Melissa_2024-Year-endAmenderrest Disclosure Report Cover Yes R Nn Use this form for general report and committee information, must be signed and submitted along with other detailed forms. MdSs&Kerr0 Air GuA Uttiatissior,er 153'Mt7YV 2,(p03 Al643✓es-5 L t%. S+A kL�^5 5) t'i c Z g l o�- ►a PAC Independent &penditure Legal Expense Fund Booster Fund Building Fund [film, s+ 1, 2ozLf Referendum Joint Fundraiser tea. 31 Organizational Pre-primary P(e-eleetion Pre-mooB Semi-annual Mid Year Year End Final Special 513 legin Bounce .'- 435.73 011311l'-02-5 Mee5sw Quarterly ® First 13 Second IJ shad © Fourth Semi-annual El Mid Year ffYear End O Final 13 Special -45Z9-':;0q-7 Organizational Pro -referendum Final Supplemental Final Annual Special Zoi4 year 5�wt-kigc, 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 prohibited or other non -disclosed funds. I further certify that this report is complete, trite and correct and that I have been wain by the NC State Board of Elections. '1 I t _ J. Jr) /I r Employee. Employee; 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. Amen Detailed Summary (] Yesamens No thi 1- all disclosure re ---+;n- forms and to total mone information Uses rm to strntmanze 1.'Committee F.dI Name (aud Frond it, a)ilivable); t „ . . 2;;, oEReporl ' z . >>"r, w r' Mel;eca►► � Coun+ Canrntss� � 2 - 3: ID Numbers Cycle: January 1, Z 02 Start of Election C Y --� Tot ort the Report= Period Total this Election Cycle 4) Cash on Hand at Start $ H 35 $ S Ai'F`'" Y6a y �k}i ZkdA',N! d7 �yll {tI/1Ett �7' !ti It `phi j�&r9,l 5) Aggregated Contributions from Individuals (CRO -1205) JUS FeS. FiVl i�'i��'S. J7xFr: $ / 1, Pt p�{'�,�'YFtr41 y'§Yl �t,h� $ 6) Contributions from Individuals (CR04210) $ $ 7) Contributions from Political Party Committees (CRO -1220) $ $ S) 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) 11b) Contributions from Not -For -Profit Organizations (CRO -1250) $ $ lic) Outside Sources of Income (CRO -1250) $ $ lid) Legal Expense Fund - Other Sources (CRO -1270) $ $ 11e) Exempt Purchase Price Sales (CRO -1265) $ $ 12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10911 a,1 lb,1lc,l ld and l le wW rt F ! - � x n r $� ~r' $ 0.00 $ i x+pd m 194-00 $ $ 13) Disbursements 13a) Operating Expenditures (CRO -1310) 13b) Contributions to Candidates/Political Committees (CRO -1310) $500-0-0 $ 13c) Coordinated Party Expenditures (CRO -1310) $ $ 14) Aggregated Non -Media Expenditures (CRO -131S) $ $ 1s) Loan Repayments (CRO -1420) $ $ 16) Refunds/Reimbursements from the Committee (CRO -1320) $ $ 17) In -Sind Contributions (CRO -151o) $ $ IS) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15,16 and 17) $+.0& $ 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18 $9S -N (p .7 3 $ ADDITIONAL>=INRORMATION w l e 20) Non -Monetary Gifts Given to Other Committees (CRO -1330) $ 1) Outstanding Loans (incl• ones from other campaigns) (CRO -1430) $ MINIM 2) Debts and Obligations owed by the Committee (CRO -1610) $ 23) Debts and Obligations owed to the Committee (CRO -1620) $ .. ) Account Transfers Within the Committee (CRD -1720) $ 25) Administrative Support (CRO -1710) $ $ 26) Forgiven Loans (CR0-1440) $ $ 7) 48 -Hour Notice Reports Sum (CRO -2220) $ $ 28) Contributions to be Refunded (CRO -1215) $ $ LEI CRO-1100 NC State Board of Elections gust Reset FormA'. am p Zx ❑ JO I ad SIRUP PUI wu.y suuyuy..yuu j Amendment Disbursements Pg -3L—of ❑ Yes 10 No Use this form to report expenditures from the committee for operating expenses, contributions to candidatelpolitical FaR;�!11'a i Amendment Disbursements Pg of ❑ Yes 93No Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political A rtf aced ex nditures cornttmttees an coo gip —A Curiimjt[eeFtiRIN$»te;(atid Ftmd°ifs hcbbiey" .;, ; ; ka' pt M.' <;r. "., , ? ;� M�IiSSaMC{(��� O isSiDr,er 2^.IA Attum=�x\/ omy v ' 1 m9P "of Utstiursenidilt, ;r `Please"�ise's'e" "' "' "GRO-13I0` orms nr. i? wie o.Diabd`„i'sem'e tin 8 Ex = U Contributions to Candidates/Political CommitteeS Coordinated Party Ex dituns `� r k� ;'4 a a. m > c„at r :„ ^X..'.f!'ODABOn�w adm <- �,'.5::.'P f�?+�"^f ..,.-. �. ❑a�,... a Ftdl-Name Manu Address'& Phone ” S . indudeaty, state, & zip ) . b. Coordioated'Committeehame %" d Comments �t 1 /i 5 ► rAA Ill Z5 c1;evet Reguteced (SPeafy) ',3: Federal Counry ❑ State ❑ Municipality: e.E(¢ctianStmito'Date •Aero®tCode " gi:F_ orm of Payment , , h. Propose Code '.Date (t�i/dd/yy"yy) ' �lmouot ;; ; `, - k R wrc"d marks, -.. 44 Re ._. 2519 eb�� %� 07 8 Zy $ ZQ•t7o bst 25 3h;t A Y z K $ za• o� �� s PeItifo�q fi u� tti alt 4„1 �r'Le'tta h „ fin'❑ )" ti n rt 1J �,k4n'i S, 5rr� '.'t. ' Full Name Mai6nglddress &Phone } - 'do b: Cooidivated:Comm)ttt�e Name .- d: Comments '' • ee7M c;1vMRgAtered`(Spedry)1---' :.:. Federal County. ❑ State Municipality: a Electiouflwnto Date, •"."' .' $ 5$.vL . Aceoaat Code " g. Forty of Pay pent b. Purpose Code. ". i. Dste (nim/dd4jjy j. _Amount' , :" ' k'Regnieed Remarks`"'; 04 .3 zoZ $ Za. 0-0<M lerw- Z513 A 10 z3 7ozy $p 2a. Do u "�Y i Sb�t" l� Y" gty ery I iJ !❑'°A,ilc� �t�❑ y;etnove <1�A9�„ S �h+it (5�� aM X:U„t•v�'lt°�'„{ ,`5:. 1'WI Name, IKaling-Address &Phone .... ”' `, ..” `" ,Cwderdeeety,state�$czrp) •_,..:: ,. 6:'Coordivated'Committee Name • CO 6k c. Lii 1 Registered (Specify)":;," _ Federal County. ❑ State ❑ Municipality: e. ElecBon Sum to hate, , $ 5s o 0 .'Account Code `•, g.Form of Payment - , b. Purpose Code ' ':liana (mm/ddlyyyy)" 'rhruount .. k Regained Remarks; .:<'>:. 2 513 2%i� �� u 2oz $ ZCj. o� ZIP; 25'13 I KA3 202-11 $ 2q • 0 n4+I e, .. s�..;a „s,ur ,;h. ,i. ot„ ��,. ,v. >. st• $ Iq OD �{Lt�atoWtybtlus'�pge,. (This fine goes in fine 13a of Detailed Summary Page CRO -1100 if Operating Expenses) (This fine goes in line 13b of Detailed Sumry maPage CRO -1100 if Contrib m CaedidatesMalitieal Comm) (This line goes in line lac of Detailed Seaman= Page CRO -1100 if Coordinated P.. enditures) $ " 41 ^ 1 t 1 1'_I pose Cofer( A*=%'Me ha B° -Printing i C* - Fundy ttsiog ' ' " D - To Another Candidate Salanes > _ - Egnipment ; " G -Political Party H==Holdmg Pabhc Office Expenses _ ;Postage" J - Penalties B* -Office Expenses _ %, Q* -Donation to Legal Expense Fond O¢ Other Codes re�ime dt;iai ed' `, anatioii iri r wredrremarks'fiel ,t„;�� , ” .�tG eek �",�,:, N , ' vr, � t ,'xu�.+� CRO -1310 NC State Board of Elections December 2009