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Mills,Parker_2023-Org-reportDisclosure Report Cover ' e 0 yes 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. I. Committee Informetlou . Full Name c. ID Number Cool/vi I i r<-'� 7D 6L(—C7— /0ARKci2 s—j-� V Z V . Mailing Address (include City, State and Zip Code) ///I NIALnP,� LAw� V/—i6� d. Date Filed ,1/9 y3 M 0 N9 0 /V /— 2 (f l / e. Phone Number 76Y 3o9 01 2. Report Year 3. Period Start Date (rnnrda/yy) 14. Period End Date (mo✓dd/yy) 5. Treasurer Full Nam_ e Y�v3I 7�Ird(v3 1 7�(S y3 1 f0947tl le. M 00/4 Check One) e Ile 9. Type of rt (check onlyone type of report state/County from one category) Referendum Candidate Campaign ❑ Pany Municipal ❑ PAC ❑ Referendum 13�organimlional CrOrganizational ❑ Organizational ❑ Independent Expenditure ❑ Joint Fundraiser ❑ Thirty -fire day Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ Pre-primary ❑ First ❑ Final ❑ Preelection ❑ Pre -runoff ❑ Second ❑ Third ❑ Supplemental Final ❑ Annual Type Of Fund (iryrplicable. check -one) ❑ Booster Fund Semi-annual ❑ 1'nunh ❑ Special ❑ Building Fund ❑ Mid Year n.u-annual ❑ Year End ❑ Mid Year 10. Special Report Name ❑ Other ❑ Final ❑ Special ❑ Year End Number of Fundraisers this Report -v - I ❑ �,.c:,al 11. Account Information 11. Account Information . Financial Institution Full Name a. Financial Institution Full Name tr/2sj-� c, i 7 c✓S a/1NK- • Purpose c. Account Code b. Pprygtg r 1 D c. Account Code IIJI t 92023 it. Period Begin Balance it. Period Begin Balance $ $ CERTIFICATION 6011 Cu. 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 reprortt is complete, (me and correct andel that have been trained by the NC State Board of Elections. Printed Name of Signer Signature of Appointed Treasurer bate OR OFFICE USE ONLY Date Received: n -` q Employee: Delivery Method ❑ Normal Mail Date Postmarked: Employee: Registered Mail Hand Delivered Date Scanned: �3 Employee: ❑ Electronically Filed Data Entered: Employee: [3 Signer has not received mandato traimn LDate Please Note: This term 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. r.mv-ro00 Ne State Board of Elections August 2009 \me udnuut Detailed Summary p ,,., O No Use this Corm to summarize all disclosure renorom, forms and to total nwnetary information 1. Committee Full Name(and Fund if app ca le)_ COAM,ii6T lb Etc= - ft) 9-/?- M[LLS ype o Report _ _ el G—Av,2-A/(0^/jt— Number STM1-V% Start of Election Cycle: January 1, 2Y Reporting Total this Period Total this Election Cycle 4) Cash on Hand at Start $ G S RECEIPTS 5) Aggregated Contributions from Individuals 6) Contributions from Individuals 7) Contributions from Poli -tical Party Committees S) Contributions from Other Political Committees 9) Loan Proceeds 10) Refunds/Reimbursements to the Committee 11) Other Receipt Sources Ila) Interest on Bank Accounts llb) Co6tributions from Not -For -Profit Organizations llc) Outside Sources of Income I Id) Legal Expense Fund -Other Sources Ile) Exempt Purchase Price Sales (CRO -1205) (CR0.1210) (CRO -1220) (CRO -1230) (CRO -1410) (CRo-1240) (CRO -1250) (CR04250) (CRO -1250) (CRO -1270) (CRO -1265) $ $ $ 105, 00 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ S $ $ 12) TOTAL RECEIPTS (Add lines S.6.7.8.9.10.11a.IIh.11clldand IIe S COs"00 I $ EXPENDITURES 13) Disbursements 13a) Operating Expenditures (CRO -1310) 13b) Contributions to Candidates/Political Committees (CRO -1310) 13e) 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 (CRO -1510) $ S $ $ $ $ $ $ $ S $ S $ 406 S 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c. 14, 15, 16 and 17) $ S e B $ 19) Cash on Hand at End (Add lines 4 and 12 together. then subtract line 18 $ /00, R 0 4 DDTITONAL INFORMATION 0) Non -Monetary Gifts Given to Other Committees (CRO -1330) I) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) 2) Debts and Obligations owed by the Committee (CRO -1610) 3) Debts and Obligations owed to the Co �t� 1 C f'�(CRO-1620) q) Account Transfers Within th �j Li}(CRO.1720) 5) Administrative Support 5 Zd23 (CRO -1710) _lsL_ 6) Forgiven Loans LLL,j�RO 1440) 7) 48 -Hour Notice Reports Sum l!(1I0n1 0 (CRO -2220) S) Contributions to be Refunded (CRO -1215) S $ $ $ $ $ $ $ $ $ $ $ $ CRO -1100 NC State Board of Elections August 2008 Contributions from Individuals Pg Amendment _ of _ ❑ Yes ❑ No LIse this farm to report individual conributionS ON el oreOfluibution: under S50 if form CRO 1205 is not used 1. CoiDmitte Fu11 NA,un lana ^>ad if applicable) ;,,-.. Cn1ndl, �; rs %o ct2c�r Py/tlu %e— hl/c,c S D Number , .,. 7412V(a 3. Contributor Information ❑ Add _;❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & tip) b. Job Titie(Profession Y CZ 4',4,(I c7� d. Comments Pn Krc6-10, LL n /I M/J LL, O1(•/)A61 /,ti /v M O^/Raty/ NL. 2 f(� e. Employer's Name/Specific Field /R/Li-i CLC'/•tv GAf e. Election Sum to Date f. Prior g. Account Code h. Form of Payment L In -Kind Description . Date (mm/dd/yyyy) k Amount ❑ o ( il(�� srt� 7o�z3 $ ❑ $ 3. Contributor Information ❑ Acid ❑ Remove a. Full Name, flailing Address & Phone (include city, state. & zip) h. ,lob Title/Profession d. Comments c. Employer's Name/Specific Field e. Election Sum to Date $ f. Prior g. Account Code h. Form of Payment LIn-Kind Description J. Date (mnt/dd/yyyy) is Amount ❑ _ $ ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) R� .nq b. Job Title/Profession d. Comments - c. Employer's NauelSpecitic Field e. Election Sum to Date" $ f. Prior g. Account Code h. Form of Payment L In -Kind Description J. Date (mm/dd/yyyy) k Amount ❑ $ ❑ $ 4. Total only this Page' g 0 5, d o 5. Total of ALL CRO -1210 Pages (This line must be on line 6 of Detailed Summary Page CRO -1100) $ /0-6,00 CRO -1110 NC Sixc Pinard of elections Aprii y Amendment In -Kind Contributions Pg _ of _ 1 p res p 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. 1Xommittee Fulf Name (and_ Fund if applicable)" 2. ID Num ` j 3. Contributor Information ❑ Add ''❑ Remove a. Full Name. moiling Address & Phone tinclude city, state, & zip) (lll Nl/aLk,419 4AN�jtN% d��— b. Tape of Contributor [I Individual LI Candidate p Party p PAC c. Comments r M 0 /-Z 6 ❑ Referendum p Other Receipt Source d. Election Sum to Date $ e. Description E Date (mm/ddlyyyy) g• Fair Market Amount lGtN� �L �o Z j $ $ $ 3. Contributor Infti'rniatioii ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Type of Contributor p individual c. Comments ❑ Candidate ❑ PAY p PAC p Referendum p Other Receipt Source d. Election Sam to Date $ e. Description E Date lmm/dd/YYYY) g• Fair Market Amount $ 3. Contributor Information ❑ Add ❑ Remove . Full Name, hlaiUng Address & Phone (include city, state, & zip) �� b. Type of Contributor ❑ Individual ElCandidate c. Comments RECEiV ❑ Pony !UL 19 2723 p PAC p Referendum ❑ Other Receipt Source d. Election Sum to Date r. Descri ninn I f. Date (tnnrlddlyyyy) g. Fair Market Amount 4. Total only this Page 5 0 0 5. Total of ALL CRO -1510 Pages 4hiv line must be on line 17 of Detailed Summary Page CRO -1100) K S o a CRO -1510 INC Slate Board of Elections December 2007