Passarelli,Stephen_2023-35-Day-amended-pgsan dment
Disclosure Report Cover es ❑ No
Use this form for general report and committee information, most be signed and submitted alone �%it other detailed form<.
D, not use thi. Minn lu undmo inlbrm: lion_
1. Co ttee Information
a. full Name ?
c. ID Numbers
AW CZ
IT
Address (iu de ity, State allill Zip Code)
Date
o
e, Phone NumVer
di0
2. Report Year
3. Period S Date ddlyy) 4. Period En Date _ aaiyy)
Trea r_er Full Na e
91-26 —2
15.
J �� ' 6r- i 2e
-. a of Committee (Check O(e) _ _
9. Type of Rkpart ( heck
only one type of r on
from one category) _
Candidate Campaign ❑ Pan}
Municipal
State/County
Referendum
PAC ❑ Referendum
❑ Organizational
❑ Organizational
❑ Organizational
❑ Independent Expenditure ❑ Joint Fundraiser
Thirty-fiveday
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑ Pre-primary
❑ First
❑ Final
❑ Pre-election
❑ Pre -runoff
❑ Second
❑ Third
❑ Supplemental Final
❑ Annual
7.TypeofFund (ifdpplicable, check one)
❑ Bowecr Fund
Semi-annual
❑ Fourth
❑ Special
❑ Buildinu Fund
❑ Mid Year
Semiannual
❑ Year End
❑ Mid Year
10. Special Report Name
❑ cnhr
❑ Final
❑ special
❑ Year End
❑ Final
S. Number of Fundraisers this Report
❑ Special
1. Account Information
11. Account Information
. Financial Institution Full Name
a. Financial Institution Full Name
T O15T
UNION L'-�
. Purpose
c. Account Code
b. F
c. Account Cade
OCT 17 2023
d. Period Begin Balance
d. Period Begin Balance
RECEIVED
$
$
CERTIFICATION
I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B & 2213-22M of Chapter 163
of the NC General Statutes and that no funds are commingled with proh' t isclosed ds. 1 further certify that this
t and that I been train and o
report is complete, true7a7cs"C'�
,
e
Printed Name of Signer a of Appointedrreasurer Date
OR OFFICE USE ONLY
Date Received: a 3 Employee: Delivery Method
❑ Normal Mail
Registered Mail
Date Postmarked: Employee:
Hand Delivered
Date Scanned: �� Employee: Electronically Filed
Date Data Entered: Employee: ❑ miaanndatoryor not received
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-210OA-E) to make committee changes.
CRO -1000 NC State Board of Elections August 1008
ndmen[
Detailed Summary Yes ❑ No
Use this form to summarize all disclosure re ortimi forms and to total monetary information
Committee Name a11
--e app ca _e
�i s ✓
y tie o _Re —
/ -
N r
C X7-1)7 6
ection Cycle: January 1, ..2, — �
E
Tota this
Reporting Period
Total this
Election Cycle
Hand at Start
$ 6
$
S
5) Aggregated Contributions from Individuals (CRO -1205) $ $
6) Contributions from Individuals (CRO -1210) $ $
7) Contributions from Political Party Committees (CRO -1220)
$
8) Contributions from Other Political Committees (CRO -1230)
$
$
ceeds (CRo-1410)
rReftinds(Rehubursementsto the Committee (CRO.1240)
Sources
Ila) Interest on Bank Accounts (CRO -1250)
lib) Contributions from Not -For -Profit Organizations (CRO -1250)
llc) Outside Sources of Income (CRO -1250)
11d) Legal Expense Fund - Other Sources (CRO -1270)
Ile) Exempt Purchase Price Sales (CRO -1265)
$
$
$eipt
$
$
$
$
$
$
$
$
$
$
12)TOTAL RECEIPTS (Add lines 5,6,7, 8,9. 10,11 a, l l b, l l c, l Id and l Ie)
$
$
XPENDITURES
3) Disbursements
13a) Operating Expenditures (CRO.1310)
13b) Contributions to Candidates/Po6tical Committ (CRO.1310)
M W
13c) Coordinated Party ExpenditurgMPAIGN FINANGERo-taro)
4) Aggregated Non -Media Expenditures (CRO 1315)
15) Ivan Repayments (CRO -1420)
16) Refunds/Reimbursements Brom the j y G1a10.1320)
7) In -Kind Contributions (CRO -1510)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)
$
$
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18
$
G
DITIONAL INFORMATION
20) Non -Monetary Gifts Given to Other Committees (CRO -1330)
$
$
$
$
$
1) Outstanding Loans (incl. ones from other campaigns) (CRO -1430)
22) Debts and Obligations owed by the Committee (CRO -1610)
23) Debts and Obligations owed to the Committee (CRO -1620)
24) Account Transfers Within the Committee (CRO -1720)
25) Administrative Support (CRO- t 710)
26) Forgiven Loans (CRO -1440)
7) 48 -Hour Notice Reports Sum (CRO -2220)
8) Contributions to be Refunded (CRO -1215)
$ $
$ $
$ $
$ $
CRO -1100 NC State Board of Elections August 2005
/
f�