Loading...
Passarelli,Stephen_2023-Org-reportInenditnent Disclosure Report Cover yes 0 No Use this form for general report and committee information, must be signed and submitted along with other detailed forms. Do not Li,c thi, Fomi to undine intomimion. 1. Committee Information 11. Full Name c. LU �umher b. .'it. Address Onelmle City, State and Zip Code) d. Date F nest e. Phone Nuniber -7 2. Report Year 3. Period Start Dto (mm/dd/yy)' erio End 'late (nmarddlyy) 15. Treasurer Full Name '4r 6.T eof CommiRLie'h&f'One one - — _) _=?�j Tip of _ Re (C only one type ofreport front one category) Candidate Campaign [] Pan), Municipal State/County Referendum ❑ PAC 0 Referendum 0 Organizational WOrganizational 0 Organizational ❑ Independent Expenditure 0 Joint Fundraiser ❑ Thirty-five day Quarterly E3 Pre -referendum E3Legal Expense Fund ❑ Pre-primary 13 First [3 Final [3 Pro -election 13 Pre -runoff [3 Second Q Third 13 supplemental Final ❑ Annual 7. type of Fund (if rwiWeabh, , h, rA j M bund Semi-annual 13 Fourth ❑ Special E] Building Fund E] Mid Year Semi-annual ❑ Year End [3 Mid Year 10. Special Report Name [3 (W"' Final E] Special ❑ Year End 0 Final 8. Number of Fundraisers this Report 10 Special 11. Account Informaiion - 11. Account Information it. Financial institution Full Name a. Financial Institution Full Name b. Purpose c. Account Code It. Purpose U L 2l c. Account Code 4-woic-se cot kvr i d. Period Begin Balance RECE d. Period Begin Balance CERTIFICATION I certify that the Committee or Fund is in compliance with all applicable provisions sions of Article 22A, 22B & 22D -22M of Chapter 163 of the NC General Statutes and that no funds we commingled wi *bited or other used unds. I further certify that this report is complete, true a correc) and that I have been train b e NC e Bo F do Printed Name of Signer omted7m_aSum Date FOR OFFICE USE ONLY Date Received: as Employee:Delivery Method Normal Mail [3 Normal Mail Date Postmarked: Employee: Hand Delivered 9 Electronically Filed Date Scanned: Employee: 0 Signer has not received Date Data Entered: Employee: ❑mandatory training 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 -2 100A -E) to make committee changes. CRO -1000 NC State Board of Elections August 2005 Detailed Summar Amendment Y ❑Yes ❑ No Use Use this form to summarize all disclosure renortine forms and to total monetary information 1. Committee Full Name (and Fund if ap licable)_ _ 2. Type of Report_ - 3. ID Number TL)t n - Start of Election Cycle: January 1, "� Total this Total thisReporting Period Election Cycle 4) Cash on Hand at Start $ ti RECEIPTS 5) Aggregated Contributions from Individuals 6) Contributions from Individuals (CRO -1205) (CRO -1210) $ $ $ 7) Contributions from Political Party Committees (CRO -1220) $ $ 8) Contributions from Other Political Committees (CRO -1230) $ $ 9) Loan Proceeds 0) Refunds/Reimbursements to the Committee 11) Other Receipt Sources (CRO -1410) (CRO -1240) $ $ $ $ $ $ Ile) Interest on Bank Accounts (CRO -1250) l lb) Contributions from Not -For -Profit Organizations (CRO -1250) $ $ 1lc) Outside Sources of Income (CRO -1250) $ $ I Id) Legal Expense Fund -Other Sources Ile) Exempt Purchase Price Sales (CRO -1270) (CRO -1265) $ $ $ $ 12) TOTAL RECEIPTS (Add Iines 5, 6, 7, 8, 9, 10,11 a,I Ih.I Ic,I Id and l le) $ $ 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) $ 1, 5) Loan Repayments (CRO -1420) $ $ 16) Refunds/Reimbursements from the Committee (CRO -1320) $ $ 17) 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 $ / $ ADDITIONAL INFORMATION 20) Non -Monetary Gifts Given to Other Committees 2E (CRO -1330) $ $ $ $ $ 21) 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) 5) Administrative Support (CRO -1710) $ $ 6) Forgiven Loans (CRO -1440) $ $ 27) 48 -Hour Notice Reports Sum (CRO -2220) $ $ S) Contributions to be Refunded (CRO -1215) $ $ CRO -1100 NC State Board of Elections August 2008 Amendment Contributions from Individuals 11g _ of [I Yes ❑ No Use this form to report individual contributions over 550 of contributions under $50 if form CRO 1205 is not used L i unmifttee Full Nagjfijo;"and Fund if applicable) 12. ID Number 3Xputributor Infurtmal;lqu [I Add Remove a. Full Name, Mailing Address & Phone (includecity, state, & zip) 11� I b. job Title/Profession d. Comments �K�etj 1, c. Employer's Name/Specific Field L, a. Election Sam to Date $ f. Prior 11 g. Account Code h. Form of Payment 1. In -Kind -Description "t - J. Date (mm/ddlyyyy) k Amount AfZ17.2? $ IS—q-0- 0 $ El $ 3. Contributor lnform4ij4m- '71,j�,�, 0 Add ''.. O Remove b. Job Title/Profession d. Comments c. Employer's Name/Specific Field a. Election Sum to Date $ a. Full Name, Mailing Address & Phone (include city, state, & zip.), f. Prior 0 g. Account Code h.Form ofPayment 1. M -Kind Description J. Date (naWddlyyyy) IL Amount $ 0 $ E3 $ 3.,V,VAtnbutor Information ❑ Add Remove a. Full Name, Mulling Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments JUL IVED c. Employer's Name/Specific Field e. Election Sum to Date $ f. Prior 0 g. Account Code h. Form of Payment i. In -Kind Description J. Date (mntlddtyyyy) L Amount $ 13 $ 11 4,'Total only this Page j 5.,Total of ALL CRO -4210 Pages (this tine inust be online 6 ofMtaded Summary Page CRO -1100) $ 11V CRO -1210 NC Stole Bu;od of Idectimi, April 2007 Amen at -- '-�-�--- -' In -Kind Contributions Pg _ of _ ❑ Yes ❑ No J 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. I8trtnittee Full Name rand Fund if applicable) _ = : � 2. ID Number ' 1. Qpntributor Intormation ❑ Add ' Remove a. Full Name, Mailing Address && Phone (include city, state, &zip) / v /fin/O o-L/a G b. Type of Contributor ❑ Individual Candidate Party ❑ PAC ❑ Referendum ❑ Other Receipt Source c. Comments d. Election Sum to Date $ Description f. Date (mmlddlyyyy) g. Fair Market Amount $ 3.'Contr'ibutor Information ❑ Add ❑ Remove a. Full Name, Nlailing Address& Phone (include city, state, &zip) b. TCommentspe ul' Contributor ❑ Ind-du:d ❑ Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source c. Comments d. Election Sum to Date $ . Description G Date (mMdd/yyyy) g. Fair Market Amount 3Xontributor Inform i#itin Addl 13 Remove ; a. Fall Name, Mailing Address & Phone (include city, state, & zip) ,11 I, , ; Gp(,4PAIGN F,N,,W' ''- JUL 2 5 2023 V RFOrG'\(ED b. Type of Contributor ❑ Individual ❑ Candidate 13 Party ❑ PAC ❑ Referendum 1:1 Other Receipt Source c. Comments d. Election Sum to Date $ e. Description f. Date (mm/dd/yyyy) g. Fair Market Amount 4. Total only this Page $ o 5. Total of ALL CRO -1510 Pages $ (This line must he on line 17 of Derailed Summary Pago CRO -1100) / CRO -1510 NC State Board of Flections December 2007