Passarelli,Stephen_2023-Pre-electionDisclosure Report Cover Amendment —!
O hes _ rvo
Use this form for general report and committee information, must he signed and submitted along with other detailEdfou ron,
.
lin 11111 na- Ilii, I I l I I i l In I 111 rI . I I , I 111111'II1 IlIlm
1. Committee Information
a. Full Name _
c. ID Number
. MaiftAAd^ddress (include City, State and Zip Code)
d. Date Filed
AJ Or,, SIJ/�o�l1LV::3
e. Phoce Number'��
2. Report Year
3. Period Start Da (wr✓dd/yy) 4. Period E Date (mm/ )
5. Treuser Full in
Lx! _fj
Tyke of Committee (Check One) _
9. Type of Report_ (check
only one type o report
from one category)
Candidal: Campaign ❑ Pam
Municipal
State/County
Referendum
PAC ❑ Referendum
❑ Organizational
❑ Or.•amzalional
❑ Organizational
❑ Independent Expenditure ❑ Joint Fundraiser
❑ Thirty-five day
t�uaverly
❑ Pre -referendum
❑ Legal Fxpense Fund
❑ Pre-primary
❑ Fiat
❑ Final
Pre-election
❑ Fre-mnoff
❑ Second
❑ Third
❑ Supplemental Final
❑ Annual
7. Type of Fund_ (if applicable, check one)
❑ Bou,trr Fund
Semi-annual
❑ Fourth
❑ Special
❑ Building Fund
❑ Mid Year
Semi-annual
❑ Year End
❑ Mid Year
10. Special Report Name
❑ Other.
❑ Final
❑ Special
❑ Year End
❑ Final
S. Number of Fundraisers this Report
- - - -
❑ Special
11. Account Information
U. Aecowat Information
. Financial Institution Full Name
(1I
a. Financial Institution Full Name
iNION GLA i-11 1
. Purpose
a Account Cade
li.PurpOAMPAJ
eAccisuntCode
&J/
d. Period Begin Balance
OCT 3 0 2023
RECEIVED
U' (�c(/— t
�C
0'6r,
d. Period Begin Balance
s -
CERTIFICATION
I certify that the Committee or Fund is in compliance with all applicab of Article 22A, 22B & 22D -22M of Chapter 163
of the NC General State hat no funds arecommingl or o - s 1 further certify that this
report ' mplete, and co t and d�at�ve bee wined by C Sta oard of Elections.
Print d Name of Signer Si nature ointed Treasurer ate
OR OFFICE USE ONLY
Date Received: Employee: D❑3 Non Method
Normal Mail
Registered Mail
Date Postmarked: Employee:
�=j j�'�Hand Delivered
Date Scanned: I� Employee:9 Electronically Filed
t
Date Data Entered: Employee: ❑ Signer has not received
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 -21 OOA-E) to make committee changes.
CRO -1000 NC State Board of Elections August 2IXIS
'Amendment
Detailed Summary ❑ Yes No
Use t61e form to a —manor all dicrincnre'Innrtino fnrmc and to notal monetary infortnation
1. Committee FdI Name (aid Fund if ap ca
2.T pe of Report
C
/
3. ID Number
��! {✓
Start of Election Cycle: January 1, r
Total this
Re orcin Period
Total this
Election C cle
4) Cash on Hand at Start
$
$
RECEIPTS
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)
9) Loan Proceeds (CRO.1410)
0) Refunds/Reimbursements to the Committee (CR04240)
11) Other Receipt Sources
Ila) Interest on Bank Accounts (CRO -1250)
Ilb) Contributions from Not -For -Profit Organizations (CRO -1250)
Ile) Outside Sources of Income (CRO -1250)
ltd) Legal Expense Fund -Other Sources (CRO -1270)
Ile) Exempt Purchase Price Sales (CRO -1265)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
12) TOTAL RECEIPTS (Add lines 5.6,7,8,9,10,11a,IIb.IIC,Ildand Ile)
$
$
EXPENDITURES
13) Disbursements
13a) Operating Expenditures (CR49-1310)
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 -/420)
16) Refunds/Reimbursements from the Committee (CRO -1320)
17) In -Kind Contributions (CRO -1510)
$
$
$
$
$
$
$
$
$
$
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, l6 and 17)
$
$
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18
$
U$
DMONAL INFORMATION —_
0) Non -Monetary Gifts Given to Other Committees (CRO -1330)
1) Outstanding Loans (incl. ones from other campaigns) (CRO -1430)
2) Debts and Obligations owed by the C fi' �cOUUNT1fCRO-1610)
23) Debts and Obligations owed to the CM4@&flF AN(CRC )
$
$
$
$
$
$
$
24) Account Transfers Within the Commit T 3 (CRO -1720)
5) Administrative Support{�r1Q 1 710)
Fo en 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 2008
Aggregated Contributions from Individuals Page L
Optional form used to report NC Contributions From Individuals of $50 or less
!Amendment
0 Yes tJd No
Committee Full Narni(and Fund if applicab e 2. ID Number
3;,' -', Contributor' 4
a. Amend
b.Account Code
c. Form of Payment -M
(L Ita-Mild De9criptiou
e. Date (junt(Myyyy)
L Amount
El[�Acd
11 Remove
Ej Add
El Remove
--
Add
❑ Remove
0 Add
$
13 Remove
U Add
13 Remove
13—Add
1:1 Remove
ETAdd
1:1 Remove
ET Add
QRemove
Add
❑ Remove
17 Add
$
13 Remove
0 Add
$
1:1 Remove
0 Add
$
E3 Remove
U Add
$
13 Remove
E3—Add
$
[3 Remove
ETAdd
11 Remove
[] Add
$
❑ Remove
Add
$
❑ Remove
U Add
13 Remove
1(-)N CO
jTNlr-P
$
[I Add
$
13 Remove
U Add
$
13 Remove
[JAdd
NEE)
$
13 Remove
[3 Add
$
0 Remove
Add
$
❑ Remove
4. Total only this Page
$
5. Total of ALL CRO -1205 Pages
(This line mus( be on line 5 of Detailed Summary Page CRO -1100)
CRO -1205 NC State ffi,ard of Elecw,ns April 1007
Amendment
Contributions from Individuals Pg or ❑ yes No
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
L' Committee Tull Name (and Fund i a plirab�c),. �_,
2. 11) Number
3 Contributor n orniation ❑ Adel ❑ 1(emacc
a. Full Name, Mailing Address & Ph,,m
(Include city, state, & zip)
b. Jh.bd. llnnnont,
\
vCL �j
c. Employer's Na/me/Specit-ic Field
l� IPS e. Election Sum to Date
$
}/
1�`7'' �
I fo
pl � ,V � afl��
t, Prior
g. Account Code
h. Form or Payment
1. In -Kind Description
J. Date (mmldd/yyyy)
h. Amount
❑
>
$
❑
$
❑
S
3. Contributor Information ❑ Add ❑ Remove
a, Full Namq Vtailing Address & i'hone
(include city, state, & zip)
).Job i'illdl'rofession
P ti.
d. Cmmnenl>
T 6 ^ /u I
Q VF-Aj
e k L C9 ��a 3
c. Employer's NamKSpeMflc Field
/G}I ,t i✓Ik n
U�ip CF
e. Election Sum to Date
$
f. Prlor
g. Account Code
h. Form or Payment
1. In -Kind Oestri on
J. Date ( dd/yy y)
k Amount
13
1(-,N FINANCE
❑
i 3 0 2023
$
❑
5
3. Contributor Information ❑ Add ❑ Re m,m c `
a. Full Fame, Mailing Address & Phone
(include city, state, & zip) ,r{7
//I
h�a• / a� l (1
&A
b. Job'I itle 't olc„im+ d. ((ono enl,
c. Employer's Nam Speciric Field
EJ (V s 640 e. Election Sum In Date
$
f. Prior
g. Account Code
h. Form of Pay nt
1. In -Kind Description
J. Date (nuntdd/yyyy)
IL Amount
,t
C/
❑
O:j
7
$ dfll
❑
$
4. Total only this Page
5. Total of ALL CRO -1210 Pages 'i $—
a'fhis lino must Ge tar Cue 6 of Uoiai(ed Sun+mrtn' I'agc CHOJ 1001
( RO-1110 NC Sia(e Board of Glccuou, Apri12007
Disbursements Pg of 0— Amendment_ ❑ Yes Na
Use this form to report expenditures from the committee for operating expenses, contributions to candidate/politic
committees and coordinated party expenditures
1. Committee Full Name (and Fund if 'li3 c e) _` ,.
2; ID Numbed
3. "type of Disburs nu nt CRO -1310 forlIeach type of Disbuet`e)nent.
Opdnln r. L i...... Cc, mli il.:uwu C vidlJ.n e.i Pnlitiwl Qrtumillees Qnn'tlinmed Parte F.A +asJ ivace
4, Payee Information Add. Remove
a. Full Name, Mailing Address & Phone
(Include city, state, & zip)
b. Coordinated Committee Name
d. Comments
1✓ �.0
P/
L
c. Level Registered (Specify)
Federal Lj County:
13 State ❑Municipality:
e. Election Sum to Date
$
r. Aecomk Code g. Form of Payment 1h. Purpose Cade 11. Date (mmldel/yyyy)
1j. Amount
k Rcguitrcd Remarks
Is
4.PaveeInfornwd6n,l :? 0 Add ='=0
Remove
a. Full Name, Mailing Address, & Phone
(include city, state, & zip)
b. Coordinated Committee Name
It. Comments
c. Level Registered (Specify)
Federal 0 County:
❑ State ❑ Municipality:
e. Election Sam to Date
('._Account Code
g. Form of Payment
Ih.PurposeCade
1. Date ( dd/yyyy)
J. Amount
It. Required Remarks
/o
$33.
$
-
4. Payee Information. .:_;({ Add -'r
!Remove
a. Full Name, !flailing Address & Phone JNiC11GPl YEN{+'"—"'
(include city, state, & zip) 14,
b. Coordinated Committer Name
d. Comments
c. Level Registered (Specify)
Fcleral County:
Slate ❑ Municipality:
e. Election Sum to Date
f. ;\camnt Code
g. Fotm of Payment
I1 a i. Date (WWI
yy)
J. Amount It. Required Remarks
J
$
5:'fotal only this Page,
$
6 Total of ALL CRO -('310 Pages if
(('his /foe goes in line 13a nf'Detailed Summon Page CRO -1100 iJ 01 .... iqr E"peuses)
(This line goes in line 13b of Detailed Summary Page CRO -1100 Cono ib to Candidates/Political Comm)
(This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Parry F.x emlitures)
ry '/
$ / / //j/ / 7 /
(/y /l/.j
7. Purpose Codes (List detailed exp'ea�i uie code in (h.) above:) -
A'a - Media B* - Printing C* - Fundraising D - fo Another Candidate
E - Salaries F* - Equipment G - Political Puny H* - Holding Public Office Expenses
I - Postage J - Pennllies K* - Office Expenses Q* - Donation to Legal Expense Fund
Os Other
*. Codes require detailed explanation in required remarks field W
CRO -1310 Awc Board or Flac ...... .. ;cion„ '[,I r
Amendment
Disbursements Pg of� ❑ Yes Ej No
Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political
committees and coordinated party expenditures
ViCommittee Full ante an nd if ap I c"ab-
-- /
i
G
3r,Type of Disbursement _ Please use .sea ale CRO -137 orms or each t e o Disbnrsenient. 'I,
❑ O eruling Expenses ❑ Cuntribuliuns lu C,mhj,(c,,W',I ural Cnunillecs Lj Coordinxled Pratt Es+endimres
a _ «., Add i, Remove_
-
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Coordinated Committee Name
d. Comments
c. Level Registered (Specify)
Federal 11 Cui
❑State ❑Municnicipality:
e. Election Sum to Date
$
f. Account Code Ig.ronporPayment
h. rurliCode 1. Da d yyyy) Ij. Amount
Is. Required Remarks
Is
1
4. Payee InforinutluniT51,1A LI Add Remove
"
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Coordinated Committee Name
d. Conunents -
c. Level Registered (Specify)
El Federal County:
❑ Stale ❑ Municipality:
e. Election Sum to Date
1. Account Code
g. Form of Pavmmnt
h. Purpose Code
i. Date (mm/dd/yyyy)
Ij. Amount
k. Required Remarks
Is
4. Payee Information ❑ Aid ❑ Remove
a. Full Name, Alailing Address & Pliant
(include city, state,&rip)
b. Cbordiuuicd ('ommince "arae
- --
d. Comments
--
oN N F1NA'�`-E
"; ,LSI f AIG
TL3
OCj 3 O 20 LJ
ED
c. Level Registered (Specify)
Federal L3 County:
❑ State ❑ Municipality:
e. Election Sumto Date
$
I'. Aecaunt Code
Ig. Fo o nt
III. Purpose Code
It, Date (mmtddly )
1j. Amount k. Required Remarks
S. Total onk. this Page
$
6. Total of ALL CRO.1310 Pages ��
('Chis line goes in line l3a of Derailed Yumman Page CR0-1100,j Confrti to Candi ate $
(This line goes in fine 136 of Detailed Summary- Page CRO-CI00 iJCanMb ro Candidates/Palirical Comm)
(This linegoes in line lac of Detailed Summary Page CRO -1100 if Coordinated Parry F..rpendin+res)
7 Purpose Codes "(List detailed expenditure ode in (h) above}
V - Nedia 13* - Printing C* - Fundraising D - To Another Candidate
F - Sul:u ies F* - Equipment G - Political Party H* - Holding Public Office Expenses
1 - Postage j - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund
O" Other
Gtdes re uirc detailed cx tlanation iu rce aired remarks field W
CRO -1310 NC State Board ul Elections December 2009