Pierce,Rodney_2022-4th-qtrAmendment
Disclosure Report Cover ❑ 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
1. Committee Information
a. Full Name
c. ID Number
E - If -CA o� C a ,r
CZ fsd 3-?
b. Mailing Address (include Cio, State and Zip Code)
d. Date Filed
MQ�S�1V1�4e 1" ^ 103
e. Phone Number
noy-a4t-al��
2. Report Year
3. Period Start Date (mm/dd/yy)
4. Period End Date
5. Treasurer Full Name
(mm/dd/yy)
01
�a a3 �6 as
/-1 31 1aoa a
�� ,e. �-• �ubANl�.s
6. Type of Committee (Check One)
9. Type of Report (check only one type of report from one category)
Candidate Campaign ❑ Party
Municipal
State/County
Referendum
PAC ❑ Referendum
❑ Organizational
❑ Organizational
❑ Organizational
Independent ❑ Joint Fundraiser
❑ Expenditure
❑ Thirty-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑ Pre-primary
❑ Pre-election
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7. Type of Fund (if applicable, check one)
❑ "Booster Fund"
❑ Building Fund
❑ Pre -runoff
❑ Third
❑ Annual
Semi-annual
Fourth
❑ Special
❑ Mid Year
Semi-annual
❑ Other:
❑ Year End
❑ Mid Year
10. Special Report Name
❑ Final
❑ Special
❑ Year End
❑ Final
❑ Special
8. Number of Fundraisers this Report
11. Account Information
11. Account Information
a. Financial Institution Full Name
a. Financial Institution Full Name
az; C: fir: ZC.v..A+�
b. Purpose
c. Account Code
b. Purpose
c. Account Code
i
d. Period Begin Balance
d. Period Begin Balance
C, Cil
$x,03
$
CERTIFICATION
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, true and correct and that I have been trained by the State Board of E�llectjiions.
SAm w .e_ L • L—r t& %S •GSA � ! � �t /� 0.1 _�
Printed Name of Signer Signature of Appointed Treasurer Date
FOR OFFICE USE ONLY
Date Received:J Employee: elive!y Method
❑ Normal Mail
❑ Ifegistered Mail
Date Postmarked: Employee:
ET Hand Delivered
Date Scanned: Employee: ❑ Electronically Filed
❑ Signer has not received
mandatory training
Date Data Entered: 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 -21 00A -E) to make committee changes.
CRO -1000 NC State Board of Elections August 2008
Amendment
Detailed Summary El Yes � No
Use this form to summarize all disclosure reporting; forms and to total monetary information.
1. Committee Full Name and Fund if app licable
2. Type
of Report
3. ID Number
'Rk%9Ce. CIr'Qk 4 ca %A-%
-.�
r6l4 • '►a -A (n le
�
C_3 Inn? 3'8
Start of Election Cycle: January 1, a� O� (
Total this
Reporting Period
Total this
Election Cycle
4)
Cash on Hand at Start
$
4//.03
$
O .01b
RECEIPTS
5) Aggregated Contributions from Individuals
6) Contributions from Individuals
7) Contributions from Political Party Committees
8) Contributions from Other Political Committees
9) Loan Proceeds
10) Refunds/Reimbursements To the Committee
11) Other Receipt SourcesMl
Ila) Interest on Bank Accounts
11b) Contributions from Not -for -Profit Organizations
Ile) Outside Sources of Income
11d) Legal Expense Fund — Other Sources
11 e) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1210)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CRO -1240)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1270)
(CRO -1265)
$ Q
$
DO
$ 0
$
`i S(pg o0
$ O
$
p
$ 0
$
Q
$ O
$
e►'
q s J
$
$
R k
$ 0
$
O
$ 0
$
0
$
$
$ 0
$
0
$
$
12)
TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10, 1Ia, llb, llc, 11dand Ile)
$
d
$
V '�
'EXPENDITURES
13) Disbursements
13a) Operating Expenditures
13b) Contributions to Candidates/Political Committees
13c) Coordinated Party Expenditures
14) Aggregated Non -Media Expenditures
15) Loan Repayments
16) Refunds/Reimbursements From the Committee
17) In -Kind Contributions
(CRO -1310)
(CRO -1310)
(CRO -1310)
(CRO -1315)
(CRO -1420)
(CRO -1320)
(CRO -1510)
. ..:
$ 6
$
1Q%
$ O
$
Q
$ 0
$
$ 0
$
0
$
$
$ Q
$
Q
$ Q
$
y
18)
TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)
$
Q
$
(4 q I OVA
19)
Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18)
$
! • b
$
r •� 3
ADDITIONAL° INFORMATION `
20) Non -Monetary Gifts Given to Other Committees
21) Outstanding Loans (incl. ones from other campaigns)
22) Debts and Obligations owed By the Committee
23) Debts and Obligations owed To the Committee
24) Account Transfers Within the Committee
25) Administrative Support
............
26) Forgiven Loans
27) 48 -Hour Notice Reports Sum
28) Contributions to be Refunded
(CRO -1330)
(CRO -1430)
(CRO -1610)
(CRO -1620)
(CRO -1720)
(CRO -1710)
(CRO -1440)
(CRO -2200)
(CRO -1215)
$ p
$ ss
$ O
$
d
$
$,
$
$
$
d
$
$
$
$
CRO -1100 u(110fNG State Board of Elections August 2008
1 LU. 50dfu w t�uCtI00S
Amendment
Outstanding Loans Pg -L of L ❑ Yes No
Use this form to report any outstanding loans received during a previous reporting period and until the loan is paid in full.
1. Committee Full Name (and Fund if applicable) 2. ID Number
3. Lender Information I❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
Mc.�Is�A�,
xoclAeYNC
hu IeAc e,
PAR> 3 cl We, tK*4e%`1
ihAtt.S�nv,��e NL a��o 3 ,
17104 - 29 oo?+
e. Start Date (mm/dd/yyyy)
e. Employer's Name//SpeciiffiicFieldd
`4- /O? -410.2-1
S+Mt. ''� NldvWn
CA44k-na
f. End Date (mm/dd/yyyy)
g. Rate h. Security Pledged i. Original Loan Amount
j. Remaining Loan Balance
C) %I No $ a s s
$ J L4 Vs'
k. FullName of Lending Institution
I. Loan Number
I/4 ISe
3. Lender Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
IJC, f A A&'SA.A-k.
J
�.,A
Ro Ke.0 Lw -T I CAC -e..
IS03 O1M i. ._�7i�LA-^`I _j ?
M 4�Lshvtl\e NC.. � Q?? 1d 3 3
7oq -- of -g f
e. Start Date (mm/dd/yyyy)
c. Employer's Name/Specific Field
1,4[0?/ 102.1
S4"& a -C lid) k�
0,A4.0kad'a
f. End Date (mm
m/dd/yyyy)
a $1 31 1 ao-2 3
g. Rate
h. Security Pledged
i. Original Loan Amount
j. Remaining Loan Balance
%
�,Jo
$ 3b6
$ 306
k. Full Name of Lending Institution
1. Loan Number
IJIA
42
3. Lender Information : ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
e. Start Date (mm/dd/yyyy)
c. Employer's Name/Specific Field
f. End Date (mm/dd/yyyy)
g. Rate
h. Security Pledged i. Original Loan Amount
j. Remaining Loan Balance
$
$
k. Full Name of Lending Institution
I. Loan Number
s q
4. Total only this Pae
$ 75757
5. Total of ALL CRO -1430 Pages n
(This line must be on line 21 of Detailed Sunrnmry Page CRO -1100) $ I S~5—
CRO-1430 NC State Board of Elections December 2007