Pierce,Rodney_2023-MidyearAmenament
Disclosure Report Cover I ❑ 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
to Number
c. er
£ a k Co��
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6�
fV,
b. Mailing Address (taclade City, ate and Zip Code)
d. Date Filed
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e. Phone Number
7a�{-a91-o/
2. Report Year
3. Period Start Date (mm/dd/yy)
4. Period End Date
5. Treasurer Full Name
mm/dd! N)
o I of ;0.z3
o(.n13o%oa3
LL
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6. a of Committee (Check One)
9. Type of Report (check onlyone e o re ort om one category)
Candidate Campaign ❑ Party
Municipal
State/County
Referendum
❑ PAC ❑ Referendum
❑ Organizational
❑ Organizational
❑ Organizational
Independent ue
❑ Expenditure E] Joint Fundraiser
❑ Thirty-five Y
five da
Quarterly
E] Pre -referendum
❑ Legal Expense Fund
❑ Pre-primary
❑ Pre-election
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7.e -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
Ah
Purpose
c. Account Code
EDb.
c. Amount Code
CabVN
JUL 2 8 2023
d. Period Begin Balance
Co. Board of F18ctiglg
d. Period Begin Balance
$
$ f(. 0 3
CERTIFICATION
I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B, 8c 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 ave b��[[en trained by theme State Board of EI ctio s.
�A MWik- L, . & w tlrt IL$ ((•y`,aS,°, '
rT �o1��iio�7 3
Printed Name of Signer Signatureof Appointed Treasurer
Date
FOR OFFICE USE ONLY
Date Received: Employee:
Delivery Method
❑ Normal Mail
❑ Registered Mail
Date Postmarked: Employee:
❑ Hand Delivered
(/
El Electronically Filed
Date Scanned: b Employee:
❑ 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 -2100A -E) to make committee changes.
CRO -1000 NC State Board of Elections August 2008
Amendment
Detailed Summary ❑ Yes A� No
Use this form to summarize all disclosure reporting forms and to total monetary information.
1. Committee Full Name and Fund if applicable)
2. Type
of Report
3. fD Number
e.as �.s_
GTnt
Start of Election Cycle: January 1, 0
Total this
Reporting Period
Total this
Election C cle
4)
Cash on Hand at Start
5
p
15
d .O o
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 Sources
Ila) Interest on Bank Accounts
llb) Contributions from Not -for -Profit Organizations
Ile) Outside Sources of Income
I ld) Legal Expense Fund — Other Sources
11 e) Exempt Purchase Price Sales
a Ru -1205)
(CRO -1210)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CRO -1240)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1270)
(CRO -1265)
$ Q
eO
$
$
$
(Q 0 0
$
$ b
$
b
$ 6
$
7S"s, o D
$ d
$
$ Q
$
D
$
$
$
$
O
$
$
$
$
12)
13)
14)
15)
16)
17)
TOTAL RECEIPTS (Add lines 5.6, 7, 8, 9, 10, Ila, llb, llc, lldand Ile)
PENDTI'U%RES
Disbursements
13a) Operating Expenditures (CRO -1310)
13b) Contributions to Candidates/Political Committees (CRO -1310)
13c) Coordinated Party Expenditu�ECEIVE0CRO-1310)
Aggregated Non -Media Expenditures (CRO -1315)
Loan Repayments JUL 2 8 2023 (CRo-1420)
Refunds/Reimbursements From tWiCp®"Mft of EIOCIlof15(CRO-1320)
In -Kind Contributions (CRO -1510)
$
$
0 J
$
$zY17
9?
$ D
$
0
$
$
0
$ ®
$
D
$ O
$
0
$ Q
$
p
$ 0
$
18)
TOTAL EXPENDITURES (Add lines 13a. 13b, 13e, 14, 15, 16 and 17)
$
q, 0 3
$
�p : • 0 a
19) Cash on Hand atEnd (Add lines 4and 12rogelher,then subtract line 18)
ADDITION ,. .._
20) Non -Monetary Gifts Given to Other Committees (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)
25) Administrative Support (CRO -1710)
26) Forgiven Loans (CRO -1440)
27) 48 -Hour Notice Reports Sum (CRO -2200)
28) Contributions to be Refunded (CRO -1215)
$
$
$
Q
S,Ij , A
$
S
$ 0
$ ( $
$ $
O
$ (j $
$ $
CRO -1100 NC State Board of Elections August 2008
Amendment
Disbursements Pg of i ❑ Yes No
Use this form to report expenditures from the committee for; operating expenses, contributions to candidatelpolitical
.,,r.
committees anu coordinated at ty expend -owes.
1. Committee Full Name and Fund if applicable) 2. H) Number
2
3. TvDe of Disbursement Please use se orate CRO -1310 torms for each type of Disbursement)
Operating Gxpenses ❑ Contributions to C'andidaics/Political Committees ❑ Coordinated Party Expenditures
4. Payee Information ❑ Add Remove
a. Full Name, Mailing Address & Phone b.
include CHI, state, & zip)
...n
J yt,�.Nn t �, (-• • �ntI�K� S t e••'1'� I �• c.
IliEa S{.
�o��r, �G �� I I�
Roy A 38 -j(V_R9
Coordinated Committee Name
d. Comments
Level Registered (Specify)
❑ Federal ❑ County:
❑ State ❑ Municipality:
e. Election Sum to Date
f. Account Code
g. Form of Payment
G
h. Purpose Code
o
t. Date (mmlddlyyyy)
6 30/ao; 3
j. Amount
$ L41.0 3
$
k Required Remarks
kN&ft Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
include city, state, & zip)
b. Coordinated Committee Name
d. Comments
_
c. Level Registered (Specify)
❑ Federal ❑ County:
❑ state ❑ Municipality:
e. Election Sum to Date
$
E Account Code
g. Form of Payment
It. Purpose Code
i. Date (mmidd/yyyy)
j. Amount
k. Required Remarks —
P& eetnformation " ❑
a. Full Name, Mailing Address & Phone
include ci , state, & zip)
Add Remove
b. Coordinated Committee Name
C t
JUL 2 8 2023
c. Level Registered (Specify)
❑ Federal ❑ County
❑ State ❑ Municipality: U(ll
01 0 S
f. Account Code
g. Form of Payment
h. Purpose Code
f. Date (mmiddlyyyy)
j. Amount
k. Required Remarks
5. Total only this Pae $
6. Total of ALL CRO -1310 Pages
(This fine goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) $
(This line goes in line 13b of Detailed Summary Page CRO -1100 if Comrib to Candidates/Polideal Comm)
(This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party F.zpendimres)
7. Purpose Codes (List detailed expenditure code in .) above) —
A* - Media B* - Printing C* - Fundraising D - To Another Candidate
E - Salaries F* - Equipment C - Political Party H* - Holding Public Office Expenses
I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund
O* - Other
* Codes require detailed explanation in required remarks field (k)
ro�Pmt�.�nno
CRO -1310 NC State Board of