Price,Todd_2023-35-day-amended-pgsA m it t
Disclosure Report Cover yes 0 No
Use this form for general report and committee information, must be signed and submitted along ' other detailed forms.
Do not ase this form to undate information.
L Fun 480",
ED
66aLf6h, °� /c�T 7d�oT oe-
�7�1 �r
. Mailing Address (include City, State and Zip Code)
it. Date Filed
IV T//—� y A&
A 0 /1 /CD tC A L Z g /e d
e. Pitt Number
. Report Year
3. PenJi sta Dale (mm/dd/yy)
4. Period End Date (®/ti fty)
5. Treasurer Full Name
6. Type of Committee (Check One)
V. Type of Report
(check
only one type of report
from one caregory
tRT andtdae Campaign ❑ Pam
Municipal
State/Count,
Referendum
❑ P:NC ❑ Referendum
Organizational
❑ Organizational
❑ Oreenizatiunal
❑ Independent Expenditure ❑ Joint Fundraiser4�Thirty-five
day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
-primary
❑ First
❑ Final
❑ Pre-election
❑ Prc-runoff
❑ Second
❑ Third
❑ Supplemental Final
❑ Annual
. Type of Fund (if applicable, check one)
❑ Roo'tcr Fund
Semi-annual
❑ Fourth
❑ Special
❑ Ruilding Fund
❑ Mid Year
Semi-annual
❑ Year End
❑ Mid Year
10. Special Report Name
❑ U:Lr
❑ Final
❑ Special
❑ Year End
❑ Final
8. Number of Fundraisers this Report
❑ special
11. Account information
11,_
Information
. Financial Institution Ful( Name
a. Fivanoalo��i11e�E
CAMPAIGN FINANCE
G Account Code
3 1
c Account Code
--t}tri
Period Begin Balance
od BeWn Balance
rVARECEIVED
��
$
CERT[HCATION
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 prohibiteder non -disclosed funds. 1 further certify that this
report is complete, true and correct and that 1 have been trained by a
NCS to Decd of Elections.
41?
Printed Name of Sicner SignaturAflAtivointed
Treasurer Datc
OR OFFICE USE ONLY
Date Received: %�_ Employee:
Delivery Method
❑ Normal Mail
Date Postmarked: Employee:
Registered Mail
Hand Delivered
Date Scanned: Employee:
Electronically Filed
Date Data Entered: Employee:
❑ Signer Lias not received
mandate trainin
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 -2I OOA-E) to make committee changes.
CRO -1000 NC State Board of Elections August 2008
ndment
Detailed Summary „es ❑ No
Use this form to summarize all disclosure re ortina forms and to total monetary inforrnatio❑
ommittee Full Name (and Fund if applicable) 2. Type of Report
oA3Rrellec
IDNumber
& %l VC7�
Start of Election Cycle: January 1, C�D
Total this
Reporting Period
Total this
Election C cle
4) Cash on Hand at Start
$
$
CEIPTS
5) Aggregated Contributions from Individuals (CRO -1205)
6) Contributions from Individuals (CRO -1210)
7) Contributions from Political Party Committees (CRO -1220)
$ $
$ ,OT) $
$ $
8) Contributions from Other Political Committees (CRO -1230)
9) Loan Proceeds (CRO -1410)
10) RefundstReimbursements to the Committee (CR04240)
11) Other Receipt Sources
Ila) Interest on Bank Accounts (CRO -1250)
Ilb) Contributions from Not -For -Profit Organizations (CRO -1250)
l lc) Outside Sources of Income (CRO -1250)
l ld) Legal Expense Fund -Other Sources (CRO -1270)
1le) Exempt Purchase Price Sales (CRO -1265)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8.9,10,1 la,l lb,l lc,l Id and Ile)
$
DO.C3
$
%PENDITURES
13) Disbursements
13a) Operating Expenditures (CRO -1310)
13b) Contributions to Candidates/Political Committees (CRO -1310)
13c) Coordinated Party Expenditures (CRO -1310)
4) Aggregated Non -Media Expenditures (CRO -1315)
15) Loan Repayments (CRO -1420)
16) Refunds/Retmbursements from the Committee (CRO -1320)
17) In -Kind Contributions (CRO -1510)
$
$
/(Q �. j
$
$
$
$
$
$
$
$
$
$
$
$
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)
$
7
$
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18
$
- Q•
$
DITIONAL INFORMATION
0) Non -Monetary Gifts Given to Other Committees (CR04330)
$
$
$
$
$
1) Outstanding Loans (incl. ones from other campaigns) (caO-1430)
2) Debts and Obligations owed by the Committee (CRO -1610)
23) Debts and Obligations owed to the Co N�CRO•f620)
13
) Account Transfers Within the COmtidWAIGN FINA%ko.1720)
5) Administrative Support OCT 31 2023(cR0.171o)
$
$
6) Forgiven Loans (CRO -1440)
$
$
7) 48 -Hour Notice Reports Sum RECEIVED -2220)
$
$
8) Contributions to be Refunded (CRO -1215)
$
$
CRO -1100 NC State Board of Elections August 2008
Amendment
Contributions from Individuals Pg _ of _ Yes ❑ N„
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
I. Committee Full Name (and Fund if applicable)
2. III Number
3. Contributor Information L3 Add Remove
• . Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job line/Profession d. Continents
11"10
c. Employer's Name/Specific Field
e. Election Sum a Date
Tt
$ S` -aZ)
�7,([
r.Prior
g. Account Code
h. Form of Payment
I. I, -YJ d Description
J. Date (mm/dd/y y)
k. Amount
❑
! !
$ -_�Z
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
. Full Name, flailing Address & Phone
(include city, state, & zip)
b. Job Tine/Profession
d. Comments
c. Employer's Name/Spedec Fleld
e. Election Sum to Date
$
. Prior
g. Account Code
h. Form of Payment
I. In -Kind Description
J. Date (mWdd/yyyy)
k. Amount
❑
$
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
a. Full Same, Mailing Address & Phone
dnclude city, state, & zip)
UNION COUNTY
CAMPAIGN FINANCE
b. Job Title/Profession
d. Comments
c. Employer's Name/Specific Field
e. Election Sum to Date
$
f. Prior
g. Account Code
It. Form oflijilytheml I
Mand Description
J. Date (mm/dd/yyyy)
k. Amount
❑
$
❑
$
❑
$
4. Total only this Page
5
5. Total of ALL CRO -1210 Pages
(This line must be on line 6 of Detailed Summary Page CRD -1100)
$
CRO -1210 .NC Swlc liu:a'd of Eicctiuu.+ April 20W
jAmendment
Disbursements P9 of t— [gV- E3 Nn
Usethis form to report expenditures from the committee for operating expenses, contributions to caeidate/political
committees and coordinated Dariv eXDenditures
1; Committee Full Name (M Funwd if applicable)
cc
2. ID Number
3, Type of Disbursement (/'lease use separate CRO -1310 lorins fitr each type of Disbur3ennent.)
❑ OrclminExpen... a11MIILMOHI to 'H1111110101 I P,m I 'J'cndww.'
4. Payee Information El Add 0 Remove
a. Full Name, Mailing Address & Phone
(include SRI, state,//& Ali)
It. Coordinated Committee Name
d. comments
c. Level Registered (Specify)
[3 Federal IJ county;
13stilte—A:Iluniciplity.
e. Election Sum to Date
$A�ol- 7�
f. Account Code
6
g. Farm of Payment
4
h. Purpose Code
i.Date (n -mV*yyyy)
41?e7L
j. Amount
$ 1(e 19
k. Required Remarks
Is
I
41-PaveeInformation' El Ad(] 0 Remove
a. hill Name, Mailing Address & Phone
011clude city, state,& zqll
b. Coordinated Committee',nine
d. collinlellm
c. Level Registered (Specify)
—
El Federal 11County:
❑ State [3Municipality:
e. Election Sam to Date
r. Account Code
g. Forn) of Payment
It. Purpose Code
i. Date (mnildd/yyyy)
j. Amount
k. Required Remarks
$
4. PaNee Information 0 Add 0 Remove
,i. Full ',unit, Mailing Wdicss & Phone
(include city, stale, e, & All)
- - 70N COUNTY
1:14IGN FINANCE
OCT 31 2023
f— ED
CEI
It. Coordinated Committee Name
d. 0"nn'rnt'
c. Level Registered (specify)
0 Federal U county:
13 Suite 13Municipality:
e. Election Sum to Date
$
I
f. Account Coderoill
rof Payment
Purpose Code
Date (=Wd&yyyy)
1j. Amount
11k. Required Remarks
11.
I$
I
I
I
I
Is
I
5.1'otal only this Page
6. Total of ALL CRO.1310 Pages
(I his line goes it, line 1.3a of Detailed Surnmary Page CRO. 1100 ij Oprnainie Epen, v,
( This line goes in title 136 of Detailed Summary Page CRO -1100 ifConlrd, to Candidates/Political Comm)
(This line goes in line 13c off0etailed Summary Page CRO -1100 if Coordinated Party Expenditures)
$
7. Purpose Codes (List detailed expenditure code it aboQ
A* - Media B* - Printing C* - Fundraising D - To Another Candidate
E Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses
I P os ta e e J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund
W Othcr
!,Codes require detailed explanation in reunified remarks fleld"M to
CRO -1310 NC State Board of Elections December 2009
In -Kind Contributions Pg Amendment _ of _ res ❑ Nn
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 d,i x
committee Fill and Fund it ap 1—Mel" 2. I D Number
eoKr -Y. Ile' f" ji-!L
3. Contributor Into rfnat!on ' Add • 113 RemoVO'
a. Full Name, Mailing Address & Phone
(include city, state, &.zip)
PY 4
rllr— 9'ry V P /l
µ ^(q (U
!J
b. Type of Contributor - C Comments
Individual
Candidate
❑ Party
E3 PAC
❑Referendum d. Election Sum to Date
-- 4� `
❑ Other Receipt Source $ S—
..Description
e.
f. Date (mmld7dlyyyy)
g. Flair Market Amount
-712- I Z
3. Contributor Information _ Add Remove
a. Full Name, Mailing Address & Phone
(include city, state, &zip) -
b. Type of Contributor
Individual —
❑ Candidate
❑ Party
❑ PAC
❑ Referendum
❑ Other Receipt Source
C. Continents
d. Election Sum to Date
$
e. Description
f. Date (mMddlyyyy)
g. Fair Market Amount
$
$
$
3. Contributor Information ❑ Add :; ,❑ -Remove
a. Full Name, Malting Address & PhoneNT(
7 (Ipciade city, state, N, CDU E
b. Type of Contributor
c. Comments
--
Individual — --
❑ Candidate
❑ Party
❑ PAC
❑ Referendum
Other Receipt Source
�;w? y (
Ol, l J ZU23
rED
CN❑
�J
d. Election Sum to Date
$
e. Description -
f. Date (mm/ddlyyyy)
g. Fair Market Amount
4. Total only this Page
5. Total of ALL CRO -1510 Pages
&(TIlis line must be on;ling 17.ofDetailed Summary Page CR04100)
$
✓ ��
CRO -1510 NC State Board of Glen ism, December 2007