Price,Todd_2023_Year-endAmendment
Disclosure Report Cover o Yea No
Use this form for general report and committee information, must be signed and submitted along with other detai ed forms.
Do not use this form to undate information.
1. Committee Information
t. Full Now
c. ID Number
er�/�zT To bb Tele
rid
. Mailing Address tinclude City, State and Zip Code)
d. DateFiled
3� � 7rtf. y �/zp-
z
/4e 2 O el e)
c. Phone Num r
®.a iso
2. Report Year 3. Period S rt I)AIP L T/a�/vvt 4. Period d Date ddlyyl 5. Treasurer Full Name ,
Enmmtzoz
zoZ sa zy.� 3 �Z 7onn
6 Type -of —ommitt_. <_<necic Une) - 9. Type of RRe rt ( heck only one type (y report roar one category)
'andidate Campaign ❑ Pany Municipal State/County Referendum
PAC [3Referendum [:I Organisational ❑ Organizational ❑ Organizational
❑ Independent Expenditure ❑ Joint Fundmiser ❑7hiny-five day Quarterly E3 Pre -referendum
[3Legal Expense Fund 4 Pre-primary ❑ First ❑ Final
Preelection ❑ Second ❑ Supplemental Final
7. Type of Fund I f applicable, check ore) Pre-mnoff ❑ Third ❑ Annual
❑ Btwster Fund Semi-annual ❑ Fourth ❑ Special
❑ Building Fund Mid Year Semi-annual
Year End ❑ Mid Year 10. Special Report Name
❑ Other. ❑ Final ❑ Year End
8. Number of Fundraisers this Report ❑ special ❑ Final
❑ Special
11. Account Information
It. Account Information
a. Financial Institution Full Name
a. Financial Institution Full N:nne
T/zv/ S T
. Purpose
c. Account Code
It. Purpose
c. Account Code
C'" 411 '-
D
FEB 2 1 2024
`
RECEIVED
d. Period Begin Balance
d. Period Begin Balance
$ Sit,
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 pf other non -disclosed funds. I further certify that this
report is complete, true and correct and that I have been trained by the (Board of Elections.
%;5/5 A -le ce dL Yo s
Printed Name of Signer Signaitu-JI/Appointed Treasurer Dal
FOR OFFICE USE ONLY
Date Received: Employee: Delivery Method
[3Normal Mail
Registered Mail
Date Postmarked: Employee:
Hand Delivered
Date Scanned: as Employee: Electronically Filed
Dale Data Entered. Employee: [3 Signer has not received
mandatory trammug
Please Note: This form cannot be used to amend committee iniortnat n such as the committee address, treasurer,
assistant treasurer, custodian of books information, or account information.
You must amend the Statement of Organization (CRO -2 I OOA-E) to make committee changes.
CRO -1000 NC state Board of Elections August 2605
Ttne rnt
Detailed Summary [3YYes
e9 Nn
Use this form to summarize all disclosure reDorting forms and to total rrametary information
1. Committee Full Name (and Fund if amicable)
2. Type of Report
3. ID Number
Start of Election Cycle: January 1, Z
Reporting
Total this
Period
Total this
Election Cycle
4) Cash on Hand at Start
$ ,S/.X-
$
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
lla) Interest on Bank Accounts
Ilb) Contributions from Not -For -Profit Organizations
Ile) Outside Sources of Income
I Id) Legal Expense Fund -Other Sources
Ile) 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 -126.5)
$
$
$ �Q,[ �. V�
$
$
$
$
$
$
$
$
5
ti
$
$
$
$
$
$
$
$
12) TOTAL RECEIPTS (Add lines 5.6,7,8,9, 10.1 [a, I I b, I le, I ld and I leil
S
6.0n
$
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)
15) Loan Repayments (CRO -1420)
16) Refunds/Reimbursements from the Committee (CRO -1320)
17) In -Kind Contributions (CRO -1510)
ti O O L
$
$
$
$
$
$
$
$
$
$
$
$
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)
$
1P • d
$
19) Cash on Hand at End (.Add lines 4 and 12 together, then subtract line 18
$
Z •
$
ADDITIONAL INFORMATION
0) Non -Monetary Gifts Given to Other Committees (CRO -1330)
1) Outstanding Loans (incl. ones from other,5ppPign�)U(yyq-1p4301
2) Debts and Obligations owed by the Cofini fee` ' ` rl1� 570)
3) Debts and Obligations owed to the Corand � 20?'P-1620)
24) Account Transfers Within the Committee `(CRO -1720)
5) Administrative Support RECE I YCE-0r10)
6) Forgiven Loans (CRO -1440)
7) 48 -flour Notice Reports Sum (CRO -2220)
128) Contributions to be Refunded (CRO -1215)
$
$
$
$
$
$
S
$
$
$
$
$
$
rmn-11a0 NC Siate anard of Elections An¢uo 200N
Amen
Contributions from Individuals Pg --,Zof / ❑ rent eNo
Ilse this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
1. Committee Full Name (and Fund if applicable)__ _ _ _
eozh"* . �/ �/E e7 Te U P� �e w-
2. In Number
(o _? yM V,$ -?v
. Contributor Information Add U Remove
. Full Name, Mailing Address & Phone
(include city, state, & zip)
Z3/G /)ly,t�py��c A
b. Job Tille/Profession
9 —
d. Comments
-
c. Employer's Name/Specific Field
1:5wsT
e. Election Sum to Date
f. Prior
❑
g. Account Code
Q /
It. Form of Payment
C I%E'LCL
1. In -Kind Description
j. Date imm/dd/y y)
t'U�3� z�
k Amount
$ e-)
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
. Full Name, %failing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
Employer's Name/Specific Field
/f !s -r v j
C�
e. Election Sum to Date
$ Z — -
S`D.0e
. Prior
011,e
g. Account Code
It. Form of Payment
e -le-
1. In -Kind Descriptloa
1. Date (mmldd/yyyy)
// L L
L Amount
$ 7 -
ll
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
a. Full Name, \tailing Addd1 "Phone
(include city m(p &PNCE
��QP�GN ^ —
b. Job Title/Profession
d. Comments
e. Employer's Nome/Specific Field
e. Election Sum to Date
I'. Prior
❑
g. Account Code
h. Form of Payment
1. In -Kind Description
J. Date (mm/dd/yyyy)
k Amount
$
❑
$
❑
$
4. Total only this Page
$ .1-5 • -00
5. Total of ALL CRO -1210 Pages
(This line must be online 6 of Demiled Summary Page CRO -1100)
CRO -1210 NC Sloe Raard of Election, April 2007
Amendment
Disbursements Pg / or ❑ Yes ONo
Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political
committees and coordinated nartv exnenditures
1. Committee Full Name (and Fund if applicable)
2. ID Number
Go'w.n.A ><
Wv� G-
ype of Disbursement (Please use seaarale CRO -1310 forms for each Nne of Disbursement.)
Operating Es en.es ❑ ConMbut ionstu Candidam, I'�� ho ed Cmnonaces ❑ Coordinated Party Expenditures
Payee Information ❑ Add Remove
a. Full Name, Mailing Address & Phone
h. Coordinated Committee Name
d. Comments
(include city, state, & zip) _ _ _
Cteie/f r j�vfto 74 e/frL%
7L4Q/ rGL / n
r
c. Level Registered (Specify) _
❑ Federal County:
/—/`/C 4
❑ Stale ,�Municipaliry:
e. Election Sum to Date
-$
qo. ev
. Account Code
O/
g. Form of Payment
CW ee-
1h. PurposeFode
i. Dale (mrd yyyy)
�a�5! 7
'. Amount
$ gD
k Required Remarks
F��
4. Payee Inforn U Add Remove
. Full Name, Mailing Address & Phone
b. Coordinated Committee Name
d. t'o none ntn
(include city, slate, & zip)
c. Level Registered (Specify)
❑ Federal ❑ County:
❑ State ❑ Municipality:
e. Election Sum to Date
r. Account Code
g. Foran of Payment
h. Purpose Code
i. Date (mmldd/yyyy)
j. Amount
it. Required Remarks
4. Payee Information ❑ Add ❑ Remove
:�. full Name, )tailing .Address & Phone
It. Coordinated Committee Name
d. Comments
i include cily, stale, & zip)
ION GOON NCG
F)NA
c Level Registered (Specify)
❑ Federal ❑ Coumy
-pMPA)GN
2�2w
❑ State ❑ Municipality:
e. Election Sum Io Dale
FEg
L Account Code .yerrll'1+
.Purpose Code
i. Date (mm/dd/yyyy)
j. Amount
it. Required Remarks
5
5. Total only this Page
$ �U
6. Total of ALL CRO -1310 Pages
(This line goes in line l3a of Detailed Summary Page CRO -1 100 if Operating Expenses)
(This line goes in line 136 of Defailed Summary• Page CRO -1100 ifCbntrib to CmrdidateslPolifical Comm)
$ 9
(This linegoes in line 13c o Derailed Summary Page CRO -1100 i Coordinated Party Fr endilures)
7. Purpose Codes (List detailed expenditure code in (h.) above)
A* - Media B* - Printing C* - Fundraising D - To Another Candidate
E - Salaries 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
* f ndae rmsoirp dotailnrl nxnlanatinn in rprodred remarks field fk)