Price,Todd_2024-3rd-QtrAmendment
Disclosure Report Cover 0 Yea No
Use this form for general report and committee information. must be signed and submitted along with other det fled forms.
Do not use this form to update information -
I. Committee Information
. Full Name//
c. ID Number
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O /?9,9/ e e >�'�i T D 4 2L e e-
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b. Mailing Address (include City, State amt Zip Code)
d. Date Filed
dA'v� 2jfy� G/�d
e. Phone Number
2. Report Year
3, Period Start Date (mmPodyyl Period Enmd Date (mad y)
5. Treasurer Full Name
14.
/a - /I. 2-
e 2(
Type of Committee (Check One) _
9. Type of Report -(check
only one_rype of repart
from one category)
andidate Campaign ❑ Party
Municipal
Statelcounty
Referendum
PAC ❑ Referendum
❑ Organimtional
❑ Organizational
❑ Organizational
❑ Independent Expenditure ❑ Joint Fundmiser
❑ Thiny-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑ Pre-primary
❑ F a
❑ Final
❑ Pre-election
❑ Pre-mnoff
Second
ji Third
❑ Supplemental Foal
❑ Annual
7. Type of Fund (if applicable. check rote)
❑ &roster Fund
Semi-ai
Ef Fourth
❑ Special
❑ Building Fund
❑ Mid Year
❑ Year End
Semi-annual
n E
lo. Special Report Name
❑ Othcr:
❑ Fnal Cr`h'ang.
IGNOrW1t�'
h,t:({I
Number of Fundraisers thisSpecial
� Lel 2024
11. Account Information
11. Account luform•
a. Financial Institution Full
_.
n. Ilnutu'ial hnHfitJ� e
�Name
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b. Purpose I
c. Account Code
b. Purpose
c. Account Code
9^12 -h -
d. Period Begin Balance
d. Period Begin Balance
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 cenify that this
report is complete, true and correct and that I have been trained by the NC S)qe Board of Elections.
// _;W;7�_ /s/)ZS z
Printed Name of Signer Signat[offof Appointed Treasurer Date
FOR OFFICE USE ONLY
Delivery Method
Date Received: /°�a Employee:
❑ Normal Mail
Date Postmarked: Employee: Registered Mail
Hand Delivered
Date Scanned: Employee: Electronically Filed
ed
Date Data Entered: Employee: Signer maandatoryotry receiving
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-210OA-E) to make committee changes.
CRO -1000 NC State Board of Elections August 2008
.Amendment
Detailed Summary ❑ ,.e,N„
Use this form to summarize all disclosure reoortine forms and to total monetary information
1.�Committee Full Nam_ a (and Fund applicable) .42.
_71
IeC
Type of Report
3. /tD Number
/ /
Start of Election Cycle: January 1,
Total this
Reporting Period
Total this
Election Cycle
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)
10) Refunds/Reimbursements to the Committee (CRO -1240)
11) Other Receipt Sources
Ila) Interest on Bank Accounts (CRO -1250)
I Ib) Contributions from Not -For -Profit Organizations (CRO -1250)
Ile) Outside Sources of Income (CRO -1250)
1Id) Legal Expense Fund -Other Sources (CRO -1170)
Ile) Exempt Purchase Price Sales (CRO -1265)
$
$
$
$
$
$
$
$
$
$
$
$
S
ti
$
$
$
$
$
$
$
$
12)TOTAL RECEIPTS (Add lines 5. 6,7, 8,9, 10,11a, l l b, l l c, l l d and l I eq
$
$
EXPENDITURES
13) Disbursements
t3a) 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) $ $
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18, $ $
ADDITIONAL INFORMATION
0) Non -Monetary Gifts Given to Other Committees (CRO -13.90)
l) Outstanding Loans (incl. ones from other campaigns) (CRO -14.30)
0.1610)
2) Debts and Obligations owed by the Committee GOUNff
3) Debts and Obligations owed to the CoMNGN FIN "620)
4) Account Transfers Within the Committee 2oCT V9 0-1720)
25) Administrative Support (CRO -1710)
6) Forgiven Loans RECEINA040)
7) 48 -Hour Notice Reports Sum (CRO -2220)
8) Contributions to be Refunded (CRO -1215)
$
$
$
$
$
$
$
$
$
$
$
CRO -1100 NC State Board of Elections August 2008