Ross,Taylor_2023-Final-reportent
Disclosure Report Cover ❑e Yes O No
Use this form for general report and committee information, must be signed and submitted along with other detailed foi in,
Do not use this form to update information.
`tion
a. Fall Same
a ID Number
/Y)
b. Mai rng Address (include City, State and tip Code)d.
—
Date FUM
/ v q 2a)- 3
);J). w � dx✓c rr a� t At A
e. flwce Number
2. Report Year
3. Period Start Date (mm/dd/yy) 4. Period End Date lmneddh.l
5. Treasurer Full Name
-i -a
T e of Committee (Check One)
C andidete Campaign ❑ P:.rt�
9. Type of Report (check
Mmucipal
only one type of report
Sla[e/County
from one category)
Referendum
❑ PAC ❑ Referendum
❑ Organizational
❑ Organizational
❑ Organitalional
❑ independent Expenditure ❑ Joint Fundraiser
❑ Thirty-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑ Pre-primary
❑ Frst
❑ Final
❑ Pre-election
❑ Pre -runoff
❑ Second
❑ Third
❑ Supplemental Final
❑ Annual
7. Type of Fund (tf applicable, check one)
_
❑ B,,,tcr Fund
Semi-annual
❑ Fourth
❑ Special
❑ Pudding Fund
❑ Mid Year
Semi-annual
❑ Year End
❑ Mid Year
10. Special Report Name
❑ Other
Final
❑ Special
❑ Year End
❑ Final
S. Number of Fundraisers this Report
❑ special
II. Account Infotmnation 11. Account Information
. Financial Institution Full Name a. Financial Institution Full Name
UNION COUNTY
b. Purpose
c. Account Code MR"N FINANCE
c AcconatCode
l//�
NOV 0 9 2023
tL Period Begin Balance
/�
d. Period Be Balance
$ ECEIVED
$
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 NC State Board of Elections.
Y - ') .,) ,, V� sr i ll�Q��1?
Primed Name of Signer _SignaLCa of Appointed Treasurer Date
OR OFFICE USE ONLY
4
Date Received: d I 2� Employee: Delivery Method
❑ Normal Mail
Date Postmarked: Employee: Registered MailHand Delivered
Date Scanned: a3 Employee: Electronically Filed
qff❑
Signer Lias not received
Date Data Entered: Employee: mandato training
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 LUns
Amendment
Detailed Summary O Yes ❑ No
I Icy thic form to cnmmariir vll di cr locate rrnnrtino forms and to Intal mnnelarV information
1. Committee Full Name (and Fund if ap ticab e)
2. Type of Report
�,)
ID Number
n n .�A. AT xo,ljz
651Y) 61C
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%eimbursements to the Committee (CRO -1240)
1) Other Receipt Sources
Ila) Interest on Bank Accounts (CRO -1250)
llb) Contributions from Not -For -Profit Organizations (CRO -1250)
I lc) Outside Sources of Income (CRO -1250)
11d) Legal Expense Fund - Other Sources (CRO -1270)
I le) Exempt Purchase Price Sales (CRO -1265)
$
$ `(,
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
121 TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10,1Ia. I lb,I Ic,I Id and Ile)
$
$
XPENDITURES
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 -131S)
r15) Loan Repayments (CRO -1420)
6) Refunds/Rehnbursements from the Committee (CRO -1320)
17) In -Hind Contributions (CRO -1510)
$
$
$
$
$
$
$
$
$
$
$
$
$ G - G
$ 3 0.Z),�'y
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
$
$
DITIONAL INFORMATION
0) Non -Monetary Gifts Given to Other Committees (CRO -1330) $
1) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) $
2) Debts and Obligations owed by the Committee (CRO -1610) $
23) Debts and Obligations owed to the Committee (CRO -1620) $
QKL
4) Account Transfers Within theUN �-E (CRO -1720)$
5) Administrative Support (CRO -1710) $ $
�,..g_.q��
26) Forgiven Loans —�� ' C"`' (CRO -1440)
$
$
7) 48 -Hour Notice Reports S (CRO -2220)
$
$
S) Contributions to be Refund (CRO -1215)
$
$
CRO -1100 NC State Board of Elections August 2UU8
Amendment
Contributions from Individuals Pg _ or _ ❑ Yes ❑ No
Use 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)
2. Nuu*ember
} ! 7J Ji
0-Y
l7JMQGO (/
3. Contributor Information Add Remove
. Full Name, Mailing Address & Phone
(Include city, state, & zip)
b. Job Title/Profession d. Comments
U~
c. Employer's Namee/ ped6c Field
(ordt-%'I .y JIrrG4 e. Election Sman to Date
St-ut'r G(,l $ 31 u Z 1; x-71
0
�1-d2 t✓ �J�t ULj Ala A
M.r%n ti� a Sf J)dI
. Prior
g. Account Code
h. Form of Payment
1. to -Kind Description
j. Date (®lddlyyyy)
L Arom nt
13S%
(�,.A l
//� Y
$ I l2, d
❑
6. 440"
$ )z. Lf Cf
3. Contributor Information Add Remove
. Full Name, Mailing Address & Phone
(Indade city, state, & zip)
b. Job Tideftoression
d. Comments
e Employer's NamdSpedac Field
e. Election S® to Date
r.Prior
g. Account Code
h. Form of Payment
L lwKlnd Description
J. Date (®Iddlyyyy)
k Amount
❑
$
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
. Fail Name, Mailing Address & Phone
(include city. state, & zip)
b. Job Titie/Profession
d. Comments
UNION N FINAN� E
CAMPAIGN
NOV 0 9 2023
c.Employer'sNamelSpedaeFtcid
a Election Sum to Date
$
E.Prior
g. Accomt Code
h
-Khd Description
J. Date (®lddlyyyy)
h. Assonant
❑
It
❑
$
❑
$
4. Total only this Page $ G Y7r c F
5. Total of ALL CRO -1210 Pages $ (,-3y, c 4
(This Use must be on line 6 of Detailed Summary Page CRO -1100)
CRO -1210 NC State Board of Elections Apni zuw
Amendment
In -Kind Contributions Pg _ of _ I ❑ Yes ❑ No
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 dal'.
1. Committee: Full Name (and_Eund if applicable)
G t7,61f
12./ID Numb
3. Contributor Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
'1/
1-1L- 11���
eJJ,1kJJV (TI✓^ 5') TI
syl On (-k �✓' 1 J
Ir � 0
b. Type or Contributor
ndividual —
ndldalC
❑Party
❑ PAC
❑ Referendum
❑ Other Receipt Source
c. Comments
- -- -
d. Election Sum to Date
X
$ � J, �. �U
•. Description
f. Date (mm/ddlyyyy)
g. Fair Market Amount
$ lT. Nti
S 5 �.asFC -
IJ/ySiydz3
I./
3. Contributor Information ❑ Add ❑ Remove -
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Type of Contributor
)ndividual
❑ Candidate
❑ Ply
❑ PAC
❑ Referendum
❑ Other Receipt Source
c. Comments
- - - —
d. Election Sum to Date
$
e. Description
f. Date (mtWddlvyyy)
g. Fair Market Amount
$
$
$
3 Contributor Information ❑ Add ❑ Remove
it. Full Name, Mailing Address & Phone
(include city, state, &zipj
b. Type of Contributor
Individual
❑ Candidate
❑ party
❑ PAC
❑ Referendum
❑ Other Receipt Source
c. Comments
CAMPAIGN F INANCE
Nov 0 9 2023
PECE N ED
d. Election Som to Date
$
P. Description
f. Date (mm/ddlyyyy)
g. Fair Market Amount
$
$
4. Total only this Page
$ 6 , 7
5. Total of ALL CRO -1510 Pages
(This line must be online 17 of Detailed Summary Page CRO -1100)..;'
$
CRO -1510 NC State Board of Elections December2007