Loading...
Ross,Taylor_2023-Pre-electionDisclosure Report Cover 171 AmeYes °`Q 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 undate information. 1. Committee Information u. Full Name 4dl- c. IID Number b. Mailing Address (include City, State and Vp Code) d. Date Filed 721 1,v (Z,-X.,t.W -17V4 5+( /hV,, rdti �� 1 rh v e. Phone Number 2. Report Year 3. Period Start Date (mm/dd yy) 4. Period End_Date (m n thilyy) 5. Treasurer Full Name )o); C4/`)7//1,,)'; in/1J 2d13 //- .r t- o' ,- 6. pe of Committee_LCheck One) _ 9 Type of Report (check only one type of report from one category) , CCandicate Campaign ❑ Puny ❑ PAC Referendum independent Expenditure ❑ Joint Fundraiser ❑ legal Expense Fund Municipal [:] Organizational ❑ Thirty-five day ❑ Pre-primary State/County ❑ On anizational (jumerly O First Referendum ❑ organizationai ❑ Pre -referendum ❑ Frna1 [ r election O Pr runoff Semi-annual [3 Second O Third ❑ Fourth ❑ Supplemental Final ❑ Annual ❑ Special 7. Type of Fund (if applicable, check one) B,�,.icr Fund ❑ Building Fund Mid Year Semi-annual ❑ oilier. Ym End Final Special ❑ Mid Year ❑ Year End ❑ Final ❑ speriul 10. Special_ Report Niimffl 8. Number of Fundraisers this Report - 0 11. Account Information 11. Account Information a. Financial Institution Full Name a. Financial Institution Fnll Name h. Purpose c. Account Code b. Pur :;F:4PR Z A! NCE c Account Code - Nld. OCT 2 4 2023 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 certify that this report is complete, we and correct and that I have been trained by the NC State Board of Elections. 1 LC31griature Pri ted Name of Signer of Appointed Treasurer Date FOR OFFICE USE ONLY Date Received: Employee: Delivery Method ❑ Normal Mail Date Postmarked: Employee: ❑ Registered Mail Hand Delivered Date Scanned: 5 a 3 Employee: Electronically Filed Date Data Entered: Employee: ❑ Signer has not received mandatory training Please Note: This form cannot be used to amend committee informau n 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. CRU -1000 NC State Board of Elutions August 2008 Detailed Summary Am nYa�mtanl ❑ No Use this form to summarize all disclosure renortine forms and to total mnnetary infroton inn 1. Committee Full Name (and Fund if applicable) 2. Type of Report 3. ID Number Start of Election Cycle: January 1, 2JIL-- Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start $ $ RECEIPTS 5) Aggregated Contributions from Individuals 6) Contributions from Individuals (CRO -120.5) CR0.1210) $ $ S $ $ 7) Contributions from Political Party Committees (CRO -1220) $ $ 8) Contributions from Other Political Committees (CRO -1230) $ $ 9) Loan Proceeds (CRO -tato) $ $ 10) Refunds/Reimbursements to the Committee (CRO.1240,1 $ $ 1) Other Receipt Sources 11a) Interest on Bank Accounts (CRO -1250) $ $ 11b) Contributions from Not -For -Profit Organizations (CRO -1250) $ $ l lc) Outside Sources of Income I Id) Legal Expense Fund -Other Sources Ile) Exempt Purchase Price Sales (CR0.1250) (CRO -1270) (CRO -1265) $ $ $ $ $ $ S 12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10,11 a, I l b, l l c, l l d and IIed 3 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 -Melia Expenditures (CRO -1315) $ $ 5) Loan Repayments (CRO -1420) $ $ 6) Refunds/Reimbursements from the Committee (CRO -1320) $ $ 7) In -Kind Contributions (CRO -1510) $ 7Y- $ 7 S 1 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) 19) Cash on Hand at End (Add lines S and 12 together, then subtract line 181 $0.00 S ADDITIONAL INFORMATION 0) Nun -Monetary Gifts Given to Other Committees 1) Outstanding Loans (incl. ones from other campaigns) (CRO -1330) (CRO -1430) S $ 2) Debts and Obligations owed by the Committee (CR04610) $ 23) Debts and Obligations owed to the FiNpNQ€R0.1620) $ 24) Account Transfers Within the Committee (CRO -1720) $ 25) Administrative Support (CRO -1710) $ $ 26) Forgiven Loans CQ r ! � $ $ 7) 48 -Hour Notice Reports Sum Contributions to be Refunded (CRO -2220) (CRO -1215) $ $ $ $ CRO -1100 NC State Board of Elmtions August 2008 Amendment Contributions from Individuals Pg _ of ❑ Yea ❑ No 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) ss Fes- �,s " 2. ID Number 3. Contributor Information ❑ Add Remove . Full Name. Mailing Address & Phone (include city, state, & zip) -7 '&— RA );y T-7 �1d1 br �laXf/L�i 61V4 �,rt A &U, rdt N(_ 1�I J,) b. Joh Thle/Profession d. Cununent, c. Employer's Nanu/Spectfic Field C&-, /^f �j-f"idti.l 5`rt/,`(Af L.(,C. e. Election Sum to Date $ .362-GZ r. Prior _ ❑ g. Account Code h. Form of Payment - - - i. In -Kind DDescription j. Date (mtm'lddlyyyy) k Amount � J J /�ir� nl LI 3 $ a,' 3- P ❑ lJ stlt /11)WO $ 3l • 3V ❑ C-=� i0/ °la 3 5 1st 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Professinn d. Comments c. Employer's Name/Specific Field e. Election Sum to Date $ f. Prior ❑ g. Account Code h. Form of Payment i. In -Kind Description J. Date (mm/dd/yyyy) k Amount $ ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name Mailing Address & Phone (include city, state, & zip) UNION C�,jyANCE �,AMPPIGN b. ,fob Title/Profession d. Comments c. Employer's Name/Specific Field e. Election Sam to Date $ f. Prior g. Accomt Code h. Form of Pa Description J. Date (mmlddlyyyy) k Amount 13— — -- p $ ❑ $ t. Total only this Page $ I% DJ 5. Total of ALL CRO -1210 Pages fThi., lure mast be ori line 6 of heladed Suarmary Page. CRO -1100) Q CRO -1210 NC State Ro, rd of Elections April 2007 In -Kind Contributions Pg —of _ p Amendment ❑ No Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund. Use CRO -1215 if fit -Kind Contributions were or will be refunded within 7 dovS. .,Committee Full Name{and Fund if applicable]_ 3. Contributor Information ❑ Add ❑ Remove . Full Name,Mailing Address & Phone (include city, stale, & zip) - 17) Tf alUl W IwJfL ti.I+f SIJA. S�C I / ^ f�Y-d b. Tt c of C'omributor India idiri I :o� ❑tJ:uc 11 Pa PAC ❑ Referendum ❑ Other Receipt Source C. Comments d. Election Sam to Date $ c. Description f. Date (mm/ddlyyyy) g. Fair Market Amount Lug✓ � /�/9 � $ , �// 3. Contributor Information ❑ Add ❑ Remove - a. Full Name, Mailing Address & Phone (include city, slate, & zip) b. Type of Contributor Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source C. Comments d. Election Stun to Date $ e. Description f. Date (nudddlyyyy) g. Fair Market Amount 5 $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name. Mailing Address & Phone (include city, state, & zip) UN10N�UNp(❑ r,A ppdicGN FINANCE f 2 4 2023 OC 1 ED b. Type of Contributor _c. Q Individual Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source Commentr d. Election Sum to Date $ on e. Description P f. Date (mm/dd/YYYY) it. Fair Market Amount $ 4. Total only this Page $ Q� 5. Total of ALL CRO -1510 Pages (This line must been line 17gfDe1ai1ed Surmnwy,Pege CRO -1100) s71'r CRO -1510 NC Since Ai,ard of Elections December 2007