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Sanders,Jennifer_2024-3rd-QtrAmendment Disclosure Report Cover o Yea IM No Use this form for general report and committee information, must be signed and submitted along with other detailed forns. Do not use this form to update infomiation. 1. Committee Information a. Full Name c. m Number ALLY4NC (.Z M 3 Z a b. Mailing Address (include City, State and Zip Code) d. Date Filed 1307 DOBSON DRIVE 10/27/2024 WAXHAW, NC 28173-7990 e. Phone Number (704)729-4178 2. Report Year 13. Period Start Date (mm/dd/yy) 14. Period End Date (mm/ddtyy) 5. Treasurer Fill Name 2024 07/01/2024 10/19/2024 JENNIFER LYNN SANDERS 6. Type of Committee Check One 9. Typme of Re rt check on1v one tvve o re ort from one category) ® Candidate Campaign ❑ Party Municipal State/County Referendum ❑ Joint Fundraiser ❑ PAC ❑ Organizational Organizational 0 Organizational ❑ Referendmn Legal Expense Fund Q ❑ ❑ Thirty-five day Pre-primary Pre-election Quarterly 13 First 13Second ❑ Pre -referendum 13 Final [3Supplemental Final 7. Type of Find (fapplicable, check one) ❑ "Booster Fund" [3Building Fund [3Pre-runoff 9101� Third ❑ Annual ❑ Presidential Election Year Candidates Fund Semi-annual ❑ Fourth ❑ Special ❑ NC Public Campaign Financing Fund ❑ Mid Year Semi-annual 10. Special Report Name ❑ Year End 0 Mid Year ❑ Other: ❑ ❑ Final Special ❑ Year End ❑ Final [3 Special 8. Number of Fundraisers this Report 0 3. Account Information 3. Account Information a. Financial Institution Full Name a. Financial Institution Fill Name FIFTH THIRD BANK ION COUNN _ 0. Purpose c. Account Code c. Account Code DONATIONS AND2 4NC OCT 2�Z4 EXPENSES FOR it. Period Begin Balance d. Period Begin Balance CANDIDATE r t $ 633.92 $ RF CERTHWATION I certify that the Committee or Fund is in compliance with a8 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 fun . 1 furth r certify that his report is complete, true nd co ct and th t I have been trained by the NC State Board G 10/27/2024 /PriqWfdName• Signer 7 SigqfitwcArVAppointe&Treasiwer Date "OFFICE191ZOM7 Date Received: /loqR /aw Delivery Method Employee: ❑ NonmalMail Registered Mail Date Postmarked: Fn4loYee: Hand Delivered ❑ Electronically Filed Date Scanned: Employee: [3 Signer has not received Date Data Entered: Employee: mandato trainin Please Note: This form cannot be used to amend committee information such as the conartittee address, treasurer, assistant treasurer, custodian of books hhf it ation, or account information. You must amend the Statement of Oreanization CRO -2100A- to make committee changes. CR41000 NC State Board of Elections December 2UU7 Amendment Detailed Summary ❑ Its IN No Use this formto sunmerize all disclosure renortindc fors and to total monetary information 1. Committee Full Name and Fund ifapplicable) 2. Type of Report 13.IDNumber ALLY4NC 2024 Third Quarter I Lj(v, 3 j3a Start of Election Cycle: January 1, 2024 Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start $ 443.92 $ 0.00 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 0) Refunds/Reimbursements to the Committee 1) Other Receipt Sources Ila) Interest on Bank Accounts I Ib) Contributions from Not- For-Proll 10 rga n i zati ons 1 lc) Outside Sources of Income IId) Legal Expense Fund- Other Sources I le) Exempt Purchase Price Sales (CRO -1205) (CRO -1210) (CRO -1220) (CRO -1130) (CRO -1410) (CRO -1240) (CRO -1250) (CRO -1250) (CRO -1250) (CRO -1270) (CRO -1265) $ 0.00 $ 0.00 $ 550.00 $ 1,840.00 $ 2,000.00 $ 2,000.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 1 $ 0.00 2)TOTAL RECEIPTS (Add lines 5, 6,7.8.9,10,1 Ia1 Ib,l lc,l Id and l le) $ 2,550.00 $ 3,840.00 EXPENDITURES 3) Disbursements 13a) Operating Expenditures 13b) Contributions to Caddstes/Political Committees 13c) Coordinated Party Expenditures 4) Aggregated Non -Media Expenditures 5) Loan Repayments 6) Refunds/Reimbursements from the Committee 7) In -Kind Contributions (CRO -1310) (CRO -1310) (CRO -1310) (CRO -1315) (CRO -1420) (CRP -1320) (CRO -1510) $ 1,880,88 $ 2,726.96 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 8) TOTAL EXPEVDMAES (Add lines 13a 13b, 13c. 14, 15. 16 and 17) $ 1880.88 $ 2 726.96 9) Cash on Handat End(Add lines 4 and 12 together, then subtract line 18) $ 1,113.04 $ 1,113.04 ADDITIONAL 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 CountNth G�- (CR0.1670) \00 3) Debts and Obligations owed tothatpI u ee 4 (CRP -1620) 4) Account Transfers Within the CommidtVe`l6 V t\`((C,RO-1720) 5) Administrative Support \\IOOWO-1710) 6) Forgiven Loans f1�v� v (CRO -1440) 7) 48 -Hour Notice Reports Sum C� (CRO -2220)i $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 1 $ 0.00 8) Contributions to be Refunded (CRO -1215) 1 $ 0.00 1 $ 0.00 CRO -1100 NC State Hoard of Elections AngUSI LUU6 Amendment Contributions from Individuals Pg 1 of 5 13Yes ® No Use this form to report individual contributions over $50 or contributions under$50 iffovn CRO 1205 is not used 1. Committee Full Name and Nand if applicable) 2. m Number ALLY4NC 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments ATTORNEY ALLISON ANDERMAN 4016 E SAN MIGUEL AVE PHOENIX, AZ 85018 c. Employer's Name/Specific Field SELF e. Election Sam to Date $ 100.00 f. Prior g. Account Code h. Form of Payment 1. In -Iliad Description j. Date (mm/dd/yyyy) k. Amount ❑ 4NC Electric Funds Tran 08/10/2024 $ 100.00 ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Poll Name, Mailing Address & Phone (include city, state, & zip) It. Job Title/Profession d. Comments NOT EMPLOYEED DAVID BARTKO 220 PINE LAKE DR MONROE, NC 28110 c. Employer's Name/Specific Meld NOT EMPLOYEED e. Election Sum to Date $ 80.00 f. Prior g. Account Code h. Form of Payment I. In-IDnd Description j. Dale (mm/ddlyyyy) it. Amount ® 4NC Electric Funds Tran 04/30/2024 $ 25.00 ❑ 4NC Electric Funds Tran 08/12/2024 $ 25.00 ❑ 4NC Electric Funds Tran 09/05/2024 $ 15.00 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) It. Job Title/Profession d. Comments NOT EMPLOYEED DAVID BARTKO 220 PINE LAKE DR Oo\AAv MONROE, NC 28110 04\0 F�I,PN M P Cj I� 1p2`� c. Employer's Name/Specific Field NOT EMPLOYEED e. Election Sum to Date $ 80.00 f. Prior g. Account Code h. Form of Payment scriptioo 1. Date (mm/ddlyyyy) k. Amount ❑ 4NC Electric Fla �1 10/18/2024 $ 15.00 ❑ $ ❑ $ 4. Total only this Page $ 155.00 5. Total of ALL CRO -1210 Pages $ 550.00 (This line must be online 6 of DeraHed Summary Page CRO -1100) CRO -1210 NC State Board of Elections April 2007 Amendment Contributions from Individuals Pg 2 of 5 ❑ Yes ® No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee Fall Name and Fund ifapplicable) 2. to Number ALLY4NC 3. Contributor Information ❑ Add ❑ Remove a. Foil Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments NOT EMPLOYED BETH ELMO 1612 AMBERGATE DR WAXHAW,NC 28173 c. Employers Name/Specific Field NOT EMPLOYED e. Election Sum to Date $ 25.00 f. Prior g. Account Code h. Form of Payment i. to -Kind Description j. Dale (mm/dd/yyyy) 4. Amount ❑ 4NC Electric Funds Tran 08/09/2024 $ 25.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Rernove a. FLIT Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments REAL ESTATE BROKER NY STEVEN HAVRE 11 I URBAN STREET MOUNT VERNON, NY 10552 c. Employer's Name/Specific Field BROKER NY e. Election Sum to Date $ 25.00 f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) t.Amount ❑ 4NC Electric Funds Tran 07/28/2024 $ 25.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) A' b. Job Title/Profession d. Comments NOT EMPLOYED K CK uN�0 CaNFNP 100707 DEERCROSS LANE \ DEEMP WAXHAW, NC 28173 G vTl O ! O c. Employer's Name/Specific Field NOT EMPLOYED e. Election Sum to Date $ 25.00 f. Prior g. Account Code h. Form of - ent i. In -Kind Description j. Date (mm/dd/yyyy) 4. Amount ❑ 4NC Electric Funds Tran 07/10/2024 $ 25.00 ❑ $ ❑ $ 4. Total only this Page $ 75.00 5. Total of ALL CRO -1210 Pages $ 550.00 (This Uae mast be online 6 ojDda1kd Summary Page CR0.1100) CRO -1210 NC State Board of Elections Aprl ZUU Amendment Contributions from Individuals Pg 3 of 5 ❑ Yea ® No Use this fotmto report individual contributions over $50 orcontributions under $50 if form CRO 1205 is not used 1. Committee Full Name and Fund if applicable) 2. ID Number ALLY4NC 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) It. Job Title/Profession d. Comments NOT EMPLOYED KAREN HICKS 1007 DEERCROSS LANE WAXHAW, NC 28173 c. Employer's Name/Specific Field NOT EMPLOYED e. Election Sum to Date $ 25.00 f. Prior g. Account Code h. Form of Payment i. In-10ad Description j. Date (mm/dd/yyyy) k. Amount ❑ 4NC Electric Funds Tran 08/27/2024 $ 25.00 ❑ S 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) It. Job 7ltle/Profession d. Comments TEACHER LINDSAY HUDSON -AUSTIN 4020 MAGNA LANE INDIAN TRAIL, NC 28079 e. Employer's Name/Specific Field PD e. Election Sum to Date $ 20.00 I. Prior g. Account Code h. Form of Payment I. In -Kind Description j. Date (mm/ddlyyyy) it. Amount ❑ 4NC Electric Funds Tran 09/15/2024 $ 20.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address At PhoneON FINANCE (include city, state, &zip) pp1GN b. Job Title/Profession d. Comments SUPPLY CHAIN MANAGER ROBERT KINCAID Cj It 2024 303 TRINITY CHURCH RD � MONROE, NC 28112 F n c. Employer's Name/Specific Field ATI t. Election $ f. Prior g. Account Code h. Form of Payment i.In-Kind Description j.Date (mm/dd/yyyy) ❑ 4NC Electric Funds Tran 08/10/2024 ❑ ❑ 4. Total only this Page $5. Total of ALL CRO -1210 Pages(This Itne must beon Nne 6 of Detailed Summary Page CRO -1100) CROL1210 NC Sate Board of Elections Apra 2007 Amendment Contributions from Individuals Pg 4 of 5 ❑ Yes ® No Use this form to report individual contributions over $50 or contributions un4er$50 ifforntCRO 1205 is not used 1. Committee Full Name and Fund if applicable) 2. In Number ALLY4NC 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments HR MANAGER NORM PERREAULT 7009 CAMROSE CROSSING LANE MATTHEWS, NC 28104 c. Employer's Nome/Specific Field CSAA INSURANCE GROUP V. Election Sum to Date $ 100.00 f. Prior g. Account Code h. Form of Payment i. In-10nd Description j. Date (mm/dd/yyyy) t. Amount ❑ 4NC Electric Funds Tran 08/09/2024 $ IO(LOII ❑ $ ❑ $ 3. Contributor information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job7itle/Profcssion d. Comments IT CHRISTOPHER POLICINO 2420 14TH ST NW APT 828 WASHINGTON, DC 20009 c. Employer's Name/Specific Field ORACLE e. Election Sum to Date $ 50.00 f. Prior g. Account Code It. Form of Payment 1. In -Kind Description j. Date (mm/ddlyyyy) it. Amount ❑ 4NC Electric Funds Tran 08/17/2024 $ 50.00 13 $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) Is. Job 7itle/Professiou it. Comments NOT EMPLOYED JENNIFER STRINGFELLO ON GO PNC•V- 4329 FOREST SPRINGS bPp1GN FAN MONROE, NC 28112 GA 1�2y c. Employer's Name/Specific Field NOT EMPLOYED c. Election Sum to Date 50.00 f. Prior g. Account Code h. -of yment 1. In -land Description J. Date (mm/dd/yyyy) it. Amount ❑ 4NC Electric Funds Tran 07/25/2024 $ 50.00 ❑ $ ❑ $ 4. Total only this Page $ 200.00 5. Total of ALL CRO -1210 Pages $ 550.00 (This Use must be on Une 6 ojDemlled Summary Page CRO -1100) CRU -1110 NC State Ward or Elections April 2007 Amendment Contributions from Individuals Pg 5 of 5 ❑ Yes ® No Use this form to report individual contnbutions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee Full Name and Fund if applicable) 2. In Number ALLY4NC 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b Job litle/Profession d. Comments HOME MAKER AMBER TIBB 1334 WAYNEWOOD DR WAXHAW, NC 28173 c. Employer's Name/Specific Feld SELF e. Election Sum to Date $ 25.00 f. Prior g. Account Code it. Form of Payment I. In -Mod Description j. Date (mm/dd/yyyy) 4. Amount ❑ 4NC Electric Funds Tran 10/18/2024 $ 25.00 ❑ $ ❑ $ 4. Total only this Page $ 25.00 5. Total of ALL CRO -1210 Pages (This line must be on flue 6 ojDeralled Summary Page CBO -1100) $ 550.00 CRO -1210 NC State Hoard of Elections uN1ON G� INPNCE GPMPPIGN RF�FI\j ApN ZUU'I Amendment Contributions from Political Party Committees Pg ! of ! ❑ \es ® No Use this form to report contributions from a political party 1. Committee FLII Name and Fund ifa applicable) 2. ID Number ALLY4NC 3. Contributor Information ❑ Add ❑ Remove a. FLIT Name, Mailing Address & Phone (include city. state, & zip) b. Comments UNION COUNTY SENIOR DEMOCRATS PO BOX 665 WAXHAW,NC 28173 (704) 6184116 c. Election Sum to Date $ 2,000.00 d. Account Code e. Form of Payment L In -Kind Description g. Date (mm/dd/yyyy) h. Amount 4NC Check 07/09/2024 $ 2,000.00 4. Total only this Page $ 2,000.00 5. Total of ALL CRO -1220 Pages (This llne must he on line 7 ojDetailed Summary Page CRO -1100) $ 2,000.00 CRO -7120 NC State Boardof Flections April 2007 UNION GO 1NANG GAMpA1GN OCT It v14 RFGF,vF'D Amendment Disbursements Pg 1 of 3 ❑ Yes ® No Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated party expenditures 1. Committee FLIT Name and Fund if applicable) 2. ID Number ALLY4NC 3. Type of Disbursement (Please use separate CRO -1310 forms for each tune of Disbursement) IN Operating Expenses Contrlaaions to Candidates/Political Committees Coordinated Party Expenditures 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments ACT BLUE LLC P.O.BOX 441146 SOMERVILLE, MA 02144 c. Level Registered (Specify) 0 Federal 13 Cotmty: ❑ State ❑ Municipality: e. Election Sum to Date $ 35.43 f. Account Code 1g. Form of Payment jh.Purpose Code ji. Date (mm/dd/yyyy) j. Amount 1k. Required Remarks 4NC Electric Funds Tran O 10/19/2024 1 $ 16.04 1 ACT BLUE PROCESSING Is I FEES 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone Include city, state, & zip) b. Coordinated Committee Name d. Comments MARGARET HERDEGEN 4MYHERD 4009 WHITAKER PLACE WAXHAW,NC 28173 a Level Registered (Specify) L3 Federal County: ❑ Sate ❑ Municipality: e. Election Sum to Date $ 322.00 f.Aceount Code Ig. Form of Paymenth. Purpose Code 11. Date (mm/dd/yyyy) j. Amount 1k. Required Remarks 4NC Debit Card A 08/23/2024 1 $ 322.00 PRINTING OF MY S 4. Payee Information ❑ Add ❑ Remove a. FulIName, Mailing Address & Phone V include city, state, & zip)ION WWANGOON GE b. Coordinated Committee Name d. Comments MONET BOUTIQUE CAMP NC QC 1 L c. Level Registered (Specify) Federal Courtly: ❑ Sate ❑ Municipality: e. Election Sum to Date 54.47 L Account Code g. Form of Payment 1h. Purpose Code 11. Date (mm/ddlyyyy) 1j. Amount 1k. Required Remarks 4NC Debit Card O 09/23/2024 1 $ 54.47 1 MISC ITEMS TO HAND Is I Vul IV , 5. Total only this Page $ 392.51 6. Total of ALL CRO -1310 Pages (This One goes in fine 13a ojDeraged Summary Page CRO -1100 ij'Opemiing Expenses) $ 1,880 88 (This fine goes in rine 13b of Detailed Summary Page CRO -1100 ifComrlb to CandidatesrPofifieal Comm) (Ther line goes In line Me ojDetafied Summary Page CRO -1100 if Coordinated Parry Expendimres) 7. Purpose Codes (List detailed expenditure code in (h.) above) A* - Meda B* - Printing C* - Fundraising D -To Another Candidate E - Salaries Fs - Equipment G- Political Party H* - Holding Pudic Office Expenses I - Postage J - Penalties K* -Office Expenses Q* -Donation to Legal Expense Fund O* Other * Codes require detailed explanation in required remarks field CRO -1310 NC Sate Boardof Elections December 2009 Disbursements Amendment Pg 2 of 3 ❑ Yes ® No Use this form to report expenditures from the committee for operating expenses,contributions to candidate/political committees and coordinated party expenditures 1. Committee Fall Name and Fund if applicable) 2. ID Number ALLY4NC 3. Type of Disbursement (Please use separate CRO -1310 forms for each tvae of Disbursement.) IM Operating Expenses Contributions to CandidatesTolitical Committees 0 Coordinated Party Expenditures 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments PRINT PLACE 1110 AVENUR H E ARLINGTON, TX 76011 c. level Registered (Specify) U Federal 13 County: ❑ State ❑ Municipality: e. Election Som to Date $ 213.50 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/ddlyyyy) J. Amount k. Required Remarks 4NC Debit Card B 08/13/2024 $ 213.50 3,000 POSTCARDS FOR 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments PRINT PLACE 1110 AVENUE H E ARLINGTON, TX 76011 c. Level Registered (Specify) Federal County: ❑ State ❑ Municipality: e. Election Sum to Date $ 213.40 f. Acconot Code g. Form of Payment h. Purpose Code L Date (mm/ddlyyyy) j. Amount 1k. Required Remarks 4NC Debit Card B 08/29/2024 1 $ 213.40 1 POSTCARDS FOR Is I 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address &Phone include city, state ,& zi- b. Coordinated Committee Name d.Comments SIGNS ON THE CHEAP GF' PAl? ' 11525 STONEHOLLOW DR AUSTIN, TX 78758 IV 2 224 c. Level Registered (Specify) Federal County: ❑ State ❑ Municipality: e. Election Sum to Date $ 768.55 f. Account Code g. Form of Payment 1h.Purpose Code ji.Date (mm/dd/yyyy) j. Amount k. Required Remarks 4NC Debit Card A 07/22/2024 $ 768.55 ROAD SIGNS 125 OF $ 5. Total only this Page $ 1,195.45 6. Total of ALL CRO -1310 Pages (This line goes In Rae Ma of Detailed Summary Page CRO -1100 tJ'Opemdng Expenses) $ 1,880.88 (This line goes In Rae 13b of Dewiffed Summary Page CR0./ 100 tjConptb to CandidareslPORRCaI Comm) (This line goes in Rmt He ojDerailed Summary Page CRO- I100 #Coordinared Pani F_xpenditures) 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 I - Postage J - Penalties K* - Office HScpenses Q* -Donation to Legal Espense Fund O* Other * Codes require detailed explanation in required remarks field(k) CRO -1310 NC State Board of Elections December 2009 Amendment Disbursements Pg 3 or 3 ❑ Yes ® No Use this fbnnto report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated party expenditures 1. Committee Full Name and Fund ifapplicable) 2. ID Number ALLY4NC 3.Opeof Disbursement (Please use separate CRO -1310 forms for each tune of Disbursement.) rming Expenses Contributions to Candidates/Political Committees U Coordinated Party Expenditures 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments STAPLES 10850 PROVIDENCE RD CHARLOTTE, NC 28277 c. Level Registered (Specify) Federal M County: ❑ State ❑ Municipality: e. Election sum to Date $ 117.96 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) J. Amount 4. Required Remarks 4NC Debit Card B 09/30/2024 S 117.96 PALM CARDS FOR 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments TARGET 6350 WEDDINGTON RD MATTHEWS,NC 28104 c. Level Registered (Specify) Federal County: ❑ State ❑ Municipality: e. Election Sum to Date $ 62.96 f. Account Code g. Form of Payment h. Iht rpuse Codr Ti. Date(mm/dd/yyyy) 1j. Amount 1k. Required Remarks 4NC Debit Card I1 09/16/2024 $ 62.96 1 INK AND PRINTER PAPER 4. Payee Information ❑ Add ❑ Remove a. FullNatm, Mailing Address & Phone SyjY (include city, state, & zip)N GNU NCF b. Coordinated Committee Name d. Comments USPS GP�APP� 100 WAXHAW PKWY �� 10 WAXHAW, NC 28173 QCj 000 V 1�� FtF — c. Level Registered (Specify) Federal E3 county: [3state 13Municipality: e. Election Sum to Date $ 112.00 f. Account Code g. Form of Payment h. Purpose Code 1. Date (mmlddlyyyy) I. Amount k. Required Remarks 4NC Debit Card 1 10/11/2024 $ 112.00 S. Total only this Page $ 292.92 6. Total of ALL CRO -1310 Pages (This line goes in line /3a ojDetaOed Summary Page CNO-1100 ljOpemting Expenses) (Th6Wu goes in line 736 ojDelaOed Summary Page CR0./ 100 ljContrib to Candidates1PoONca! Comm) $ 1,880.88 (This Nne goes in line 13c of Detailed Summary Page CRO -1 100 ljCoordinated Parry Expenditures) 7. Purpose Codes (Usst detailed expenditure Lure code in (h.) above) A*-Med a B* - Printing C* - Fundraising D- To Another Candidate E - Salaries F* - Equipment G- Political Party H* - Holing Public Office Expenses I - Postage J - Penalties K* - Office Expenses Q* -Donation to legal Expense Fund O* Other * Codes require detailed explanation in required remarks field CRO -1310 NC State Board of Elections December 2009