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Schallenkamp,Dan_2023-Pre-electionAmendment Disclosure Report Cover tiesNo 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 11. Committee Information . Full Name c. ID Number _t)qv\� SC�.e.Q��itko b.Mailing Address (include City, State and Zip Code) d. Date Filed yclo' -Dc' 3 o - oct aoa3 ,/t„ 0.41,^UjSr kc ff O'loy r�� fe ��ll 7 e. Phone Number 704-158-O ? 2. Report Year3. Period Start Date (mmtddiyy) 4. Period End Date (mmlddtyv) 15. Treasurer Full Name O_C)a3 I a7 -$e -ao23 6. Type of Committee (Check One) 9. Type of Report (c)teck only one type ojrep one c_ar_e_gory) Candidate Campaign ❑ Pam Municipal _ortfrom State/County Referendum PAC ❑ Referendum ❑ (ni,,nizational ❑ Organb tionai 13 Organizational ❑ Independent Expenditure Joint Fundraiser ❑ Thirty -rive da} Quarterly [3 Pre -referendum ❑ Legal Expense Fund ❑ Pre-primary ❑ First [3 Final ® Pre-election ® Pre-mnoff ❑ Second ❑ Third ❑ Supplemental Final El Annual 7. Type of Fund (if applicable, check one) ❑ Boo ter Fund Semi-annual ❑ Fourth Spemal ❑ Building Fund ❑ Mid Year Semi-annual Year End ❑ Mid Year 10. Special Report Name ❑ Other Final ❑ Special ❑ Year End ❑ Final 8. Number of Fundraisers this Report ❑ Special 11. Account Information 11. Account Information . Financial Institution FullNama. Financial Institution Full Name S fnc0.+Q EyM .0pf e Cf edirl VrIt'& i UNION COUNTY b. Purpose I f - c. Account Code b. Purpose c. Account Code CarMeeu '��� 1 OCT 30 2 3 $ Periodiin Balance,to N� -- Begin Balance IM' a or A RECEI a CERTIFICATION I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B & 2213-22M of Chapter 163 of the NC General Statutes and that no funds are commingled with prohibited or other non -disclosed funds. 1 further certify that this report is complete, true and correct and that I have been trained by the NC Stat Board of Elections. a7a 4� S� P,�E��aF►,0 r 3o -o�- u23 Printed Name of Signer Si nature of Appointed Tre er Date FOR OFFICE USE ONLY Date Received: 3a oZ 3 Employee: Delivery Method ❑ Normal Mail Date Postmarked: Employee: ❑ Registered Mail Hand Delivered Date Scanned: /D 3 Employee: Electronically Filed Date Data Entered: I Employee: ❑ Siiggn) r has not received datory 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 2008 Detailed Summary E3 gent ❑ No Use this form In summarize ail disrinsnre rennrtinv fnrms and to tntat mnnetaru infnrmwinn 1. Committee Full Name (and Fund if applicable) 2. Type or Report 3. ID Number Start of Election Cycle: January1, A0D.a Total this Total thisReportingPeriod Election C cle 4) Cash on Hand at Start S 4 $ 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 Ila) Interest on Bank Accounts llb) Contributions from Not -For -Profit Organizations llc) Outside Sources of Income I ld) 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-1265) $ $ $ 00. S :3,305, °— $ $ $ $ $ $ ti $ $ $ $ �0� $ 0 R� $ S S $ 12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,1 NJ lb,I Ic,I Id and Ile) 2 00, = $ 31,3 05, a` EXPENDITURES 13) Disbursements 13a) Operating Expenditures (CRO -1310) lab) Contributions to Candidates/Political Committees (CRO -1310) 13c) Coordinated Party Expenditures (CRO -1310) 14) Aggregated Non -Media Expenditures (CRO -1315) 15) Loan Repayments (CRO61420) 16) Refunds/Reimbursements from the Committee (CRO.1320) 17) to -Kind Contributions (CM1510) S $ I a 1 S ' 77 $ S $ 5 $ S $ S $ $ $ S 5 0 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $6-% �p f t%, $ 'a 503. 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18 $8:69 $Q G Y $ DDITIONAL INFORMATION 0) Non -Monetary Gifts Given to Other Committees 1) Outstanding Loans (incl. ones from other campaigns) 2) Debts and Obligations owed lbNtGeC�tpffitE b 3) Debts and Obligations `q 04 & t�titee 24) Account Transfers Within jlg;,Cenl wn 5) Administrative Support �U}1� 11 J r D 6) Forgiven Loans RECEIV t 7) 48 -Hour Notice Reports Sum Contributions to be Refunded (CRO -1330) (CRO -1430) (CRO-1610) (CRO -1620) (CRO -1720) (CRO -1710) (CRO -1440) (CRO -2220) (CRO -1215) $ $ $ $ $ $ $ S $ $ $ $ $ CRO -1100 NC State Board of Flections August 2008 Reset Form Amendment Contributions from Individuals Pg 1 of ❑ 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. ID Number 3. Contributor Information ❑ Add ❑ Remove . Full Name. Mailing :Address & Phone (Include city, state, & zip) J e T G. i r� ;Q� (; q G -f- MaAe.(as, QVC '? sic) Y b. Job Tide/Profession 1A L , it -i t� d. Comments c. Employer's Name/Specific Field Assa e. Election Sam to Date Co— $ (Qod, f. Prior ❑ g. Account Code & q1 It. Form of Payment C ht k i.In-Kind Description J. Date (n middlyyyy) jy-o(.t- a0)3 it. Amount 5 c 00 .= El ❑ 5 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone (include city, state, & zip) `Pti�PPIv `��}L� b. Job Title/Profession d. Comments e. Employer's NamdSpecilie Field e. Election Sam to Date -- $ . Prior o Z. Account Code fe Form of Pa t'l i. In -Kind Description - -- - - J. Date tmm/ddlyyyy) L Amount 5 ❑ 5 ❑ 5 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing .Address & Phone (include city, state, &zip) b. Job TithsProfudim d. Comments c. Employer's Name/Specific Field e. Election Sum to Date 5 .Prior ❑ g. Account Code h. Form of Payment i. In -Kind Description J. Date (mmlddlyyyy) IL Amount $ ❑ S ❑ 5 4. Total only this Page 5 0 0, �i 5. Total of ALL CRO -1210 Pages (This line must be online 6 of Detailed Summary Page CRO -1100) S OO r CRO -1210 NC Stale Board of Elections vj- 17 11 Amendment Other Receipt Sources Pa _L of L ❑ Yea p No Use this form to report income not reported on another form. i.e. interest income, not for profit contributions etc. I. Committee Full Name (antFblad If applicable) 12. - ID Number 3. Type of Receipt Source (Please use separate CRO -1250 forms for each Noe of Receipt Solute.) ❑ Intcre-.[ ❑ Coatnbuni ne from Not -tor -Potful Organizmion, ❑ O nide Snurccs of lnirnnr 4. Contributor Information Add Remove . Full Name, Mailing Address & Phone b. Not -for -Profit Federal ID tt d. Comments (include city, state, & zip) S +0.k MQ�o�ea s Gfed;4 0 4q1 �% l l O. � 1 O� W e.✓- � � 4l t � Rake �i �� aZ� ll c. Outside Source Explanation - c. Election Sum to Date $ 0. I. Account Code g. Form of Payment It. In -Kind Description i. Date (mmldellyyyy) j. Amount I- O'l'?0;R $- 0.93- 1 ( ro,,iIc $ 4. Contributor Information EI Add ❑ Remove . Full Name, Mailing Address & Phone b. Not -for -Profit Federal ID N d. Comments (include city. state, &zip) N GGNN� E AM oN i F)NANG - - --- -- -- - - c. Outside Source Explanation OCA 3 C 2023 e. Election Sum to Date VED $ . Account Code a. Form o It. In -Rind Description 1. Date (tnm/ddlyyyy) j. Amount $ $ 4. Contributor Information DAM Remove . Full Name, Mailing Address & Phone b. Not -for -Profit Federal m g d. Comments (include cih. stale. & zip c. Outside Source Explanation e. Election Sum to Date . Account Code g. Form of Pa, ment h. In-Klnd Description I. Date (mm/ddlyyyy) J. Amount $ 5. Total only this Page 5 0 6. Total of ALL CRO -1250 Pages (This tine goes in Rne Ha of Detailed Summary Page CRO -1100 if Interest) (This fine goes in line 116 of Detailed Summary Page CRO -1100 if Not for-Profu Contribution) 04 This line goes in line Ilc of Detailed Summary Pa a CRO -1100 if Oatside Sources of Income CRO -1250 NC State Board of Elections December 2007 L Amendment p eon - - - Disbursements Pg of ❑ Na Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated nacre exnenditures J. ommrttim Fan Name (and Fund if applicable) TqA StW-0, AV.CA 2. ID Number 3. Type of Disbursement (Please rue separate CRO -1310 forms for each type of Disbursement.) rut 0m,1111r Exruses ❑ ('o ti ihulfum a, Camhd:nesi Pull Ii 1:d('111111111 eel ❑ Coordinated Part) Expenditures 4. Payee Information 0 Add 0 Remove a. Full Name, Mailing Address & Phone b. Coordinated Committee Name it. Comments include city, slate, & zip) 1 Citj P Ptr t' Ai J.s t Yo � v�� c Level Registered (Specify) ❑ Federal ❑ County: _ ...i ❑ State ❑ Municipality: e. Election Sam to Date . Account Code g. Form of Payment h. Purpose Code I. Date (mm/dd/yyyy)j. Amount k Required Remarks 1 Deb,' -4 0 3 of+-ao23 $ G 13.tt Rotc k Cg✓d s $ 4. Payee Information L1 Add 0 Remove a. Full Name, Mailing Address & Phone b. Coordinated Committee Name d. Comments (include city. state. & zip) Siat� r M(LQoYQe C�edt`� Untor\ 1 �1 �C D, f.GWe f SoL79 c. Level Registered (Specify) ❑Federal ❑ County: — R��1`� 4�, �C X7611 ❑ State E3 Municipality: e. Election Sum to Date $ yr = t. Recount Code g. Form of Payment d rad k h. Purpose Code D t. Date (mmlddlyyyy) l I — Oct -20231$ P. Amount k Required Remarks ►I?ort� J( Qe $ 4. Payee Information 0 Add L1 Remove . Full Nome, Mail'in"g"ip4 pd1i[� pmt^, (include city. s1 Aµ ztpy' b. Coordinated Committee Name d. Comments OCT 3 2023 Ep c Level Registered (Specify) _ [3 Federal ❑ County: RECEIV j ❑ Slate ❑ Municipality: e. Election Sum to Date $ f. \ccoum Code g. Form of Payment h. Purpose Code t. Date munalddlyyyy) J. Amount to- Required Remarks $ 5. Total only this Page $ 6. Total of ALL CRO -1310 Pages I This line goes in line Hat of Delailed Summary Page CRO -1100 if Operating Expensed (This fine goes in line 131, of Delailed .Stutmeary Page CRO -1100 if Cnnlrih to Candidales/Politiral Comm) $ , U S (This line goes in line I.Br of Detailed .Summary Page CRO -1 toll if ( oordinated Party Expenditures) 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 .l - PenaltieI, K* - Office Expenses Q* - Donation to Legal Expense Fund O* Other * Codes revire detailed explanation in rc(uired remarks Geld W CRO -1310 S( S%te B,aard of Election, DecFmher 2109