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Schallenkamp,Dan_2023-Year-endAmendment Disclosure Report Cover r3 Yes E3 No Use this form for general report and committee information, must be signed and submitted along with other detailed forms. Do not use rhiN form to undate information - 1. Committee Information . Full Name c. II) Number .Nd �'V•j^� as^. C evt . Mailing Address (include City. State and Zip Cole) d. Date Filed to e. Phone Number a 70Y -M-05 2. Report Year 3. Period Start Date (mm/dd/yy) 4. Period End Datefmm/dd/yy) 5. Treasurer Full Name 200 aq-Ocf -a0a3 3�-1?ec- ROP -3 VOVX axQenkq 6. Type of Committee (Check One)_ 9. Type of Report (check only one type of report jrorn one category 15 Candidate Campaign ❑ Party Municipal State/County Referendum PAC ❑ Referendum ❑ Organizational ❑ Organizational ❑Organizational ❑ Independent Expenditure ❑ Joint Fundraiser ❑ Thiny-five day Quarterly ❑ Pre -referendum ❑ I-egal Expense Fund ❑ Pre-primary ❑ Fust ❑ Final ❑ Pre-election ❑ Pre -runoff ❑ Second ❑ Third ❑ Supplemental Final ❑ Annual 7. Type of Fund (ifawlicable, check one) ❑ Bouster Fund Semi-annual ❑ Fourth ❑ Special ❑ 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 a. Financial Instilution Fall Name a. Financial Institution Full Name b. 1'urpnse P c. .Account Code b. Purpose e. Account Code C 0,.VA Ir 40,-00- JAN 2 5 2024 =y�� 7((( , UNION COU d. Period Begin Balance +/Period Begin Balance lit A Dr $ 901, 6 ( BOARD OF ELE Tg)NS CERTIFICATION 1 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. I further certify than i hi, report i�m^plete, true and correctat I have been trained State o. of F,iecuons. � SclAa�luc IpCJ{�INr a5-1 n-�oa Printed Name of Signer Signature of Appointed Treasurer Iliac FOR OFFICE USE ONLY Date Received:T- 1 Employee: Delivery ❑Normal Mail ❑Registered Mail Date Postmarked: Employee: tXHand Delivered Date Scanned: (J1 Id71os'L Employee: ❑ Electronically Filed Date Data Entered: i Employee: manda er hry trainnot ived o Please Note: This form cannot be used to amend committee informs on 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 snake committee changes. CRO -1000 NC State Board of Elections August Mob Amendment Detailed Summary ❑ Yes ❑ No Use this form to summarize all disclosure revortinR forms and to total monetary information 1. Committee Full Name (and Fund if applicable) 2. Type of Report 13. ED Number S-C6Ve40'V' ayearfchCi Start of Election Cycle: Jan ary 1, Total this Reporting Period Total this Election C cle 4) Cash on Hand at Start $ go/.191f $ RECEIPTS 5) Aggregated Contributions from Individuals (CRO -1205) $ $ 6) Contributions from Individuals (CRO -1210) $ $ 3,30 5OO 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 11a) Interest on Bank Accounts (CRO -1250) $ $ llb) Contributions from Not -For -Profit Organizations (CRO -1250) $ 05 $ a Ile) Outside Sources of Income (CRO -1250) $ $ lld) Legal Expense Fund - Other Sources (CRO -1270) $ , $ Ile) Exempt Purchase Price Sales (CRO -1265) $ $ 12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,1la,l lb,11c,1ld and l le) $ 0,05 05 $ -3 3e) 5, EXPENDITURES 13) Disbursements 13a) Operating Expenditures (CRO -1310) $ I ,�� $so 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) $ (010 r 65' $ ( 0, 6s 17) In-Kiud Contributions (CRO -1510) $ $ 5 00 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $ S $ 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18 $ $ 3 3 (} S, �6 ADDITIONAL INFORMATION 20) Non -Monetary Gifts Given to Other Committees (CRO -1330) $ 1) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) $ 22) Debts and Obligations owed by the Committee (CRO -1610) $ RECEIVED 3) Debts and Obligations owed to the Committee (CRO -1620) $ 24) Account Transfers Within the Committee (CRO -1720) $ 25) Administrative Support (CRO -1710) UNION $ 6) Forgiven Loans (CRO -1440) $ $ 27) 48 -Hour Notice Reports Sum (CRO -2220) $ $ 8) Contributions to be Refunded (CRO -1215) $ $ CRO -1100 NC State Board of Elections August 2008 Other Receipt Sources Pg of Amendment _ ❑ Yes ❑ No Use this form to report income not reported on another form. i.e. interest income, not for profit contributions etc. 1. Committee Full Name (and Fund if applicable) _ 2. ID Number of Receipt Source (Please use separate CRO -1250 forms for each type of Receipt Source. &Type 7ntercst Contributions fm to Not -for -Profit Organizations Outside Sources of Income 4. Contributor Information 1❑ Add ;❑ Remove . Full Name, Mailing Address &.Phone ^,' (include city, stole, s, it./"+ b. Not -for -Profit Federal ID #,12,_ d. Comments Silk FtNtDC ROfS-tS re. It (J�Qil `` ll c. Outside Source Explanation e. Election Sum to Dale $ a . Account Code g. Form of Payment h: In -Kind Description t. Date (mmtdd/yyyy) - - J: Amouut OWL Ec 1346v -2o23 $ 0,03 001- F_lec±fon' II-neca0z3 $ 4. Contributor Information 10 "Add j Remove a. Full Name, Mailing Address'&Phone - -b.Not-for-Profit '(include city, state, & tip) Federal lD# d.Comments c. Outside Source Explanation, e. Election Sum to Date $ DrCEIVIEU I. Account Code " g. Form of Payment fi:Ia-bind Descripfion, t f' �, , a_" i. Date (mmlddlyyyy) s1 J. Amouut''"°'.,; " $ JAN 25 202 $ UNION COUNT 4. Contributor Information j❑ Add ,❑ Remove a. Full Name, Mailiug Address & Phone " ' - ' . ° `., (include city, state, .& zip) .-.- b_ . Not.for-Profit Federal ID # -,-, ` d. Commehts ..... c:.0utside Source Explanation e. Election Sum to Dale ' $ I. Account Code . g. Form of Payment h. In -Kind Description 1. Date (mralddtyyyy) . J.'Amouht $ 5. Total only this Page, $ 6. Total of ALL, CRO -1250 Pages (This line goes in line Hoof Detailed Summary Page CRO -1100 if Interest) - (This fine goes in line 11b of Detailed Summary Page CRO -1100 if Not for -Profit Contribution) This line goes inline He o Detailed Summary Paire CRO.1100 if Outside Sources of Income $ CRO -1250 NC State Board of Elections December 2007 NS Amendment Disbursements Pg —L of L ❑ Yes ❑ No Use this form to report expenditures from the committee for operating expenses, contributions to candidatelpolitical committees and coordinated party expenditures 1. Committee Full Name (and Fund ifapplicable) 2. ID Number Ari S'CMQ el4kOttN" Wope of Dishursement , (Please use separate CRO -1310 forms for each type of Disbursement€.)' ��E O emtin E enses Contributions to Candidates/Political Committees LJ Coordinated Party Ex endimr s Payee -Information, Add -10Remove & Full 'Nam e, Mailing Address &Phone .:• F (inclndecity,state,&zi') s°"...- *=.. :- - b. Coordinated Committee Name *,; d Comments,'7107M - UNION COI. P BOARD OF EL (AQCe b �I, I' ' 1 H4l.t-er WAy r7a�, 1/ 1 /'rd q' i�o 2.57 1 Yl tiff ac c: Level Registered (Specify) :;':+; ❑ Federal County: ❑ State ❑Municipality: e. Election Sum to,Datc - . $._.j��I �- . smoun[ Code - g. Form of Payment' = h. Purpose'Code"=. .. i. Date (nmi/diFyyyy)' j.'Amount .,'j l4.Require'd Remarks •"e �t� . m -Deb,) o. o i - Aicpv a3 $ 37.00 aoarf- F8 �osr� 1 Oehi'fi 0 0C-AAov-'a3 $ 3?•do �boSf FB o ' 4. Payee; Information, °' {❑ Add j❑;_Remove . FultName, Mailing Address &+Phone " � �' ri ;°. :. (mdade city, state,'& zip) . , " -: " b. Coordinated Committee Name „. d. Comments •;f� Ot WN W �Yi<�IPo ��rlc, 04 9 Yoa5 GLevel Registered (Specify) Federal U County: ❑ State ❑ Municipality: e: Eleeaon Sum tobtite $ ya 00 . Account Code g. Form of Payment .' h: Purpose'Cdde is Dale (mmlddlyyyy}; j:;Amount ,,"' k. Required Remarks.;=t, m1 k a o7-,Uo%la3 $ ?.°• (;cosr Fla j6.iF $ 4.°Payee Information �❑ Add_ ,❑ Remove a. Full Name, Mailing Address &Phone _ x X<' (include city, state, &`-zip) r ' b: Qoordinated Comndt[ee Naive :,; - d. Commenter '= 60 'VAN 1 Ill 14t�,,,, rill T_vjAl tJ irtk � Nc 9go7q' (Specify) ;y % 8e!. Federal County ❑ State ❑ municipality: e.°Election Sum to Date ' $ '1 a5 •ai f: pccbonfCode g{Form ofiPayment 1h. Purpose Code` i. Date (mie/dd/yyy"'y) .I. Amount „ • - k: Required'Remarks ` > 07- 41ou-a3 is hantiaJT Is Total only this, P,age $ d 5q • i 6. Total' of ALL CRO -1316 Pages $ © 1ures) ( t - // (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) (This line goes in line 13h of Detailed Summary Page CRO -1100 if Contrite to Candidates/Political Comm) (This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Fr endh 7. Purpose Codes (List detailed expenditure code in (h.) above) ` A*Mediae s B - Printing C* Fundraising D To Another Candidate ESalaries F* `Egwpment __ x G Political Party II* Holding Public Office Expenses; T< Postage -7=T - Penalties OfficeExpenses w+; Q* - Donation to Legal Expense Fund O* Other * Codes require detailed explanation in required remarks field k " CRO -1310 NC State board or Elections - December 2009 a 124 JTY :TIONS Disbursements Pg of 2 E3 Yes E3No - — lAmendment Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committees and ennrdinated nartv exnendihire.q VIC o tteeFuWName:(and:Funddf, appljcable)n:I-,- 201DINumber, t, '7 av" type-oit'Disbursement: 1! 0 tDt-ng Expenses U Contributions to Candidates/Political Committees U Coordinated Pa Expenditures Vpi r6raJwtlFTIQKrNIVeIi md',f"10�1!gemove W*;',, AAZA! il�.',Full'Name, Mailing,Addrew&,Phone P 1 'M tincliule city, state,& zlp),„--, li: _j, �, I . , - , bi�Co6rdifi�t�dCorilifiitte6�NameI race 60ok- 14acktr wo-� Mede �evel Regliteied,(S pecifi), L] Federal Lj County: El State Ij Municipality: e.ElecitimiSumto�'Date'410 -71K $ !Account Cade' i g.,Form,bf Paymintd, • h;'PutpoibCode ftiW( jj) � J:Anamiit "eituiredlRe �j,� ',�f,, D 2 9 -Nos -0 $ 3 1 o09f F8 Pel .0"-- $ 7-77 77 77777777 ILI� ` 0,�S�du&ge r;YullName, Mailing Address Pboue includecity, state, Si zip)-' WCoorqimded,'Commitee ane�.'!,`46nments!-, r 5--he&,LevelRegiiie-iid-(Specify).,, S7 O 7)&Uj-IP v' P,5a?� j—& L3 Federal L] County: 13 state E3 Municipality: e.Itgkctjon Ston to $ 06 f.,Accbuai',Co& N e Foral orpo I ,Purpose Code i "Iruroo 1; DaW(m fiVdd1YikY)K f:�fimunt,,I, k: jR d Remarks i 9 $ Y ',Add- jj:]� R emove., avFullNeme, Maitirig Ad6ess & Phone (Intludecify,$tate;_&jzjp), &Xommentsl rIE-MV JAN 2 5 (Specify),-- 7 8t!oistered alU County: 0 state [3Municipality: e:1E1641ion Saint MWCOE $ BOARD OF ELE VAc6iiot Code, i &F6iriiiiifPaymeot, h,!Purpase,Cddi „'%k' •L $ Is S Tofal'pnty flits Page .. -A $ 3 Z-) - C) 0 (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Detailed Summary Page CRO -1100 if Contrib to Candidates/Political Comm) (This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures) $ c. . . . �MWN M .... . .. 0--,Media�B*-p C* -,4Fimdradsing,;�,' -, _Lj D - To Another Candidate E Salanes F �—E Sip&p:n:tj-t—,7X'7 �(f - _fdfI7jNuGI-W,-Ciffk7e !enses,--1 G P;litical Party Hfff:7A�lidin Q* Q; t ee,_� at [7 Postage, 17 -Donation to Legal Expense Fund j Peital es in — 0* Other f�°Codes'r'uiredetailed'elanation�iniie'6iceil�reinacksSeld"k ::a._ °" CRO -1310 NC State Board of Elections December 2009 ED )24 qTY MONS Refunds/Reimbursements From the Committee Pg —L or Amendment ❑ Yes ❑ No Use this form to report refunds/reimbursements, including contributions returned to the contributor. 1'.='C6nunitteeFuH Namt: and'Fund if a 'licable ° " . p, 2. ID'Number" Do \- 5c, ctWenka wl jr,ayee hrforpm!(on , $ � .-:'- = , ` `j - _ ,_ ,- Add= j❑ Reutove ra a. Full Name, Mailing Address & Phone (include city, state, & zip)!' d. Type of Committee h. Original Receipt Date Candidate PAC ❑ Referendum ❑ Party `I / — "u' �aIA 5&0, `,f /tea JA^ n -G6 1' V4C �" l I{/ i L� at v�'FJ2C �f g, o y e: Level Registered I. Original Receipt Amount: Federal Count y` ❑ State ❑ Municipality: $ 3 00 0 , o ) C Purpose Code j. Election Sum to Date. L $ b. Job Title/Profession c. Employer's Name/Specific Field Ig. Comments - - k. Account Code 5" 11 av a 1. Form of PaymenV im. .Required Remarks n. Date (nuWddlyyyy) jo.Anmunt dJa�-i ,riV ��Uvtd o-FCcvLtnb;Ai)ovl I l{ -pec -23 1 $IS10, 3}Sayee'Iuforttiation'' ,.', 10 Add;';.,❑ Renove x - a. Full Name, Mailing Address &.Phone - (include city, state,& zip) d. Type of Committee h. Original Receipt Datey 13 Candidate ' PAC ❑ Referendum ❑ Party e. Level Registered L Original Receipt Amount Federal County: El state ❑ Municipality: f. Purpose Code $ j. Election Sun t $ JAN 202 b: Job,Title/Profession c. Employer's Name/Specific Field g. Comments k. Account Code UNION COUN BOARD OF ELECT ..Form of Payment m.Required .Remarks u. Date (mttt/ddlyyyy) a. Amount $ 3:PayeeLInformetibn �, J❑ Add' Remove ' a. Full Name, Mailing. Address &IPhone (include city, state, &zip) d. Type of Committee It. Original Receipt Date El Candidate PAC ❑ Referendum ❑ Party e. Level. Registered I. Original: Receipt Amount Federal 0 County: [3 State ❑ Municipality: $ L Purpose Code j. Election Sum to Date $ b. Job Title/Profession c. Employer's Name/Specific Field g. Comments k Account Code 1. Form of Payment m. Required Remarks n. Date (mm/ddlyyyy) o. Amount $ � 4ffiuYal,only this Page , t �t `� $ , 65' 5 al o(,ALL CRO 1320 Pages . Tot ltne.mus46e o'ri fine 16 ! Detailed Sunmia .�Pn nCRO.1100) 6Pui0,ose.Codes (List detailed disbutsement'code in (f), above) L - Returned to Contributor I M - Overpayment for Service N - Exceeded Contribution Limit P* - Reimbursement of In -Kind , O eth0 r =gip Codes.re vire'=deGiil d;exy anation'in`required remarks=field m CRO -1320 NC State Board of Elections December 2007 ONS