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Stone,Tracy_2023-Pre-electionAmendment Disclosure Report Cover ❑ Yea C] 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 update information. 1. Committee Worma6m . Fall Name r.� \ �.,,,� V (Ld I - i — a ID Number W . Maahtg Add* tladade CJy. &ate ad 9p Cade) d Dat POW 4Q-) Q �i e � /a Z.OZ 3 e. Ph ue Number / . Report Year 3. Period Start Date%)_ 4. Period End Date S. Treace Name X23 I Oji 1 2-'7 23 ( Z--Sz3 6. Type _ Cottee (Meek nej _ _ ® Candidate Campaign r] Party 9. lope of (check only one type of reportfrbm StatdCounty one category) Referendum Municipal PAC E] Referendum Independent Expenditure ❑ Joint Fundraiser Legal Expense Fund Organizational Thirty-five day Pre -Primary ® Pn>elomon [3 Pre -runoff Semi-annual ❑ Organizational Quarterly ❑ Fust ❑ Second ❑ Third ❑ Fourth ❑ Organ vat ion:d ❑ Pre -referendum ❑ Final ❑ Supplemental Final ❑ Annual Ej Special . Tjpe of FBBd pJapplicabk, chsek nae) Booster Fund ❑ Building Fund Mid Year Semi-annual other. Year End ❑ Final Special ❑ Mid Year ❑ Year End ❑ Final 1IL SpeeW Repat Name S. Number of FaadraWrs this Report _ ❑ Special 11. Account Information 11. Account Information Financial Institution Full Name a. Financial Institution Full Name Purpone r. Aemed Code b• PuIGN H - I- OCT 3 0 2023 e. Account Code Z d Peeied Betio Balaace $ 5 0� d. Period Begin Balance CE�VECy $ 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. 1 further certify that this report is complete, true and correct and that I have been trained by the NC S of Elections. Name of Signerfated Trtasurer 1 I'`� Date Received: /ewa 3 Employee: Delivery Method OR OFFICE USE ONLY" q4p ❑ Normal Mail Date Postmarked: Employee: Registered Mail Hand Delivered Date Scanned: Employee: ❑ Electronically Filed Date Data Entered: Employee: ❑ Smanigner tramtenceived 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 1Utla Tl"=� Detailed Summary AOe�` ry ❑Yes ❑ No Use this form to summarize all disclosure renortinp fnrms and to total monetary information 1. Committee Full Name (and Fund if applicable) 1 1�3t�cli 2. Type of Report - Fie' 3. ID Number_ 2J m NPW Start of Elec on Cycle: January 1, l c Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start I $ $ 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/Reimbursements to the Committee (CRO -1240) 11) Other Receipt Sources Ila) Interest on Bank Accounts (CRO -1150) 1lb) Contributions from Not -For -Profit Organizations (CRO -1250) l lc) Outside Sources of Income (CRO -1250) l ld) Legal Expense Fund -Other Sources (CRO -1270) Ile) Exempt Purchase Price Sales (CRO -1265) 7 $ $ • O 2 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,11 a,I1b,11c,I Id and I le $8:0b Z']OZ.O-Z $ EXPENDITURES 13) Disbursements 13a) Operating Expenditures (CRO -1310) 13b) Contributions to Candidates/Political Committees (CRO -1370) 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) 17) In -Kind Contributions (CRO -1510) $ $ $ $ $ $ $ $ $ $ $ $ $ 12Z $ 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $V:.M I '2-7.{0 • 5­c� $ 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18 -t9:.9a2-134 • t{ $ ADDITIONAL INFORMATION 20) 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) 3) Debts and Obligations owed to the Committee (CRO -J620) 24) Account Transfers Within the Committee UfJlO[a N ng a*) ;_:gMPA1G 5) Administrative Support , CI(Bat710) 26) Forgiven Loans QCT 3 UU(C1R1UO-1440)_ 7) 48 -Hour Notice Reports Sum f� t J E� t�CxW2 8) Contributions to be Refunded (CRO -1215) $ $ $ $ $ AN $ $ $ $ $ $ $ $ CR0-1100 NC State Board of Elections August 2008 Rt'iset Fotm Aggregated Contributions from Individuals Amendment Page � or � ❑ res ❑ No Optional form used to report NC Contributions From Individuals of $50 or less 1. Com FuM Ilium (am"If am&abk) 2. ID Number 3. ContributoikWormation a.Amend b. Account Code c. Form of Payment d. In -Kind Description e. Date (mmtddtyyyy) I. Amount ❑ Add 13 Remove n� 7 L.lt $ Add 13 R.— t / FC Q� $ Lj Add$ ❑ Remove 1 Q 0 LO Add f 13RemoveMo $ 4l Add ❑ Remove 0 t $ Add ❑ Remove Z $ Add ❑ Remove 13 �77� 11Remove Z, $2i] El Add ❑ Remove [e7 $2D Add ❑ Remove ��"" 11, Z $ 20 Add ❑ Remove ( p $ 2Z) Add ❑ Remove Z3 $ Add ❑ Remove trIL4 $ Add ❑ Remove $2-0 Add ❑ Remove L$� ,-' o Add ❑ Remove $ I:FAdd ❑ Remove $ Add ❑ Remove �V�� E t` $ Add ❑ Remove j� P1GN $ Z Add ❑ Remove r_rAdd ❑ Remove Add ❑ Remove $ Add ❑ Remove � $ 4. Total only this Page $ 5. Total of ALL CRO -1205 Pages f (This line mast be on fine 5 of Detailed Summary Page CR0.1100) CRO -1205 NC State Bound of Elections April 2007 Amendment Aggregated Contributions from Individuals Faye Z ar 2 ❑ Yes ❑ No Optional form used to report NC Contributions From Individuals of $50 or less 1. CommiyeaYuH Name (and Fund if applicable) 2. ID Number Vein p zztnN 3. Contributor hrormation . Amend b. Account Code c Form of Payment d. In Kind Description e. Date (mmfddlyyyy) f. Amount ❑ Add ❑ Remove $ Add ❑ Remove $ Add ❑ Remove Add $ ❑ Remove Add $ 11 Remove Add $ ❑ Remove Add $ ❑ Remove Add $ 13Remove Add $ [3Remove Add $ ❑ Remove Add $ ❑ Remove Add $ 11 Remove $ $ FRmove $ ❑Remove Add $ ❑ Remove Add ❑ Remove �i( - $ Add $ ❑ Remove j Add $ ❑ Remove Add 7 IV$ ❑ Remove Add $ ❑ Remove Add $ ❑ Remove 4. Total only this Page $ 5. Total of ALL CRO -1205 Pages $ (This line mast he online Sof Defailed Summary Page CRO -1100) c) CRO -1205 NC State Board of Flections April 2007 Contributions from Individuals Amendment Pg 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 Fall Name (and Fund if applicable) LIL-QS�� �� �,�,1� 1'P It ID Number 2 ^ v✓ 3. Contiributorififormation El Add E3 Remove . Full Name, Mailing Address & Phone (include city, state, &map) qg ':Z))O-.f.� 2-1amt b. Job Tale/Pr ~don d. Comments c.i Employer's Name/sperik Field ��(� QYl I e. Election Sum to Date Is 100 Prim & Account Code b. Form of payment G L In -Rind Description J. Date (mmtddlyyyy) k Amount $I ° ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & phone (Include city, state, & ap) 16?-�-Rood b. Job Title/Professioo , _ _ 1 d. Comments C. �pioer'. Naoelspeeft 1tleld t 1G�, el( Qb . Et $I CO .Prior ❑ g. Account Code h. Form of Payment i. hn Kind Description . Date (mm/ddlyyyy) �p k. Amount $ ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Rrooe (include city, state,& zip) ��y�/t.�['' 2 v\�zSSO,�� s Z�zg ioy b.) eea@ion S(�r��m'-,•t.11• d. Comments Employer's NasaYlSpecilk Field m �`� a Election s®ta Date $ I DO PriorS. Aomsmt Code Ir. Form of payment L 1n- 19 PMP° �'� 013 J. Date (mm/dd/yyyy) ► z3 R Amount $1 13G� ❑ oc p $ 4. Total only this Page $ Aj 5. Total of ALL CRO -1210 Pages (771tis fine must be on the h of Detoikd Summary Page CRO -1100) $ ►g(i) CRO -1110 NC State board of Elections April 2007 Contributions from Individuals P ar Amendment g ❑ Yes ❑ No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee F uH Name (and Ftimd if applicable) 2. ID Number 3. Contributor Information 0 Add 0 Remove . Futi Name, Mulling Address & Phone b. Job ndelPrMasion d. Comments (include city, state, & rip) i • {-�ct� R5c.n� a Empleyer's N Field (� 1�n�5 tQLlrci�, monS (>e' e. Election Sum to Date rn�tcQfi Is . Prior g. Account Code It. Form of Payment i. In -Kind Description J. Date (mm/ddlyyyy) k Amount ❑ $ ❑ $ 3. Contributor Wormation Add Remove . Full Name, Mailing Address & Phone b. Job Infl rofemion d. Comments (include city, elate, & rip) e oppioyer's NanswS�ppediHc Field e. Election Som b Date 2� ► � O y • ..n 1 z4Z 3q9- $ 100 . Prior g. Account Code h Form of Payment i. In -Kind Description J. Date (mmlddlyyyy) Is. Amount ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove Full Name, Malting Address & Phone Nr{ b. Job TitielProression d. Comments (Include city, state, & rip) GOA C1GE Cal �' . G MPP G O p13 o Employer's Name/S.pedDc Field ' 1 �� \ �`� e. Election Som to Date $ I.Prior g. Account Code h. Form or Payment 1. In -Kind Description J. Date (mmlddlyyyy) Is. Amount ❑ to $ ° n zcp $ 2 oz 4. Total only this Page $ 5. Total of ALL CRO -1210 Pages I��Z• (This fine must be on tine 6 of Detaikd Summary Page CRO -1100) ` CRO -1210 NC State Board of Elections April 2007 Contributions from Individuals Pg of ❑ res Amendment ❑ No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used L Committee Full Name (and Fund if applicable) 2. In Number M �?nl 3. Contributo ormation Add ❑ Remove . Full Name, Meiling Address & Phone b. Job Title/Pmfesdon d. Comments (include sty, state, &sip) a Employer's Namptedtic Field l �3 1� 7ci�e u ^ �_ ,s 'C 2's ► i z ' tit , I'�J Election Sum to Dale . Prior g. Account Code h. Form of Payment i. to -Kind Description '. Date (nnWddfyyyy) L Amount ° �nm ►004 0 $200 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone b. Job TitleJProfessioa d. Comments (include city, state, & sip) e Employer's NamdSpecil9c Field 001 a. Etecttm Sam to Date Is 10� . Prior g. Account Code h. Form of Payment 1. in -Kind Description J. Date (mmtddlyyyy) k Amount ❑ 100 3 $( ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone b. Job TitWProtessiom d. Comm urts (inclucity, state, & zip) �c Z3 HOb-+ � rQgylp� ���ZO�, KAPM, �_.�,_�_�-. El's NamdS Fidd iL\\ e. Electirnos Sum to bete $ JW .Prior 13 g. Accoumt Code b. Form of Payment e ma 1. Ls -Kind Deecrl� CT tloa 3 0 VD? .Date (mmlddlyyyy) Id , 2l7 3 k. Amoaat $ I OQ ❑ ECE - $ ❑ $ 4. Total only this Page $ 5. Total of ALL CRO -1210 Pages (This fine mwt be on lint 6 of DNalkd Smmnrary Page CRO -1100) (� 7 CRO -1110 NC State Board of Elmtions April 2007 Axnend In -Kind Contributions Pg ar ( ❑Yest ❑ 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 days. 1. Committee Full No (and Ftmd itapp4Ca* L ID No_b 3. Contributor 1ifformation LJ Add LJ Remove . Full Name, Mailing Address & Phone b. Type of Contributor c. Comments (include city, state, & zip) ❑ Individual ® Candidate 1 \i7�F: PAC E3 d. Election SS®b Dale ❑ Referendum Other Receipt Source 10 -1 S -1 -10 35 g� $ Description G Date (mmtdd/yyyy) & Fa r SLrOet Amount 1 - $ 2 .00 ' rnQQ%'rr, 10JZj.QjEJ3j $ QkQ2.OZ 3. Contributor Mrorinaffin ❑ Add ❑ Remove . Full Name, Mailing Address & Phone b. Type of Contributor c. Comments (include city, state, & zip) ❑ Individual ❑ Candidate ❑ Party ❑ PAC ❑ Refereadum d. Election Sam to Date ❑ Other Receipt Source $ .Description. Daft (nlWWOd yyy) g. Fair Market Amount $ $ $ 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone b. Type of Contributor c. Comments (Include city, state, & zip) ❑ Individual ❑ Candidate ONIONGOUNT ( FINANCE ❑ Party CAMPAIGN ❑ PAC d. Meetlon Sum to Dale 3 0 2023 ❑ Referendum OCT ❑ Other Receipt Source $ Dmaipllan Lj f. Date (mm/dd/yyyy) g. Fair Market Anaunt S $ $ 4. Total only this Page $ 1 zZkQS 5. Total of ALL CRO -1510 Pages $ (This line must be on line 17 of Detailed Summary Page CRO -1100) I 2 CRO -1510 NC State Board of Flections December 2007