Change For Monroe_2024-Org-amendndment
Disclosure Report Cover Nyes ED No
Use this form for general report and committee information, nest be signed and submitted along with other detailed forms.
Do not use this form to update information.
1. Committee Information
a. Full Name
c. to Number
CHANGE FOR MONROE
It. Mailing Address (include City, State and Zip Code)
d. Date Fled
P.O. BOX 395
05/15/2024
MONROE, NC 28111
e. Phone Number
2. Report Year
13. Period Start Date (mm/dd/yy)
4. Period Find Date (mm/ddtyy)
15. Treasurer Fall Name
2024
05/03/2024
05/10/2024
KEVIN DANIELS
6. Type of Committee (Check One)
9.
of Re check only one type ore ort om one category)
❑ Candidate Campaign ❑ Party
Municipal
State/County
Referendum
❑ Joint Fundraiser ® PAC
❑
Organizational
organizational
0 Organizational
❑ Referendum Legal Expense Fond
❑
❑
❑
Thirty-five day
Pre-primary
Pre-election
Quarterly
❑ First
❑ Second
❑ Pre -referendum
❑ Final
❑ Supplemental Final
7. Type of FLnd 0faPPl+cable, check one)
❑ "Booster Fund"
❑ Building Fwd
❑
Pre -runoff
❑ Third
❑ Annual
❑ Presidential Election Year Candidates Fwd
Semi-annual
❑ Fourth
❑ Special
❑ NC Pudic Campaign Financing Fwd
❑
Mid Year
Semi-annual
❑
Year End
❑ Mid Year
10. Special Report Nsme
❑ Other:
❑
❑
Final
Special
❑ Year End
❑ Final
❑ Special
8. Number ofFlandraisers this Re
0
3. Account Information
3. Account Information
a. Financial Institution Full Name
a. Financial Institution FLIT Name
CHANGE FOR MONROE
b. Purpose
c. Account Code
e. Account Code
TO COLLECT AND
C4M
DISTRIBUTE FUNDS
d. Period Begin Balance MAY 17 2024
a. Period Begin Balance
$
$
o.00union Co. Elections
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 othernondisclosed
funds. I further certify that this report is complete,
true and correct and that I have been trained by the NC State Board
N`� I re_\
—� \ 05/15/2024
Printed Name of Signer
Signature of Appointed Treasurer Date
FOR OFFICE LISEONLY y
Delivery Method
Date Received:
Employee: ❑ Normal Mail
❑ Registered Mail
Date Postmarked:
Employee:
❑ Hand Delivered
❑ Electronically Filed
Date Scanned:
Employee:
❑ Signer has not received
Date Data Entered:
Employee:
mandatory training
Please Note: This form cannot be used to amend committee information such as the committee address, treasurer,
assistant treasurer, custodian
of books information, oraccount information.
You must amend the Statement of Organization
CRO.2100A-E to make committee changes.
CRO -1000 NC State Board of Elections December 2007
ndment
4�t
Detailed Summary r3 Yes ® No
Use this formto sumrterize all disclosure reporting forts and to total monetary information
1. Committee Full Name and Flood if applicable) 2. Type of Report 13. ID Number
CHANGE FOR MONROE 2024 Organizational
Start of Election Cycle: January 1, 2024 Total this Total this
Re rtin Period Flection Cycle
41 Cash on Hand at Start I $ 0.00 1 $ 0.00
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
I la) Intereston Bank Accounts
I1b) Contributions from Not -For -Profit Organizations
I lc) Outside Sources of Income
IId) Legal Expense Fund- Other Sources
I le) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1210)
(CRO -1210)
(CRO -1230)
(CRO -1410)
(CRO -1240)
(CRO -1250)
(CRO -1150)
(CRO -11.50)
(CRO -1170)
(CRO -1165)
$
0.00
$
0.00
$ 366.90
$
366.90
$ 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
$
0.00
$ 0.00
$
0.00
2) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,1 I a I 1 b, l I c.11
d and I le)
$
366.90
$
366.9
3) Disbursements
13a) Operating Expenditures
13b) Contributions to Candidates/Political Committees
13c) Coordinated Party Expenditures
4) Aggregated Non -Media Expenditures
5) Loan Repayments
6) Refunds/Reimbursements from the Committee
7) In-I(IndContributions
(CR0.1310)
(CRO -1310)
(CR0.1310)
(CR0.1315)
(CRP -1410)
(0R0-1320)
(CRO -1510)
$
0.00
$
$ 0.00
$
A00,
$ 0.00
$
$ 0.00
$
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 366.90
$
366.90
8) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)
$
366.90
$
366.90
9) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18)
$
0.00
$
0.00
0) Non-Moaetary Gifts Gisen to Other Committees
(CRO -/330)
$
0.00
1) Outstanding Loans (incl. ones from other campaigns)
(CRO -1430)
$
0.00
2) Debts and Obligations owed by the Committee
(CR0.1610)
$
0.00
3) Debts and Obligations o%ed to the Committee
(CRO -1620)
$
0.00
4) Account Transfers Within the Committee
(CRO -1720)
$
0.00
5) Administrative Support
(CRO -1710)
$
0.00
$
0.00
$
0.00
$
0.00
6) Forgiven Loans
(CRO -1440)
$
0.00
$
0.00
7) 48 -Hoar Notice Reports Sum (CRO -1110)
81 Contributions to be Refunded
(CRO -1215)1
$
0.00
$
0.00
w
0
0
U
Q)
_
W
0
L)
r-
0
0
'c
A ndment
Contributions from Individuals Pg ! of I Yes IN No
Use this fonnto report individual contributions over $50 or contributions under$50 iffonnCRO 1205 is not used
1. Committee Fall Name and Fuad if applicable)
2. In Number
CHANGE FOR MONROE
3. Contributor Information ❑ Add ❑ Remove
a. FLIT Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
KEVIN DANIELS
NC
c. Employer's Name/Specific Field
e. Election Sum to Date
$
366.90
f. Prior
g. Account Code
b. Form of Payment
i. In -Kind Description
J. Date (mm/ddlyyyy)
k. Amount
❑
C4M
In -Kind
PAYMENT FOR WEBSITE
05/03/2024
$
366.90
❑
$
❑
$
4. Total only this Page
$
366.90
5. Total of ALL CRO -1210 Pages
(Tbic line must be on line 6 ojDaaLed Summary Page CR0.1100)
$
366.90
CRO -1110
NC State Board of Elections
MAY 17 ZGZ4
Co, Elections
April 2007
A,.m/ee dment
In -Kind Contributions Pg of 1 IIa Yee ® No
Use this form to report non-rrwnetary, 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 Name and Fund if applicable)
2. ID Nvn ber
CHANGE FOR MONROE
3. Contributor Information
❑ Add ❑ Remove
e. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Type of Contributor
C. Comments
IM Individual
❑ candidate
❑ Party
❑ PAC
❑ Referendan
❑ Other Receipt Source
KEVIN DANIELS
NC
d. Election Sam to Date
$ 366.90
e. Description
f. Date (mm/ddlyyyy)
g. Fair Market Amount
PAYMENT FOR WEBSITE
05/03/2024
$ 366.90
4. Total only this Page
$ 366.90
5. Total of ALL CRO -1510 Pages
(This Rne muss be on Rae 17 ojDeralled Summary Page CRO -1100)
$ 366.90
CRO -1510 NC Slate Board of Elections December 2007
MCC, AD
MAY 17 2024
Union Co. Elections