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Change For Monroe_2024-Org-disclosureAmendment Disclosure Report Cover o Yea ® No Use this form for general report and committee information, trust be signed and submitted along with other detailed forts. Do not use this form to undate information. 1. Comdtim inforMS4 a. Full Name c. D) Number CHANGE FOR MONROE b. Mailing Address (include City, State and Zip Code) d. Date Filed P.O. BOX 395 05/10/2024 MONROE, NC 28111 e. Phone Number 2. Report Year 13. Period Start Date (mm/dd/yy) 4. Period EndDate (mm/dd/yy) 15. Treasurer Full Name 2024 05/03/2024 05/10/2024 KEVIN DANIELS 6. Type of Committee (Check One) 9. Type of Ra rt (check only one loype ofre onfrom one category) ❑ Candidate Campaign Party M nicipal State/County Referendum ❑ Joint Fundraiser ® PAC Organizational Organizational ❑ Organizational ❑ F.eferend m Legal Expense Fond ❑ ❑ Thirty-five day Pre-primary Pre-election Quarterly ❑ First ❑ Second ❑ Pre -referendum ❑ Final ❑ Supplemental Final 7. Type ofjbnd (if applicable, check one) ❑ 'Booster Fund" ❑ Building Fond ❑ Pre-nmoR' ❑ Third ❑ Annual ❑ Presidential Election Year Candidates Food Semi-annual ❑ Fourth ❑ Special ❑ NC Public Campaign Financing Fund ❑ Mid Yew Semi-annual ❑ Year End ❑ Mid Year 10. Special Report Ntlme ❑ Other: ❑ ❑ Final special ❑ Year End ❑ Final Cl Special S. Number ofbltndraisersthis Re 0 3. Account Information 3. Account information a. Financial Institution Full Name a. Financial Institution Full Name CHANGE FOR MONROE b. Purpose c. Account Code C. Account Code TO COLLECT ANDC4M DISTRIBUTE FUNDS MAY 1 4 Zola d. Period Begin Balance Period Begin Balance ED $ RE Ei V v CERTHWATION I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B & 22D -22M of Chapter 163 ofthe NC General Statutes and that no funds are commingled with prohibited or other non -disclosed funds. I further certify that this report is complete, true and correct and that I havebeentrained by the NC State Board sn \-)(X✓l PAS � l , �I 05/10/2024 Printed Name of Signer Sgna�tureo nppomted Treasurer Date FOR OFWE IS E ONLY Date Received: a Employee:0 [3 Nor Method ❑ Normal Mail Date Postmarked: Employee: C3 Registered Mail Hand Delivered Date Scanned: Employee: Electronically Filed Date Data Entered: Employee: ❑ Signer has not received mandatory training Please Note: This form cannot be used to amend committee information such as the committee address, treasurer, assistant treasurer, custodian ofbooks information, oraccount information. You must amend the Statement ofOrganization CRO -2100A -E to make committee char es. CRO -1000 NC Sate Board of Elections December 2007 Detailed Summary jAm C3 Y 9mea® No Use this formto summarize, all disclosure reporting fours and to total monetary information 1. Committee Full Name(and Flrndifapplicable) 2. of Report 3.IDNumber CHANGE FOR MONROE 2024 Organizational Start of Election Cycle: January 1, 2024 Total this Reporting Period Total this Flection Cycle 4) Cash on Hand at Start $ 0.00 $ 0.00 RECEIPTS 5) Aggregated Contributions fromhidividuals (CRO -1205) $ 0.00 $ 0.00 6) Contributions from Individuals (CRO -1210) $ 0.00 $ 0.00 7) Contributions from Political Party Committees (CRO -1220) $ 0.00 $ 0.00 8) Contributions from Other Political Committees (CRO -1230) $ 0.00 $ 0.00 9) Iran Proceeds (CRO -1410) $ 0.00 $ 0.00 0) Ref inds/Reimbursements to the Committee (CRO -1240) $ 0.00 $ 0.00 1) Other Receipt Sources 11s) Interest on Bank Accounts (CRO -1250) $ 0.00 $ 0.00 11 b) Contributions from Not -For -Profit Organizations (CRO -1250) $ 0.00 $ 0.00 Ile) Outside Sources of Income (CRO -1250) $ 0.00 $ 0.00 lld)LegalEgwnseFund-Other Sources (CRO -1270) $ 0.00 $ 0.00 Ile) Fxempt Purchase Price Sales (CRO -1265) $ 0.00 $ 0.00 2) TOTALRE)CEPTS (Add limes 5,6,7,8,9,10,1 lallb,llo,lld and ]le) $ 0.00 $ 0.00 EXPENDITURES 3) Disbursements 13s) Operating FSrpenditures (CRO -1310) $ 366.90 $ 366.90 13h) Contributions to Candidates/Political Committees (CRO -1310) $ 0.00 $ 0.00 13c) Coordinated PartyEspenditures (CRO -1310) $ 0.00 $ 0.00 4) Aggregated Non-MediaExpenditures (CR0-1315) $ 0.00 $ 0.00 5) Loan Repayments (CRO -1420) $ 0.00 $ 0.00 6) Refunds/Reimbursements from the Committee (CRO -1320) $ 0.00 $ 0.00 7) In-MndContribudons (CRO -1510) $ 0.00 $ 0:00 g) TOTAL EXPENDITURES (Add lines 13a, 13b, l3q 14, 15, 16 and 17) $ 366.90 $ 366.90 9) Cash on Hand at End (Add tines 4 and 12 together, then subtract line 18) $ 366.90 $ 366.90 ADDITIONAL INFORMATION 0) Non -Monetary Gifts Given to Other Committees (CRO -1330) $ 0.00 1) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) $ 0.00 2) Debts and Obligations ovved by the Committee (CRO -1610) $ 0.00 3) Debts and Obligations ovvedto 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 6) Forgiven Loans (CRO -1440) $ 0.00 $ 0.00 7) 48 -Hour Notice Reports Sum (CRO -2220) $ 0.00 $ 0.00 8) Contributions to be Refunded (CRO -1215) $ 0.00 $ 0.00 CR41100 NC State Board of Elections August 2UU8 Amendment Disbursements Pg t of 1 ❑ Yes ® No Use this formto report expenditures fromthe cormnit ce for operating expenses, contributions to candidatelpolitical coimnittees and coordinated party exnenditures 1. Committee Full Name and Fund if applicable) 2. ID Number CHANGE FOR MONROE 3. Type of Disbursement (Please use separate CR04310Yornm for each lupe oMsbursement) IN Operating Expenses. Contribnions to Candidates/Political Committees Coordinated Part Expenditures 4. Payee Information ,❑ Add i❑ Remove a. -Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments KEVIN DANIELS NC c. Level Registered (Specify), "� •: Federal L3 County: ❑ Sate ❑ Municipality: e. Election-Sum'toDate $ 366.90 LAccouut Code g.Form:of Payment lh.Purp9se1Code II.Date(mm/ddtyyyy) j. Amount.' k. Required Remarks ..,.„ •_ C4M Debit Card A 1 $ 366.90 1 WEBSITE Is I 5. Total only this Page $ 366.90 6. Total of ALL CRO -1310 Pages $ 366.90 (This Ane goes In Une Ma ojDetaffed Summary Page CRO -1100 ifOperadng Expenses) (This Mae goes N Une 136 ojDetafled Summary Page CRO-11001JConhib to Candldares/Pondcal Comm) (This line goes In line 13c ojDetafted Summary Page CRO -1100 JjCoordfnated Parry Expenditures) 7. Purpose Codes (List detailed expenditure code in (h.) above) A*,` -_Media -Printing `C* Faadrmsin rD-ToAnother Candidate E Salanes iF'=Fywpment _„ ,G Political Party iH* m Holding'Pub Office Expenses I Posta e , _ -'Penalties ;K* Df6ce _".' , ses Q* -Donation to Legal Expense Fund � [i O* Other * Codes require detailed explanation in required remarks field CRO -1310 NC Rate Board otElecnons uecemoer Zuuy