Anderson,Gary_2023-Year-end-amendedAmendment
Disclosure Report Cover I ❑ Yes ❑ 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 Information
a. Full Name
c. ID Number
TYl1AtzrS O
b. Mailing Address (include City, State and Zip Code)
d. Date Filed
1-Iy b
ass I Sa..,1q
mG f1 r G C' r Iv CJ
e. Phone Number
so 3S d9 ozg
2. Report Year
3. Period Start Date (mm/ddlyy)
4. Period End Date
5. Treasurer Full Name
mm/dd/ )
Oi 3
10
/i( 31/ 261-
Ga
dere
6. Type of Committee (Check One)
9. Type
of Report check only one e of re ort from one category)
�j Candidate Campaign ❑ Party
Municipal
State/County
Referendum
Lemli PAC ❑ Referendum
❑
Organisational
❑ Organivational
❑ Organiyational
Independent i
d
Jont Fundraiser
❑ Expenditure ❑ i F
❑
Thiry -five da y
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑
❑
Pre-primary
Pre-election
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7. Type of Fund ffeipplicab/e, check one)
❑ "Booster Fund"
❑ Building Fund
❑
Pre -runoff
❑ Third
❑ Annual
Semi-annual
❑ Fourth
❑ Special
❑
Mid Year
Semi-annual
❑ Other:
®
Year God
❑ Mid Year
10. Special Re ort Name
❑
❑
Final
Special
❑ Year End
❑ Final
❑ Special
8. Number of Fundraisers this Report
11. Account Information
11. Account Information
a. Financial Institution Full Name
a. Financial Institution Full Name
C_
b. Purpose
c. Account Code
bllNtrrliasC
c. Account Code
AIGN FINANCE
mal y C) r ()LIzz
leery -; ort
MAY 2 0 2025
J. Period Begin Balance
d. Period Begin Balance
CERTIFICATION
1 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. I further certify that this report
is complete, tru d correct anhat I A ave been
by the NCS 4 Board of lecti
Pri ed Namc of Signer
el
Signature of o ued 1'reasurer
Date
FOR OFFICE USE ONNLY
Date Received:j7
Employee:
Delivery Method
❑ Normal Mail
Date Postmarked:
Employee:
Registered Mail
Hand Delivered
Date Scanned: s eE]Employee:
Electronically Filed
❑ 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, or account information.
You must amend the Statement of Organization (CRO -2I OOA-E) to make committee changes.
CKV-t udu NC State Board of Elections August 2008
Detailed Summary ❑ Yes ❑ No
Use this form to summarize all disclosure reporting forms and to total ntonetary information.
1. Committee Full Name (and Fund ifapplicable)
2. Type of Report
3. ID Number
And
erson l -or M v1 r 0 Y
year ellt
Start of Election Cycle: January A,
ZO L
Total this
Total this
Re ortin Period
Election Cycle
4)
Cash on Hand at Start
5)
Aggregated Contributions from Individuals
(CRO -120.5)
S
0.00
$
0 a p
6)
Contributions from individuals
(CRO -1210)
$
/ 0 d d.Od
$
/, 000.06
7)
Contributions from Political Party Committees
(CRO -1220)
$
0.00
$
0.0()
8)
Contributions from Other Political Committees
(CRO -1230)
$
U 00
$
0 dU
9)
Loan Proceeds
(CRO -1410)
$
0 00
$
00
10)
Refunds/Reimbursements To the Committee
(CRO -1240)
S
0.00's
d Ud
11)
Other Receipt Sources
I la) Interest on Bank Accounts
WRO-1250)
$
0.00 $
UOQ
Iib) Contributions from Not -for -Profit Organizations
(C-RO-11s0)
S
0.00
$
0,00
Ilc) Outside Sources of Income
(CRO -1250)
$
600
$
600
I Id) Legal Expense Fund -Other Sources
(CRO -1270)
$
0.00
$
O,Ob
11 e) Exempt Purchase Price Sales
(CRO -1265)
$
406
$
6.06
12)
TOTAL RECEIPTS(Addlines5.6.7H. 9, 1(,. 11a. 11G. M. lldundlle)
$
/ 0 00,06
$
4
r >�
13)
Disbursements
`
13a) Operating Expenditures
(CRo-wo)
$
s 06 S
$ a
S° `
13b) Contributions to Candidates/Political Committees (CR0-1.110)
$
0.00
130 Coordinated Party Expenditures
(C-RO-1310)
$
$
_
d0
6 61)
14)
Aggregated Non -Media Expenditures
(CRO -1.115)
$
$
15)
Loan Repayments
D.Od
0.60
(CRO -1420)
$
0.60
$
000
16)
Refunds/Reimbursements From the Committee
(CRO -1320)
$
17)
In -Kind Contributions_
0.00
$
_0.00
18)
---- ((-RO-1.510)
TOTAL EXPENDITURES (Add they 13n. 136. 13r. 14. /J. 16 and 17)
$
$
0,00
$
0.00
19)
Cash on Hand at End (eddRnea 4und l2 mge0m,. uen..,,n,.nnOne lHl
,.
$
5 Q SY$
7'f fs36
$
S
MID
_iOIL)ATION
7�F . 3
20)
Non -Monetary Gifts Given to Other Committees
(C'RO-1)30)
$
Q.
21)
Outstanding Loans (incl. ones from other campaigns)
(CRO
-14.10)
S
0•VO-s
22)
,�-1 MONCOUNTY
J 0)
Debts and Obligations owed By the Comm' 6/
FINQ�fttEr'1
$
23)
.,7SRiIPAIGN
1x10) $
Debts and Obligations owed To the CommittMAY 2 Q
0.00
0.00
24)
M
Account Transfers Within the Committee
ZO,(�Ro
L
(CRO -1720) $
° °p
25)
Administrative Support RECEIV�710
26)
Forgiven Loans
)
$
6. Ob $
0.()o
27)
48 -Hour Notice Reports Sum
(CRO -1440) $
o C
28)
Contributions to be Refunded
(CRO -2220) $
O_W
(CRO -121.5) $
Ox
N(' Stalclloar nl'17e ifs,,,
August 2008
Amendment
Contributions from Individuals Pg or E)ves E]No
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
77—
1. Committee Full Name and Fund if applicable)
2. ID Number
ersdn Far Munrot:, MQL or
3. Contributor Information ❑ Add ❑ Remove
a. Full Name, Mailing .Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
Dry CI'eo.her Owner
Par ke d' :A, I l 5
III I ►'h.,.ilorcL Lo,rj.nqUU Or.
L
mo n r o et 'V
c. Employer's Name/Specific Field
e. Election Sum to Date
$
f. Prior
g. Account Code
It. Form of Payment
i. In -Kind Description
J. Date (mm/dd/yyyy)
L Amount
❑
cV\
11 30
2.013
$ S 0 0.60
❑
$
3. Contributor Information ❑ Add ❑ Remove
a. Full Name. Mailing Address & Phone
(include city, state. & zip)
It. Job Title/Profession
d. Comments
Cho r Ito h P ky -'(
P. v• PUo-� %S;4
mohr0Q No `)--%II I
c. Employer's Name/Specific Field
e. Election Sum to Date
$ sW.oa
f. Prior
g. Account Code
It. Form of Payment
1. In -Kind Description
j. Date (mm/dd/yyyy)
L Amount
❑
$
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state. & zip)
b. Job Title/Profession
d. Comments
GAMP ,A GNOF NA CE
MM 2 0 2 25
ED
c. Employer's Name/Specific Field
e. Election Sum to Date
$
f. Prior
g. Account Code
It. IWAMMayment
I. In -Kind Description
J. Date (mm/dd/yyyy)
k Amount
❑
$
❑
$
❑
$
4. Total only this Page $ 11 U 80. 00
5. Total of ALL CRO -1210 Pages $
(This line must be on Rne 6 ojDetailed Summory Page CRO -1100)
CRO -1210 NC' Slate Board of F.leclions April 2007
Amendment
Disbursements Pg _ of _ ❑ %es ❑
Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political
committees and coordinated party expenditures.
1. Committee Full Name and Fund if a licalik 2. ID Number
_
1= 0 Q
3. Type of Disbursement Please use se arare CR 1310 forms for each type of D sbursemenG
❑ uperauu" I-cpenx, ❑ e minbution, to candidate. Pnlni al Commmees ❑ euordmated Pans I-.xpendaures
4. Payee Information ❑ Add El Remove
a. Full Name, Mailing Address & Phone
(include city. state. & ri
b. Coordinated Committee Name
it. Comments
P -i h -t C' -hole SUIT'-gin9
g e_ Con
cd-AO-7ISL.
Lctt.l�t� P ro J � Cvtce, V torr
W eM:„Qft n 1qC. Zg ► ()�
J
c. Level R tstered S eci
Registered (Specify)
Federal County:
❑ ❑ '
E] state El Municipality:
C. Election sum to Date
$
E Account Code
g. Form of Payment
It. Purpose Code
i. Date (mm/ddlyyyy)
j. Amount
L Required Remarks
I► i
$ 5,067.5
$
4. Payee Information ❑ Add ❑ Remove
a. Full Name. %failing Address & Phone
include city, state, & a
b. Coordinated Committee Name
it. Comments
c. Level Registered (Specify)
❑ Federal ❑ County:
❑ State ❑ Municipality:
e. Election Sum to Date
$
f. Account Code
g. Form of Payment
It. Purpose Code
i. Date (mm/dd/yyyy)
J. Amount
L Required Remarks
$
4. Payee Information Add ❑ Remove
a. Full Name. Mailing Address & Phone
include city, state. & L
b. Coordinated Committee Name
it. Comment,
N GpUN
a�NA ON 0 FINANCE
`
gNY 2 0 2025
�VEp
a Level Registered (Specify)
❑ Federal ❑ County:
❑ State ❑ Municipality:
e. Election Sum to Date
$
L Account Code
g. Form yment
It. Purpose Code
1. Date (mm/dd/yyyy)
j. Amount
k. Required Remarks
$
5. Total only this Pae
$ 6
6. Total of ALL CRO -1310 Pages
(This line goes in line /3a of Detailed Sunntmn• Page CRO -1100 if Operating Expenses) $
(This line goes in line 13b of Detailed Summar• Page CRO. 1100 if Contrib to Candidate.✓Political Comm) f" O 6 7. � 2
(This line goes in line lac of Detailed Summan' Page CRO -1100 if Coordinated Panr Etpenulrures) V J
7. Purpose Codes (List detailed ex nditure code in (h.) above)
A* - Media B* - Printing C* - Fundraising D - I o Another Candidate
E - Salm ic, F* - Equipment G - Political Pan) H* - Holding Public Office Expenses
1 - Posta@e J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund
O* - Other
* Codes require detailed explanation in required remarks field k
CRO -1.410 Nc State Board of Elections DLcember 2009