Anderson,Gary_2024-Mid-YearDisclosure Report Cover !C3 aYaes; p 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
. Full Name
c. II) Number
ers or 11 ae MCI. df
Melling Address (include City, State and Zip Code)
d. Date Flied
a.KS / Say c;rcle
e. Phone Number -
mCi n r6 Q. � C 2,{ Ito
r
So3Sagozg'
2. Report'Ypar
: Perhitl, S" _ _ 'Date (Irm✓ddiyy)
5. Treasurer Fn_ ll Name
D
0 I 101 ofo 30 d0a
Gar e r5o r)
6. Type:oEC�mmittee (Check One) _.
9. Type of Report (check
on{y one type of re ort
from one category)
Referendum
Candidate Campaign ❑ Party
Municipal
StatelCcanty
PAC ❑ Referendum
❑ orgtuu/aiional
❑ Organizational
❑ Organ vac conal
❑ Independent Expenditure ❑ Joint Fundraiser
❑ Thirty-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑ Pre-primary
❑ First
❑ Final
❑ Pre-election
❑ Pr nmoff
❑ Second
❑ third
❑ Supplemental Final
❑ Annual
7.TypielafFopill (((applicable, check one)
❑ Booster 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
. Financial Institution Full Name
a. Financial Institution Full Name
Nc—
b�Purppose
a Account Code
b. Purpose
a Account Code —
_ ) 0 F I 'Lt-' 0 J`1
d. Period Begin Ba_lanee
d. Period Begin Balance
- -
$ 7�k.3f�
$
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, we and correct and that 1 have been tr 'led by the NC State Board of Election
�� > 1.\s.
0 �s
rinted Name of Signer Si re If Appointed' ate
OR OFFICE USE ONLY
Date Received: 5�k�5 _ Employee: Delivery Method
❑ Normal Mail
Registered Mail
Date Postmarked: Employee: Hand Delivered
Electronically Filed
Date Scanned: Employee:
Smandathory not
Date Data Entered: Employee: traeived
tmn
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 -2 I OOA-E) to [Hake committee changes.
CRO -1000 NC State Board of Elections August 2008
i
Detailed Summary
Ti.._ a-._ .
Amendment
❑ s ❑ No
--
Start of Election Cycle: January 1, o t Total this
Total this
4) Cash on Hand at Start Re orcin
Period Election C cle
RECEIPTS h $ 7�� 3 $
Y� tl i�� 1: bt Yl r43
5) Aggregated ContriUutions from Individuals
(CRO -1205) $
6) Contributions from Individuals
O'OD $
(CRO -1210) $
7) Contributions from Political Part
0,6� $
0.06
Committees
----- --___ y (CRO -1220) $
0.00 $
8) Contributions from Other Political Committees
0.00
(CRO -1230) $
9) Loan Proceeds ---`--- -
6.00 $
01 06
(CRO -7470) $
0) RefundslReimbur cements to the Committee
O.Ob $
Q Ob
(CRO -] 240) $
1) Other Receipt Sources
O.Ob $
0.00
U.
Ila) Interest on Bank Accounts
11b) Contributions from Not -For -Profit Organizations
0.00 $
0,00
(CRO -7250) $
11c) Outside Sources of Income —
0.00 $
6 Q
(CRO -1250) $
lld) Legal Expense Fund - Other Sources
Q ,oO $
0 0
--- —� (CRO -1270) $
Ile) Exempt Purchase Price Sales `—� ' ' -
d DO $
6
(CRO -1265) $
1) TOTAL RECEIPTS (Add Imes 5 G 7 8, 9 10 I In,] Ib,lle,lld
(3,00 $
and Ile)
XPENDITUIiESv i, r � � , �
T.'.v-�-'�"•-'—^ _..w._.....e "t--`•"�`.:'......n.—.. Tt"kY. tl .+ t ,.:i � 5 a.r; 1 Ip
Zi O
1 �4 t $
bob
i)Disbursements
13a) Operating Expenditures
- (CRO -7310) $
13b) Contributions to Candidates/Political
6. oo
Q. ba
Committees (CRO -1370) $
—
0.o0 $
0)
13c) Coordinated Party Expenditures
O.Od
_ (CRO -7370) $
Aggregated Non -Media Expenditures �--_-----""—
$
0,00
b. b0
(CRO -1315) $
Loan Repayments -
O 6O $
000
-- - _ (CRO.1420) $
I Refunds/Reimbursements from the Committee
6
6, 00
(CRO -7320) $
_-�
40.06 $
IIn-Kind Contributions
O.bOo
(CRO-1510)-tsto) $
TOTAL EXPENDITURES (Add lines
06 $
b Co
13a, 13b, 13c, 14, 15, 16 and 17) $
Cash on Hand at End (Add lines
66 $
0. Ga
4 and 12 together, then subtract line 18$
)DITIONAI ~INFORIV[ATION
$
7 $ 3i6
Non -Monetary Gifts Given to Other
Committees (CRO -1330) $
Q
Outstanding Loans (incl, ones from other campaigns) (cR0a43o) $
Debts and Obligations owed by the Committee
(CRO.1610) $
Debts and Obligations owed to t-.--- he
O.O
Committee
" (CRO -1620) $
Account Transfers Within the Committee
Q 40 `
--_ _ (CRO -1720) $
Administrative Support --
– (CRO -1710) $
Forgiven Loans
Q O[) $
0,0
(CRO -1440) $
48 -Hour Notice Reports Sum
OA $
6
(CRO -2220) $
Contributions to be Refunded0
$
�•�a
)-1100 (CRO -1215) $
NC State Board of Elections
2
August 2005