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Jones,Clayton_2025-OrgDisclosure/ t♦ Jy t2. I ' 0 / Amendment Disclosure Report Cover p Yes R No Use this form for general report and committee information, must be signed and submitted along with other detailed forms. Tln not nce thic fnrm to nndate infnrmntinn 1:'Committee=Inf6rmah-m'r- . Full Name c. ID Number Clat toa for U),e k{; a fDA) - — AM -9 y Mailing Address (include Clty, State end Zip Code) d. Date Fi ed - Po, Box 522- - dy ��e�0 U)ax djO.W A)r, 28/')3 e.Phone Num er 980-23 g-2 0 9 eRe ort:Year 3aPe`rlod StartDate mtii/d 4. Period End Date (mm/dd/ 5. Treasurer Full Name ;LV ;,6- 09100 25- 0% Vg aOZ Z-(?CToAJes 6::; ' ebf Committee` CFieck Oati !' 9ST e'of-Report (check only one type- report fromone category) ® Candidate Campaign ©Party Municipal State/County Referendum ® PAC ®Referendum Er Organizational ©Organizational ©Organizational © Independent Expenditure ©Joint FundraiserThirty-five day Quarterly QPre-referendum ❑ Legal Expense Fund ❑ Pre-primary ❑ First ❑ Final ❑ Pre-election ® Pre-mnoff Semi-annual ❑ Second Third ❑ Fourth Q Supplemental Final ❑ Annual Special 7:e of Fuud`"r�(ifopplicable,"checkoife);;';' Booster Fund ❑ Building Fund ® Mid Year Semi-annual Year End © Mid Year 10. Special ReporlName Other: Final special © Year End © Final ❑ Special S Number 6f FundiANersahis ReporN 11. Account Information . Financial Institution Full Name a. Financial Institution Full Name b. Purpose c. Account Code b. Purpose c. Account Code_ XPO O.S.lio vC. %o n� v ► — — — / O V 1. Cson f ci a qC Al d. Period Begin Balance d. Period Begin Balance - — EX/ e,aJceS1 $ 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. I further certify that this report is complete, true and correct and that I have been trained by the NC State Board of Ele tions. C/AV&14l ZOETOA)Lo o Ug 20LS Printed Name of Signer Signature of A inted Treasurer Da e FOR OFFICE USE ONLY Date Received:7F Employee: Delivery Method [3 Normal Mail ' Registered Mail Date Postmarked: Employee: Hand Delivered .Date Scanned: Employee: ❑ Electronically Filed ❑ Signer has not received Date Data Were Emto ee: P Y 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-210OA-E) to make committee changes. CRO -1000 NC State Board of Elections nugusr <uvo Detailed Summary Pa e y r3 Yes Nn Use this form to summarize all disclosure reoortine forms and to total monetary information 1.7CommitteeF.ull Name.(and Fund if applicable) , _ - 2:;Ty a of Report .. ; ,^: 3. ID Number. - — CIA �0/j �r-w CQ,�1')¢op a, (40;Zajj0d0-1 NuM3 P y Start of Election Cycle: January 1, Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start $ $ RECEIPTS r 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) $ f 0130. $ 10) Refunds/Reimbursements to the Committee (CRO -1240) $ $ 11) Other Receipt Sources '-'_,. -.,'' N lla) Interest on Bank Accounts (CRO -1250) $ $ llb) Contributions from Not -For -Profit Organizations (CRO -1250) $ $ 11c) Outside Sources of Income T (CRO -1250) $ $ lld) Legal Expense Fund - Other Sources (CRO -1270) $ $ 11 e) Exempt Purchase Price Sales (CRO -1265) $ $ 12)TOTAL RECEIPTS (Add lines 5,6,7,8,9, 10,11a,l lb,l lc,l Id and l le) $ % Oct) 00 $ EXPENDITURES, 13) Disbursements 13a) Operating Expenditures (CRO -1310) $ 5-. 00 $ 13b) Contributions to Candidates/Political Committees (CRO -1310) $ $ 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) $ $ 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $ Op $ 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 181 $ qq5,, oa $ ADDITIONAL"•INFORMATION ,-- 20) Non -Monetary Gifts Given to Other Committees (CRO -1330) $ 1) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) $ 000, oci 2) Debts and Obligations owed by the Committee (CRO -1610) $ 3) Debts and Obligations owed to the Committee (CRO -1620) $01 '= 4) Account Transfers Within the Committee (CRO -1720) $ 5) Administrative Support (CRO -1710) $ $ 6) Forgiven Loans (CRO -1440) $ $ 27) 48 -Hour Notice Reports Sum (CRO -2220) $ $ 28) Contributions to be Refunded (CRO -1215) $ $ CRU -1100 NC State Board of Elections August 2008 Loan Proceeds 2 Amendment pp�� Pg L of y— ❑ Yes 0 No Use this form to report proceeds from a loan and loan endorser's information A t...,.... vea......,te.. of ....ter —..,....n..., Penh In -nn that is frnm an individtml 1:, Covimittee Ftd1 Name and.Fllrid if a " hcable) - Cla tori Pc)W %N9 " 2. ED Number /W 3.LenderInfoiivahon ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) - --- b. Job T' le/Profession ,Q�v� d. Comments C Ifv1�e �v ides --- a w /, !7 G/ 5i 9 Pp rJ ,I C, A) ` -! iN�iN'11NJ �'o>J� �G �$�°f1 e. Start Date (mmlddlyyyy) c. Employer's Name/Specific Field S-�/-Fl-�'nw�le �--- G r� O.) e 2 -o-2 S L End Date (mmldd/yyyy) .Rale h: SecurityPledged Ii. Account Code Ii. Form of Paymentk. Amount 0 % Ivo Ne o� cast _ $ /oell",00 1. Full Name of Lending. Institution _ an. Number _ _ A)lA 4i:.Efid66;eiB/N Ae6 {The people who gudraniee Me loan.) a. Full Name, Mailing Address & Phone (include city, slate, &zip) b. Job Title/Profession c. Employer's Nae/SpeccField -i-fi-_ - --- ----- -- --`---m— d. Percentage e. Amount %a $ _. Full Name, Mailing Address & Phone (include city, state, &zip) b. Job Title/Profession c. Employer's Name/Specific Field d. Percentage _ e. Amount_--_ . Full Name, Mailing; Address & Phone (include city, state, &,zip) b. Job Title/Profession c. Employer's Name/Specifrc Field d. Percentage e. Amount Full`Name, Mailing Address St Phone - (include city, state, & zip) b. Job Title/Profession c. Employer's Name/Specific Field d. Percentage _ e. Amount 5"�Total;f,ALLLCRO=1410Pgs �. ((This fine must be -on fiae.9 of Detailed Summary Page CRO -1100) g CRO -1410 NC State Board of Elections April Amendment Outstanding Loans Pg If of y ❑ Yes M'I No Use this form to report any outstanding loans received during a previous reporting period and until the loan is paid in fu. 1. Committee Full Name (and Fund if a llivable C I tJI �O A) ril 1- .-Lenderinfoi-matiom,` ' . Full Name, Mailing Address & Phone (include city, state, & zip) ClaYfoj,2 e_C a JC)A)�n 519'9PrINlGA.d1e Cir. g. Rate Rate h. Security Pledged 0 % M) IL Full Name of fending Institution Name, MaiBng Address & Phone ade city. state. & zin) e. Start Date (mmlddlyyyy) Field If. End Date (mm/dd/yyyy) . Rate h. Security Pledged i. Original Loan Amount j. Remaining Loan Balance % $ $ IL Full Name of Lending Institution 1. Loan Number .'Lenderinformation ❑ Add ❑ Remove . Full Name, Mailing Address & Phone b. Job Tille/Prafession d. Comments (include city, state, & zip) ALL'CRO-1430 Pages-=' The on floe 21.ofDeWUrd Summary Page CRO -1100) NC State Board i. Original Loan Amount j. Remaining Loan Balance $ $ I. Loan Number $'J QOU.OU f Elections December 2007 2. ID Number Hu0 P y Add ❑ Remove b. Job ille/Profession d. Comments �j e. Start Date (mm/d&yyyy) c. Employer's NameetSpe�' ii6c Fieldrl 07/.�U Z ,S- L End Date (mmlddlyyyy) _ i. Original Loan Amount $ / you pa 1 j. Remaining Loan Balance � I. Loan Number e. Start Date (mmlddlyyyy) Field If. End Date (mm/dd/yyyy) . Rate h. Security Pledged i. Original Loan Amount j. Remaining Loan Balance % $ $ IL Full Name of Lending Institution 1. Loan Number .'Lenderinformation ❑ Add ❑ Remove . Full Name, Mailing Address & Phone b. Job Tille/Prafession d. Comments (include city, state, & zip) ALL'CRO-1430 Pages-=' The on floe 21.ofDeWUrd Summary Page CRO -1100) NC State Board i. Original Loan Amount j. Remaining Loan Balance $ $ I. Loan Number $'J QOU.OU f Elections December 2007