Jones,Mike_2025-2023_35Day-AmendDisclosure Report Cover Ame ent
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 uudate information.
V" 00 ltiformdt%t x t r tt' .,. ,. ;
"ik
a..Full Name - .,' .. ` �, ._ .- . _:: . 1`'• . a �. J :„ . -j,
ID Nmiiber • ^: .+, ,
.Mailing Address (include City,- tate and Zip Code) „ %
d: Date Filed
g// y
e. PhoneNumberf
e o , Rear i< .eri i fnrt=Date n7 d7 4 4 1'ei3odr itd Ola"te. dd!'
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eTo ,Re 'ort: i(claa
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type,o Tepurf;/roar
one
❑Candidate Campaign ❑ Puny
Municipal:- ',
Stnte/County=` *',Referendum
r -f"-
❑ PAC ❑ Referendum
❑ organizational
❑ Organizational
❑ Organizational
❑ Independent Expenditure ❑ Joint Fundmiser
Uefh rty-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑ Pre-primary
❑ Frst
❑ Final
❑ Pre-election
❑ Pre -runoff
❑ Second
❑ Third
❑ Supplemental Final
❑ Annual
OfFLLnd •,y:"_(ITr:¢ilbieeheck one}_`;'.
❑ Booster Fund
Semi-annual
❑ Fourth
❑ Special
❑ Building Fund
❑ Mid Year
Semi-annual
❑ Year End
❑ Mid Year
ih, k= eetalRe'tJ
❑ Other:
❑ Final
Special
❑ Year End
❑ Fnal
❑ Special
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e.',Finmelallutitutiun FullName-, '`"
a. Financial Institution Full Name:
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6: Purpose r,�', -
cAccaunl.Code ',s i;' .'
b.'Emilia o;er,,:'., `.
@AccouABalanfi'c'c,v
eC 3d.PeriodBgglnBaluueeY
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d: Period
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$ -—
$
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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, truea d c ect and that I have been trainedby the N tate Board of Elections.
Printed Name of Signer Si naturepointed Treasurer Date
FOR OFFICE USE ONLY
'Dehvery Method
t` Date Received Employee $• z❑Normal Mail ' >"
J❑ Registered Mail '
t
Date Postmazked b L Employee x - "0 Tagil Deliveredt
Date Scanned' �'Bmployee _ `t� ' ,❑ Eiectron[cally Filedr
� k4
a � Signer has not receiJedR
Date Data Hnteced n" Employee , _`
, , ,...• s, • _,-. mandato trainin ,
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 -2100A -E) to make committee changes.
CRO -1000 NC State Board of Elections August 2008
Detailed Summary atneY. t ❑ Nn
Tlse this fnrm to summarize all discinsure rennrtina fnrms and to total monetary information
1 Commit1tee Full 1Naine.;(arid'fiund if a lieable) -.e : '
1 T';`efof:Re oit
t/ ,E t 146 jpxjgc�
Start of Election Cycle: January 1,
Total this
Reporting Period
Total this
Election Cycle
4) Cash on Hand at Start
$
$
RECr �IPTS a3�: , ue. ti a t "tF
5) Aggregated Contributions from Individuals
s,=y�<Rd�v
s: _ 1 jV4A,
(CRO -120S)
$
5 1`Hit, 41
. s _ e „t�
e t%7
$
6) Contributions from Individuals
(cRo•tzlo)
$
$
7) Contributions from Political Party Committees
(CRO -1220)
$
$
8) Contributions from Other Political Committees
(CRO -1230)
$
$
9) Loan Proceeds
(CRO -1410)
$
$
10) Refunds/Reimbursements to the Committee
(CRO -1240)
$
$
11) Other Receipt Sources
L ,
11a) Interest on Bank Accounts
(CROa250)
$
$
11b) Contributions from Not -For -Profit Organizations
(CRO -1250)
$
$
llc) Outside Sources of Income
(CRO -1250)
$
$
11d) Legal Expense Fund - Other Sources
(CRO -1270)
$
$
Ile) Exempt Purchase Price Sales
(CRO -1265)
$
$
12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,1 la,llb,llc,l ld and 11e)
$
g56 "33
$
EXPENDITURES"x <. # £;; .,:
�i€:..,.
13) Disbursements
13a) Operating Expenditures
(CRO -1310)
$
$
13b) Contributions to CandidateslPolitical Committees (CRO -1310)
$
$
13c) Coordinated Party Expenditures
(CRO -1310)
$
$
14) Aggregated Non -Media Expenditures
(CRO -1315)
$
39 ,
$
15) Loan Repayments
(CRO -1420)
$
$
16) Refunds/Reimbursements from the Committee
(CRO -1320)
$
$
17) In -Kind Contributions
(CRO -1510)
$
t/ /� 33
$
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, l5, 16 and 17)
$
$.
�/ .
"—
$
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18
$
ADDITIONALrINFORiVIATION' °u".
t:.
0) Non -Monetary Gifts Given to Other Committees
(CRO -1330)
$
1) Outstanding Loans (incl. ones from other campaigns)
(CRO -1430)
$'
'
2) Debts and Obligations owed by the Committee
(CRO -1610)
$
3) Debts and Obligations owed to the Committee
(CRO -1620)
$
24) Account Transfers Within the Committee
(CRO -1720)
$
5) Administrative Support
(CRO -1710)
$
$
6) Forgiven Loans
(CRO -1440)
$
$
7) 48 -Hour Notice Reports Sum
(CRO -2220)
$
$
8) Contributions to be Refunded
(CRO -1215)
$
$
CRO -1100 NC State Board of Elections August 2008
Amend t. -
Aggregated Contributions from Individuals Page of No
Optional form used to report NC Contributions From Individuals of $50 or less
CRU -1205 NC State Board of Elections April 2007
)LA 65
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b.-Accimnit Code
c. Form of Paymea
d3ri-land Descrip"o, �7�
e. Date (nfinldd/yjyy) '-11f.
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5.T,661 of-AUX004205 P ages
$
kfikislble irmit he Summary e: 0�1100)
CRU -1205 NC State Board of Elections April 2007
Amendl
Contributions from Individuals Pg — of — Y. [3No
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
L"Coninfittee FutiNk
14;4 -z - carr s
-raw
a Full Name, Mailing Address & Phone
�(include city, state, ;& zip
b, Job Titiorratessai on il-s
aXomments
1-2-0-2- 6-
fAf2&jiv(�r V Q C -7--G71 I -L—
c. Empt6Y!Ws,Name1Spccifk: Field,
f/I
b.Vectiom Sum to
f.Prlor
g.AccruatCoda-=.'
k.,FormqfPaymew,f
Llh-Kind'Descriplimt
Date(nuwo yyyy)"
IL,AmDmt
$
13
$
w 14. X1
401
ijull Name, Mailing Address 4•Phone
(include city, state, & ZIP)',!
b. Jab Tithi/Piofession •
d -Comments
c EmpidytesName/SpecificiFfeld
f,,�Trfior
i.Account Code ,.,,,b:
Form ofPayment
Lan-Mmi'Ducription' X .....
j.Date #rmVqO/yyyy)
1G Am t
❑
E3
$
$
0*64$64Y
�
"%YWZT WIEN
o.•"! Name, Mailing A ne
§,(Imclude city, state,& P),.:s Pho
b. Job Title/Professiori
d. Comments
c. Euiploycil'iName/Specific Field 'A
L
a. Election , Sum to
f. Prior
g� Account Code; P.Yorm of PaymeaV 1.�
J.Date (Amount:
J&
13
$
El
$
13
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CRO -1210 NC State Board of Elections April 2007