Jones,Mike_2025-2023_YE-AmendDisclosure Report Cover I
Ame Y�enl Na
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. ID Number
ZLU cA
It. Mining Address (Include City, State and Zip Code) -
d. Date Filed
11-0 -2— C a ��. t • Sf -
-5-
Mop-MoN W (i
e. Phone Number
2. Report Year
3. Period Start Date nmvdal ) 4. Period End Date (mm/ddlyy)
5. Treasurer Full Name
ZOc
0— /
6. Type of CommitteeCheck One)
9. Type of Report (check on/v one type of reportfrom one cele oty)
❑ Candidate Campaign ❑ Party
Municipal
Slate/County
Referendum
❑ PAC [3 Referendum
❑ Owanizutional
❑ Organizational
❑ Organizational
❑ Independent Expenditure ❑ Joint Fundraiser
❑ Thirty-fiveday
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑ Pre-primary
❑ First
❑ Final
❑ Pre-election
❑ Pre -runoff
Semi-annual
❑ Second
❑ Third
❑ Fourth
❑ Supplemental Final
❑ Annual
❑ Special
7. Type of Fund- (fopplit able. check one)
❑ B,wsier Fund
❑ Building Pond
❑ Mid Year
Semi-annual
[R-- Year End
❑ Mid Year
10.S 'al Report Name
❑ Oih, r.
❑ Final
❑ Special
❑ Year End
❑ Final
❑ Spcaal
8. Number of Fundraisers this Report
11. Account Information "'
11. Account Information
a. Financial Institution FLIT Name
a. Financial Imctitution Full Name
C "'Lt
b. Purpose
c. Account Code
It. Porpo -
e. Account Code
1 U N 0 5 2025
.{/'/,
.a'ar /'✓'fi�
RECEIVED
d. Period Begin Balance
d. Period Begin Balance
$ ��- SZ
$
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, true and correct and that 1 have been trained by the NC ate Board of Elections.
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Printed Name of Signer Signature of 44ppuited Treasurer Dale
FOR OFFICE USE ONLY
Date Received: �J Employee: Delivery Method
13 Normal Mail
Date Postmarked: Employee: Registered Mail
Hand Delivered
Date Scanned: Employee: Electronically Filed
Date Data Entered: Employee: r_3 Signer has not receivedmandatory 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 -2l ODA -E) to make committee changes.
CRO -1000 NC State Board of Elections August 2008
Ame ment
Detailed Summary yes ❑ No
Tice this form tosummarize all disclosure renortine forms and to total monetary information
IaComtwttee,Full lyame (and'Fund:if-a `ti ble .,'
2..T ' irdURe 'ort
e ,21
Start of Election Cycle: January 1,
Total this
Reporting Period-
Total this
Election Cycle
4) Cash on Hand at Start
$ �`
$
g
RECEIPTS ." "
5) Aggregated Contributions from Individuals
(CRO -1205)
$
1 z47
$
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)
$
$
10) Refunds/Reimbursements to the Committee
(CRO -1240)
$
$
11) Other Receipt Sources
AM&_
Ila) Interest on Bank Accounts
(CRO -1250)
$
$
11b) Contributions from Not -For -Profit Organizations
(CRO -1250)
$
$
Ilc) Outside Sources of Income
(CRO -1250)
$
$
lld) Legal Expense Fund - Other Sources
(CRO -1270)
$
$
Ile) Exempt Purchase Price Sales
(CRO -1265)
$
$
12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,11a,I Ib,11c,I Id and l le)
$
$
EXPENDITURES' to � ^ ', s t�
13) Disbursements
13a) Operating Expenditures
(CRO -1310)
$
$
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 Ones 13a, 13b, 13c, 14, 15, l6 and 17)
$,.
,
$
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18
$ �3
$
'DDI-IONAL,INFORMATION,,,,,F �._ ..
rig yr
.
„ f
0) Non -Monetary Gifts Given to Other Committees
(CRO -1330)
$„”
21) Outstanding Loans (incl. ones from other campaigns)
(CRO -1430)
$
2) Debts and Obligations owed by the Committee
(CRO -1610)
$�
23) Debts and Obligations owed to the Committee
(CRO -1620)
$
;
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)
$
$
CRO -1100 NC State Board of Elections August 2008
Amendment
Aggregated Non -Media Expenditures Page —of— aj-Ves [3 No
Optional form used to report NC Non -Media Expenditures of $50 or less.
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b; Account Code
c. Form
!d�.PurRosoCodc
e. Date
f- Amount
g. Required Remarks
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$
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$
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$
13 Remove
[3—Add
$
13 Remove
ET 'Add
$
Q Remove
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$
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$
E3 Remove
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$
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$
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$
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4. Total onlythis
Page
$
5. Total of CRO -13115 Pages
fflds'Jine must be on tine 14'o -DetailedSuiuma Page CRO -1100)
aboiV6)"
L'_�j B* - Printing Another Candidate
E - Salaries fgufi_rn�nt' qbAr., us 9'
V, G - Political Party W- Holding P' 46'10fficeEipe e
J - Penalties I KF"Mice E enses7 1 Q* - Donations to Legal Expense Fund
0* - Other
I * Codes renuire detailed exvlanation in renuired remarks field (2)
GHU_JJ15 NC State Board of Elections December 2009