Kerr,James_2025-MYSA-coverment
Disclosure Report Cover 10 Yes W No
Use this form for general report and committee mfomation, must be signed and submitted along with other detailed forms.
Do not use this formto update information.
1. Committee information
a. Full Name
c. II) Number
KERR FOR COUNCIL
RECEIVED
b. Mailing Address (include City, State and Lip Code)
it. Date Filed
PO BOX 783
JUL 15 2025
07/03/2025
MONROE, NC 28111
e. Pbone Number
UNION COtIN17Y
2. Report Year
13. Period Start Date (mm/dd/yy)
4. Period Fnd Date (mm/dd/yy)
15.Treasurer Full Name
2025
03/16/2025
06/30/2025
GREG FORNSHELL
6. Type of Committee Check One
9. Tvm
of Report check only one type o report from one category)
® Candidate Campaign ❑ Parte
Municipal
State/County
Referendum
❑ Joint Fundraiser ❑ PM
❑
Organizational
❑ Organizational
❑ Organizational
❑ Referendum ❑ Legal llzpen.cFund
❑
❑
❑
Thirty-five day
Pre-primary
Pre-election
Quarterly
❑ First
❑ Second
❑ Pre -referendum
❑ Final
❑ Supplemental Final
7. Type of Fund (faPPl+cable, check one)
❑ "Iikwutcr bund"
❑ Building Fond
❑
Pre -runoff
❑ Third
❑ Annual
❑ Presidential Election Year Candidates Fund
Semi-annual
❑ Fourth
❑ Special
❑ NC Public Campaign Financing Fond
❑
Mid Year
Semi -arcual
❑
Year End
❑ Mid Year
10. Special Report Name
❑ Other.-
❑
❑
Final
Special
❑ Yew End
❑ Final
❑ Special
$. Number of Fundraisers this Report
0
. Account Information
3. Account Information
a. binancial Institution Full Name
a. Financial Institution Full Name
NONE
b. Purpose
c. Account Code
b. Purpose
c. Account Code
FUND MANAGEMENT
01
it. Period Begin Balance
it. Period Begin Balance
$
0.00
$
CERTEWATION
1 certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B& 2213-22M 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
Gtm rOfW1Hgt„
��� 07/03/2025
Printed Name of Signer
Signat a of Appointed Treasurer Date
FOROFFICEC6EONLY
Date Received: I r
• , 1_
very
Employee: 0 Nor Method
❑ NormMethod
Date Postmarked:
Employee: ❑ Registered Mail
❑ Hand Delivered
Date Scanned:
Employee: ® Electronically Filed
Date Data Entered:
Employee: [3 Signer has not received
mandatory training
Please Note: This forrncannot be used to amend committee information such as the committee address, treasurer,
assistant treasurer, custodian
of books information, oraccount infomation.
You must amend the Statement of Organization
CRO -2100A- to make comnittee changes.
CRO -1000 NC State Boar o Elections December 2007