Kerr,James_2025-Org-report-coverAmendment
Disclosure Report Cover o Yes 01 No
Use this fonnfor general report and committee information, nest be signed and submitted along with other detailed tbnns.
Do not use this form to a date information.
1. Committee Information
a. Full Name
c. ID Number
KERR FOR COUNCIL
b. Mailing Address (include City, State and Zip Code)
d. Date Filed
PO BOX 783
06/03/2025
MONROE, NC 28111
e. Phone Number
2. Report Year
13. Period Start Date (mm/dd/yy)
14. Period End Date (mm/dd/yy)
5. Treasurer Fall Name
2025
03/05/2025
03/15/2025
GREG FORNSHELL
6. Type of Committee (Check One)
9.
of Report (check only one type ofre Hfrom one category)
I@ Candidate Campaign ❑ Party
Municipal
State/County
Referendum
❑ Joint Fundraiser ❑ PAC
❑
Organizmional
❑ Organizational
❑ Organizational
❑ Referendum Legal Expense Fled
❑
❑
❑
Thirty-five day
Pre-primary
Pre-election
Quarterly
❑ First
❑ Second
❑ Pre -referendum
❑ Final
❑ Supplemental Final
7. of Fund (if applicable, check one)
❑ "Booster Fund"
❑ Baildiog Food
❑
Pre -runoff
❑ Third
❑ Annual
❑ Presidential Election Year Candidates Fwd
Semi-annual
❑ Fourth
❑ Special
❑ NC Public Campaign Financing Food
❑
Mid Year
Semi-annual
❑
Year End
❑ Mid Year
10. Special Report Name
❑ Other:
❑
❑
Final
Special
❑ Year End
❑ Final
❑ Special
8. Number of Fundraisers this Report
0
3. Account Information
3. Account Information
a. Financial Institution Full Name
a. Financial Institution Full Name
FIRST CITIZENS BANK
RECEIVED
b. Purpose
c. Account Code
b. Pu rpose
c. Account Code
FUND MANAGEMENT
01
JUL 0 1 21125
UNION COU
BOARD OF ELE
d. Period Begin Balance
Begin Balance
$
0.00
s
CERTIFICATION
I certify that the Committee or Fund is in compliance
with a8 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 State Board
&EG GeNs4m
& x l.y,yQd_ 06/03/2025
Panted Name o Signer
signature of Appomted Treasurer Date
FDR OFME USE ONLY
�S
Delivery Method
Date Received: t I
Employee:
❑ NomralMail
[I Registered Mail
Date Postrrked:
a
Employee:
❑ Hand Delivered
Ila Electronically Filed
Date Scanned:
Employee:
❑ Signer has not received
Date Data Entered:
Employee:
mandatory training
Please Note: This form cannot be used to amend committee information such as the conmdttee address, treasurer,
assistant treasurer, custodian of books information, or account information.
You must attend the Statement of Ontanization
CRO -2100A- to make committee than es.
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