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Cruz,AnneMarie_2025-Org-reportDisclosure Report Cover Amendment ,de�1C"' ❑ No Use this form for general report and committee information, must he signed and submitted along with other detailed forms. Do not use this form to u date information. 1. Committee Information . Full Name c. ID Number 6zr dd'tn osmo . MaWng Address (include City, State and Zip Code) d. Date Filed _ l3Lit' 2y Vrol/2d&7W e -d 8•FS-2S w'ecyat,#-?9' un N ` o 15,4 e. Phone Number ✓ 1-70Y -,Tv9 - /_7 3# 2. Report Year 3. Period Start Date (mm/dd yy) 4. Period End Date (mm/dd/yy) 15. Treasurer Full Name d S 7 18 S 7 a S NmGu Wy) hal- 6. Ty ge of Committee (Check One) 9. Type of Report (check only one type of report from one category) CTCandidate Campaign ❑ Party Munict al State/County Referendum ❑ PAC ❑ Referendum anizational ❑ Organizational ❑ Organizational ❑ Independent Expenditure ❑ Joint Fundraiser ❑ Thirty-five day Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ Pre-primary ❑ First ❑ Final ❑ Pre-election ❑ Pre-mnoff ❑ Second ❑ Third ❑ Supplemental Final ❑ Annual . Type of Fund (if applicable, check one) ❑ Booster Fund Semi-annual ❑ Fourth ❑ Special ❑ Building Fund ❑ Mid Year Semi-annual ❑ Year End ❑ Mid Year 10. Special Report Name ❑ Other: [:]Final ❑ Special ❑ Year End ❑ Final 8. Number of Fundraisers this Report ❑ Special 11, Account Information 11. Account Information . Financial Institution Full Name a. Financial Institution Full Name b. Purpose c. Account Code b. Purpose UNION COUNTY c. Account Code /]end/h C1 CAMPAIGN FINANCE J AUG 0 8 2025 d. Period Begin Balance d. Period Begin Balance O � CERTIFICATIONFIECEIVEu 1 certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B & 2213-22M of Chapter I n ; of the NC General Statutes and that no funds are commingled with prohibited or other non -disclosed funds. I further certify that lhi , report is complete, true and correct and that 1 have been trained by the NC State Board of Elections. LlnmA B I "? • <31.S' Printed Name of Si r Signature ned Treasurer Date OR OFFICE USE ONLY Date Received: Employee: Delivery Method ❑ Normal Mail Registered Mail Date Postmarked: Employee: Hand Delivered Date Scanned: Employee: Electronically Filed Date Data Entered: Employee: ❑ Signer has not received 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-2100A-E)to make committee changes. CR04060 NC State Board of Elections August 2008 Amendment Detailed Summary ❑ Yes ❑ No Use this form to summarize all disclosure re cortin L forms and to total monetary information 1. Committee Full Name (and Fund if app cable) 2. Type of Report 019aruza47am P 13. ID Number 03h-7La a P n Start of Election Cycle: Januaryy, aoaa Total this Reporting Period Total this Election C cle 4) Cash on Hand at Start $ $ RECEIPTS 5) Aggregated Contributions from Individuals 6) Contributions from Individuals 7) Contributions from Political Party Committees 8) Contributions from Other Political Committees 9) Loan Proceeds 10) Refunds/Reimbursements to the Committee 11) Other Receipt Sources 11 a) Interest on Bank Accounts l lb) Contributions from Not -For -Profit Organizations 11c) Outside Sources of Income I Id) Legal Expense Fund - Other Sources Ile) Exempt Purchase Price Sales (CRO -120S) (CRO -1210) (CRO -1220) (CRO -1230) (CRO -1410) (CRO -1240) (CRO -1150)$ (CRO -1250) (CRO -1250) (CRO -1270) (CAO -1265) $ rj 0 C) $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 12)TOTAL RECEIPTS (Add lines 5.6. 7.8,9, 10,11 a, I I b, I l c. l l d and l le) $ 0 $ EXPENDITURES 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) $ $ $ $ $ $ $ $ $ $ $ $ $ 500 $ 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $ 6-.00 $ 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line I8 $ $ ADDITIONAL INFORMATION U) Non -Monetary Gifts Given to Other Committees 1) Outstanding Loans (incl. ones from other campaigns) 2) Debts and Obligations owed by the Committee 3) Debts and Obligations owed to the Committee 4) Account Transfers Within the Committee 5) Administrative Support 6) Forgiven Loans 7) 48 -Hour Notice Reports Sum (CRO -1330) (CRO -1430) (CRO -1610) (CRO -1620) (CRO -1720) (CRO -1710) (CRO -1440) (CRO -2220) $ - $ $ (SAh1PAIGN FIN $ A I Ir n Q inn!cl_ $ LULJ $ RECEIVE) $ $ $ $ $ 8) Contributions to be Refunded (CRO -1215) CRO -ii em NC State Board of Elections August 2008 Amendment Aggregated Contributions from Individuals Page of / ❑ Yes B No Optional form used to report NC Contributions Prom Individuals of $50 or less 1. Committee Full Name (and Fund if applicable) 2. ID Number 151ew< <%ii< /�/<dd i 3. Contributor In ormation • . Amend b. Account Code c. Form of Payment d. In -Kind Description e. Date (mm/ddlyyyy) f. Amount ❑ Add — _ -- i��Q <G �� o%O.'/f ❑ Remove Add ❑ Remove Add $ ❑ Remove Ey Add $ ❑ Remove Add $ ❑ Remove Add ❑ Remove Add ❑ Remove Add ❑ Remove S Add ❑ Remove Add ❑ Remove Add ❑ Remove Add $ ❑ Remove Add ❑ Remove $ Add ❑ Remove S Add ❑ Remove S Add ❑ Remove S Add ❑ Remove S Add UNION COUN Ff ❑ Remove CAMPAIGN FINANCE S Add ❑ Remove AU i 0 6 2025 S 1 Add ❑ Remove / 1 Add ❑ Remove S Add ❑ Remove S Add RemoveS otal only this Pageotal L13 of ALL CRO -1205 Pagesis line must bean line 5 of Detailed Summary Page CRO -1100) CKV-llW NC State Board of Elections April 2007 Amendment In -Kind Contributions Pg _ of _ ❑ Yes ❑ No Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund. Use CRO -1215 if In -Kind Contributions were or will be refunded within 7 days. 1. Committee Full Name (and Fund if applicable) 2. In Number i*'W /Il<J! o1 �j/<ln ✓/�%d i . Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone b. Type of Contributor C. Comments (include city, state, &zip) ❑ Individual Ifte Moe/< /!�L ErCandidale /3G1y%e"//f7�lO/!//i(O�P/7GL ❑ Party [3 PAC /ji(f j((ds /rC �g�Dy �[ ❑ Referendum d. Election Sam to Date ❑ Other Receipt Source $ • Descriptlon t. Date (mm/dd/yyyy) g. Fair Market Amount S S 3. Contributor Information ❑ Add ❑ Remove a. Pill Name, Mailing Address & Phone h. Tv pe of Contributor c. Comments gym, lude city. state, &zip) ❑ miividusl fCandtdate ❑ Party UNION COUP ❑ PAC CAMPAIGN FII\- ❑ Referendum d. Election Sum to Date r_3 Other Receipt Source 9025 1 $ i. ltr>, rl I'li'^t f. Date(mm/dd/y-vyy) g. Fair Markel Amount RECEI�,°E�'' $ S S . Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone b. 'Type of Contributor c. Comments (include city, state, &zip) ❑ Individual ❑ Candidate ❑ Pan} ❑ PAC ❑ Referendum it. Election Sum to Date ❑ Other Receipt Source S . Description L Dale (mm/dd/yyyrl g. Fair Market Amount S $ C 4. Total only this Page 5 5. Total of ALL CRO -1510 Pages (This line mrut be on line 17 of Detailed Summary Page CRO -1100) $ .;F U-1510 NC Sime Board of Elections December 2007