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Ilarraza,Fred_2025-OrganizationalDisclosure Report Cover ❑e Yesrent ❑ 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 �t . MatBng Address (Include City, State and Zip ode) d. Date Filed (oOd Jlarz 1 , ___ e-— vove t..'sue a�i�3 e. Phone Number 4/7 14'�-617 2. Report Year 3. Period tart Date (m,rddmyy) PeriodEnd Dat (trust dtyy) 5. Treasurer Full Name DO aT �4. 7 i 0 a/� f ed /,/ti z< 6. Type of Committee (Check One) 9. Type of Report (check only one type of report from one categon ) ® Candidate Campaign ❑ Party Municipal State/County Referendum ❑ PAC ❑ Referendum ® Organimtional ❑ Organirnlional ❑ Organisational ❑ Independent Expenditure ❑ Joint Fundraiser ❑ Thirty-five day Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ Pre-primary, ❑ First ❑ Final ❑ Pre-election ❑ Pre -runoff ❑ Second ❑ Third ❑ Supplemental Final ❑ Annual i. Type of Fund (ifapplicable, 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 N a k b. Purpose c. Account Code b. Purpose c. Account Code 6 - U 1 it. Period Begin Bala t r it. Period Begin Balance CERTIFICATION I certify that the Committee or Fund is in compliance with all applicable p visions of Article 22A, 22B & 22D -22M of Chapter 163 of the NC General Statutes and that no funds are commingled with prWintpu or other non -disclosed funds. I further certify that this report tiiss complete, true and correct and that I have been ine y e State Board of Elections. (r es �(t��62c p //�� O a Priv ed Name of Signer Signal Ite i nature of Appointed Treasurer Date OR OFFICE USE ONLY t /q Date Received: Qry/�It6rZ-l/LsJ_ Employee: I 1, lire Method ❑ Normal Mail Date Postmarked: Employee: Registered Mail 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-210OA-E) to make committee changes. CKU-1 r111U NC State Board of Elections August 2008 Amendment Detailed Summary ❑ Yes ❑ 1'w his form to summarize all disclosure reoortina forms and to total monetary information 1. Copunittee Full Name (andFundi applicable) 2• Ype o Report — 3. ID Number -- ('04 a /f(aox //G � 4 r f 7 • L s �r../ Start of Election Cycle: January 1, r0090) Total this ReportingPerWd Total this Election Cycle 4) Cash on Hand at Start $ o s 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 I la) Interest on Bank Accounts I lb) Contributions from Not -For -Profit Organizations 11c) Outside Sources of Income I Id) Legal Expense Fund - Other Sources 11 e) Exempt Purchase Price Sales (CRO -/205) (CRO -1210) (CRO -1220) (CRO -1230) (CRO -1410) (CRO -1240) (CRO -1250) (CRO -1250) (CRO -1250) (CRO -1270) (CRO -1265) $ $ $ $ $ $ $ $ $ $ $ $ $ $ y $ $ $ $ $ $ 12)TOTAL RECEIPTS (Add lines 5, 6. 7, 8, 9, 10.11 a, I I b. I I c, I l d and l Ie $ EXPENDITURES 13) Disbursements 13a) Operating Expenditures (CRO.1310)7-S 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) $ $ y $ y $ _r' $ 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $ $ 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18 $ �7 ADDITIONAL INFORMATION 20) Non -Monetary Gifts Given to Other Committees 21) Outstanding Loans (incl. ones from other campaigns) 22) Debts and Obligations owed by the Committee 23) Debts and Obligations owed to the Committee 24) Account Transfers Within the Committee 25) Administrative Support 26) Forgiven Loans 27) 48 -Hour Notice Reports Sum 28) Contributions to be Refunded (CRO -1330) (CRO -1430) (CRO -1610) (CRO -1620) (CRO -1720) (CRO -1710) (CRO -1440) (CRO -2220) (CRO -1215) $ $ $ $ $ $ $ $ y $ $ $ $ CRO -1100 NC State Board of Elections August 2008 Amendment Aggregated Contributions from Individuals Page of _ ❑ yes ❑ No Optional form used to report NC Contributions From Individuals of $50 or less 1. Committee Full Name (and Fund if applicable) 2. to Number 3. Contributor information a. Amend b. Account Code c. Form of Payment d. In -Kind Description e. Date (mm/dd/yy)y) f.Amount ❑ Add jl f'L'c_ ❑ Remove Add ❑ Remove $ Add ❑ Remove 5 Add ❑ Remove $ Add ❑ Remove $ Add ❑ Remove Add ❑ Remove $ Add ❑ Remove $ Add ❑ Remove $ Add ❑ Remove $ Add ❑ Remove $ Add ❑ Remove $ ET Add ❑ Remove S Add ❑ Remove S Add ❑ Remove S Add ❑ Remove S Add ❑ Remove S Add ❑ Remove $ Add ❑ Remove $ Add ❑ Remove $ Add ❑ Remove S Add ❑ Remove $ Add ❑ Remove $ 4. Total only this Page $ 5. Total of ALL CRO -1205 Pages $ (Thu line must be on line 5 of Detailed Summary Page CRO -1100) ' CRU -1905 NC State Board of Elections April 2007 In -Kind Contributions Amendment Pg of ❑Yes ❑ Nu 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 3. Contributor Information 0 Add ❑ Remove a. Full Name, Mailing Address & Phone (include city. state. &zip) b. Type of Contributor ❑ Individual c. Comments 0 x/"/41 ` u/''jj' ' i.r..� iii` (O ® Candidate ❑ Party ❑PAC �1v ' W41'ei v•.---1 / e f -2 J ❑ Referendum ❑ Other Receipt Source d. Election Sum to Date r� J •. Description f. Dale (mMddlyyyy) g. Fair Market Amount U f 7 P 5 f.. 5 S 3. Contributor Information ❑ Add ❑ Remove a. Full Name. Mailing Address & Phone (include city. sate, &zip) b. Type of Contributor ❑ Individual C. Comments ❑ Candidate ❑ Party ❑ PAC ❑ Referendum ❑ other Receipt Source d. Election Sum to Date e. Description f. Date (mm/ddlyyy-v) g. Fair Starket Amount S S S 3. Contributor Information ❑ Add ❑ Remove • . Full Name, Mailing Address & Phone (include city. state, & zip) h. Type of Contributor ❑ Individual c. Comments ❑ Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source it. Election Sum to Date S . Description f. Date (mnilddliyyyy) g. Fair Market Amount S C 4. Total only this Page y S. Total of ALL CRO -1510 Pages (This line must bean fine 17of Derailed Summary Page CRO -1100) S J C'R0-1510 W Stare Board of Elections December 2007