Martin,Angel_2025-35-DayAmendment
Disclosure Report Cover ❑ Yes ® No
Use this form for general report and committee information, must be signed and submitted along with other detailed fortes.
Do not use this form to update information
1. Committee Information
a. Full Name
c. 11) Number
The Committee to Elect Angel Martin
1 D3JMHVM
b. Mailing Address (include City, State and Zip Code)
d. Date Hied
8914 Laurelwood Ln
Marvin, NC 28173
UNION COUNTY
CAMPAIGN FINANCE
9/25/25
SEP 2 9 2025
e.Phone Number
704.400.2214
'
2. Report Year
3. Period Start Date (mm/dd/yy)
mmla °d
tvvl
5. Treasurer Full Name
2025
07/18/2025
09/23/2025
Angelique Martin
6. Type of Committee Check One
9. Type
of Report check only one type of report
om one category)
® (and idate Campaien ❑ Parte
Municipal
Stale/Counh-
Referendum
❑ PAC ❑ Referendum
❑
Organizational
❑ Organizational
❑ Organizmutual
Independent
F-1 Expenditure E] Joint Fundraiser
®
ThmY-
' five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑
❑
Pre-primary
Pre-election
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7. Type of Fund (f applicable, check one)
❑ "Booster Fund"
❑ Building Fund
❑
Pre -runoff
❑ Third
❑ Annual
Semi-mmual
❑ Fourth
❑ Special
❑
Mid Year
Semi -arcual
❑ (ether
❑
Year End
❑ Mid Year
10. Special Report Name
❑
❑
Final
special
❑ Year End
❑ Final
❑ special
8. Number of Fundraisers this Report
�>
IL Account Information
IL Account Information
a. Financial Institution Full Name
a. Financial institution Full Name
fruist
b. Purpose
c. Account Code
b. Purpose
a Account Code
checking
d. Period Begin Balance
d. Period Begin Balance
$ 50.00
S
CERTIFICATION
I 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 prohibit o other non -disclosed funds. I further certify, that this report
is complete, trueAmd correct and that I have been trained
by the NC St to r d f Electio .
Q�
444
Printed Name of Signer
Si re of Ap imed reas er
ate
FOR OFFICE USE ONLY
Date Received: *As—�
Date Postmarked:
Employee:Vr
Employee:
Delivery Method
Normal Mail
Mail Q+ked:
9 Hand Delivered
Date Scanned:
Employee:
❑ Electronically Filed
❑ Signer has not received
Date Data Entered:
Employee:
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.
/`nn rnnn 1J1 Cl.— Q.... -A ..0 cl...«...... A......n',Me
\mendmenl
Detailed Summary ❑ ,e,
Use this form to summarize all disclosure reoordn¢ forms and to total monetary information.
1. Committee Full Name and Fund if applicable)
2. T
e of Re ort
3. ID Number
The Committee to Elect Angel Martin
I D-31MHVM
Start of Election Cycle: January 1, 2025
tan this
Reportin Period
Total this
Election Cycle
a)
Cash on Hand at Start
$
50.00
S
5)
6)
7)
S)
9)
10)
11)
Aggregated Contributions from Individuals
Contributions from Individuals
Contributions from Political Party Committees
Contributions from Other Political Committees
Loan Proceeds
Refunds/Reimbursements To the Committee
Other Receipt Sources
Ila) Interest on Bank Accounts
llb) Contributions from Not -for -Profit Organizations
Ile) Outside Sources of Income
lid) Legal Expense Fund—Other Sources
11 e) Exempt Purchase Price Sales
(CRO -1205)
(CR0.1210)
(CRO -1220)
(CRO -1130)
(CRO -1410)
(CRO -1240)
(CR04250)
(CRO -1250)
(CRO -1250)
("0-1270)
(CRO -1265)
$
ti
$ 4460.00
$
$
$
$ 590.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
12) TOTAL RECEIPTS (Add fines 5, 6, 7.8.9. 10, Ila, Ilb, 11c. Ildand Ile)
`);XPEIVD
13) Disbursements
13a) Operating Expenditures (CR0-1310)
13b) Contributions to Candidates/Political Committees (CRO -1310)
13c) Coordinated Party Expenditures (CRO -1310)
14) Aggregated Non -Media Expenditures (CRO -131s)
15) Loan Repayments (CRO -1420)
16) Refunds/Reimbursements From the Committee (CRO -1320)
17) In -Kind Contributions (CRO -1510)
$ 5050.00
1 $
$ 4434.70
$
$ UNION UUUN Y"
$
' N
$
$ SEP 2 9 2025
$
$
i$
$
$
18)
TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, l6 and 17)
$
4434.70
$
19)
20)
21)
22)
23)
24)
25)
26)
27)
29)
Cash on Hand at End (Add lines 4 and 12 together, then sublraet fine 18)
Non -Monetary Gifts Given to Other Committees (CRO -1330)
Outstanding Loans (incl ones from other campaigns) (CRO -1430)
Debts and Obligations owed By the Committee (CRO -1610)
Debts and Obligations owed To the Committee (CRO -1620)
Account Transfers Within the Committee (CRO -1720)
Administrative Support (CRO -1710)
Forgiven Loans (CR0.1440)
48 -Hour Notice Reports Sum (CR01210)
Contributions to be Refunded (CRO -1215)
$
$
615.30
$
LL
$
$
$
$
$
$
$
$
$
$
$
$
CRO -1100 NC Slate Board of Elections August 2008
Amendment
Aggregated Contributions from Individuals rake or _ ❑ Yes ® \o
Optional form used to report NC Contributions From Individuals of $50 or less
1. Committee Full Name and Fund ifapplicable)
2. ID Number
The Committee to Elect Angel Martin
ID3.IMHVM
3. Contributor Information
b. Account
le
C. form of Payment
d. In -Kind
Description
C. Date
mm/dd/ v
L Amount
® Add
check
donation
08/122025
$ 50.00
❑ Remove
® Add
check
donation
8/25/2025
$ 50.00
❑ Remove
® Add
check
donation
9/19/2025
$ 10.00
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
❑ Add
UN101,1
r GUNTY
$
❑ Remove
❑ Add
GA
'tnnc$
❑ Remove
❑ Add
ULJ
$
❑ Remove
E] Add
7 F:7171= _
_ _. , _ _T
$
F-1Remove
❑ Add
$
❑ Remove
❑ Add
$
❑ Remove
4. Total only this Page
$ 110.00
5. Total of ALL CRO -1205 Pages
(This line must he online S of Detailed Summary Page CRO -1100)
$ 110.00
CRO -1205 NC State Board of Elections April 2007
Contributions from Individuals Amendment
Pg � of ❑ Ya ® No
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
1. Committee Full Name and Fund if appilleaW
2. ID Number
The Committee to Elect Angel Martin
I D-3JMHVM
3. Contributor Information ® Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
it. Comments
CEO
Joel Martin
8914 Laurelwood Ln
Marvin, NC 28173
c. Employer's Name/Specifie Field
Allied Industries
e. Election Sum to Date
$ 2500.00
E Prior
g. Account Code
Is. Form of Payment
L In -Kind Description
j. Date (mm/ddlyyyy)
i. Amount
❑
$
3. Contributor Information ❑ Add ❑ Remove
a. Full Name. Mailing Address & Phone
(include city, sure, & zip)
b. Job Title/Profession
d. Comments
retired
Louie Couto
909 Wandering Way
Marvin, NC 28173
a Employer's Name Specific Field
retired
e. Election Sum to Date
$ 1000.00
L Prior
g. Account Code
Is. Form of Payment
L In -Kind Description
j. Date (mm/dd/yyyy)
h. Amount
D
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Prafession
d. Comments
Marketing Executive
Kristen Conway
12017 Carolina's ChggpaWCOUNTY
Marvin, NC 281DAMPAIGN FINANCE
SEP 2 9 2025
c. Employer's Name/Specific Field
Surgical Directions
c. Elation Sum to Date
$ 200.00
f. Prior
a. AcauRbtL
tLtmvf is4ment
L In -Kind Description
I. Date (mm/ddlyyyy)
k Amount
❑
$
❑
$
D
$
4. Total only this Page
$ ,-otl
5. Total of ALL CRO -1210 Pages
(This fine must be online 6 ofDemUsd Swamary Page CRO -1100)
$
Amendment
Contributions from Individuals Pg of '5�_ ❑ ves ® No
Use this fonn to report individual contributions over $50 or contributions under $50 if forni CRO 1205 is not used
1. Committee Full Name and Fund If applicable)
2. ID Number
T7ie Committee to Flect Angel Martin
I D-3JMHVM
3. Contributor Information ® Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & Ap)
b. .lob Title/Profession
d. Comments
Fngineerm
RT Tangellaudi
4025 Flowering Peach Rd
Marvin, NC 28173
c. Employer's Name/Specific Field
Wells Fargo
e. Flection Sum to Date
$ 100.00
E Prior
g. Account Code
It. Form of Pavment
i. In -Kind Description
j. Date (mm/dd/)yyy)
Is. Amount
❑
$
3. Contributor Information ® Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
Retired
David Carr
8200 Woodmont Dr
Waxhaw, NC 28173
c. Employer's Name/Specific Field
Retired
C. Election Sum to Date
$ 250.00
C Prior
g. Account Code
h. Form of Pavmen l
i. In -Kind Description
j. Date (mm/dd/yyyy)
k. Amount
❑
$
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, slate, & zip)
b. Job Title/Profession
d. Comments
Engineer
Vasu Bathina
2000 Flowering Peach
Marvin, NC 28173
UNION COUNTY
CAMPAIGN FINANCE
a Employer's Name/Specific Field
Wells Fargo
e. Election Sum to Date
$ 100.00
E Prior
g. Account Code
h. FW o y eo i. In -Kind Description
j. Date (mm/dd/yyyy)
k. Amount
❑
RECEIVED
$
4. Total only this Page
$ 450.00
5. Total of ALL CRO -1210 Pages
(Tkv line must be online 6 of Detailed Summary Page CRO -7700)
$
C RO-/210 NC Slate Board of Elections April 2007
` Amendment
Contributions from Individuals Pg of ) ❑ les
Use this form hl report individual contributions over $50 or contributions under 550 if form CRO 1205 is not used
1. Committee Full Name and Funifffapplicable)
2. ID Number
The Committee to Elect Angel Marin
I D-31MHVM1i11
3. Contributor Information ❑ Add ❑ Remove
a. Full'same. Mailing Address & Phone
(include city. state, & zip)
b. Job Title/Profession
it. Comments
retired
Jill Denton
2030 Rocky Hollow Dr
Marvin, NC 28173
C. Employer's Name/Specific Field
retired
e. Election Sum to Date
$ 300.00
I. Prior
g. Account Code
h. Form of Payment
I. In -Kind Description
J. Date (mm/dd/yyyy)
k Amount
❑
5
❑
$
❑
5
3. Contributor Information ❑ Add ❑ Remove
n. Full Name, %failing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
it. Comments
c. Employer's Name/Specific Field
e. Election Sum to Date
$
C Prior
a. Account Code
b. Form or Payment
1. In -Kind Description
j. Date (mm/dd/yyyy)
h. Amount
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
UNION COUN fti
-ep;Ipp.IGN FINANCE
SEP 2 9 2025
-1\/F r
c. Employer's Name/Specific Field
e. Election Sum to Date
$
C Prior
g. AcetimliCtude
h. Form of Payment
i. In -Kind Description
j. Date (mm/dd/yvyy)
k Amount
❑
$
❑
$
4. Total only this Page
5 300.00
5. Total of ALL CRO -1210 Pages
(This line must he online h of Detailed Summary Page CR0.1 f 00)
S 4460.00
CRO -1210 \( 4:ne Board of Flections April 2007
Amendment
Disbursements Pg „L of El yes No
Use this forth to report expenditures from the committee for; operating expenses, contributions to candidate/political it
committees and coordinated Darts expenditures.
1. Committee Full Name and Fund ifapplicable) 2. ID Number
3. Type of Disbursement Please use separate CRO -1310 forms for each e of DisbursemeuL
❑ Operative 1-_vpen.e� ❑ „ri, hw"m, to t. ;oi,hdale> I' ilt ell t mnnuuce, ❑ Coordinated Pam Expenditure,
4. Payee Information Lj Add 11 Remove
a. Full'Namc, xlniling Aildress & Phone
(include cih', state, & zip)
It. ( oordinated Committee Name
d. Comment,
Vistaprint.com
c. Level Registered (Specify)
❑ Federal County:
❑ State ® Municipality:
e. Election Sum to Date
$ 161.06
L Account Cade
g. Form of Payment
h. Purpose Code
L Dale (mm/ddlyyp•)
j. Amount
k. Required Remarks
8/7/2025
$41.61
cards
9/2125
$119.45
Stickers
4. Payee Information ❑ Add El Remove
a. Full Name, Mailing Address & Phone
include city. state. & a
b. Coordinated Committee Name
d. Comments
3600NLINEPRINT.COM
c. Level Registered (Specify)
Federal ❑ County:
❑ state ® Municipality:
is Election Sum to Dale
$ 112.48
L Account Code
g. Form of Payment
h. Purpose Code
L Date (mmlddlyyyy)
j. Amount
k. Required Remarks
8/18/25
$112.48
pads
$
4. Payee Information Lj Add Lj Remove
a. Full .Name. \lalling Address & Phone
include city, slate, & zip)
b. Coordinated Committee Name
d. ('omments
Village of Marvin
10006 Marvin School Rd. UPJIiiNCOUI'+
Marvin, NC 28173 CAMPAIGN FINA1NCE
SEP 2 9 2025
c. Level Registered (Specify)
E]Federal El County:
❑ state ® Municipality:
e. Election Sum to Date
$ 555.00
L Account Code
g. Form of
e
L Date (mmldd/yyyy)
j. Amount
k. Required Remarks
check
8/26/25
$530.00
Barn rental
8/26/25
$25.00
Trick or Treat
vendor
$ 828.54
Tots: oa this Pae
6. Total of ALL CRO -1310 Pages
(Thi.% line goes in line 13a aJ Delailed Summmq Page CRO -1100 iif 0peradng Expenses)
(Thi% finegoes in line fab a/ Deluiled.S'unnnaq Page CRO -1100 ii fontrib to Candidates/Political Comm)
(ThA linegoes in line 13c of Detailed.Summan. Page CRO -1100 if Coordinated Parr Erpenditures)
$ 4508.71
7. Purpose Codes(List detailed expenditure code in above
A* - Media B* - Printing C* - Fundraising D - 1 o Another Cartdi7date
E - Salaries F* - Equipment C - Political Part} H* - Holding Public s1 - Postage J - Penalties K* - t�ce Expenses Q* - Donation to Lend
O* - Other
* Codes require detailed explanation in required remarks field k
( R0-13 10 NC State Board of Elections December 2009
Amendment
Disbursements Pg of ❑ Yes Pq No
Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political
committees and coordinated party expenditures.
1. Committee Full Name and Fund ifapplicable) 2, ID Number
The Committee to Elect Angel Martin I D-3.IMIJVM
3. Type of Disbursement Please use sevarate CRO -1310 fornis for each tvve of Disbursement
® Operating I CI)e1KC$ ❑ CnlltrlbnllUnS to Call ltdalcS'Pollbcal (, onisni tece ❑ ( oordinated Pant E%pendllarCS
4. Payee Information 0 Add Remove
a. Full Name, Mailing Address & Phone
include city, state, & zip)
It. Coordinated Committee Name
d. Comments
Rush Order Tees.com
2727 Commerce Way
Philadelphia, PA 19154
C. Level Registered (Specify)
❑ Federal ❑ County:
❑ State ® Municipality:
e. Election Sum to Date
$ 756.77
E Account Code
I g. Form of Payment
h. Purpose Code
L Date (mm/dd/yyyy)
j. Amount
k. Required Remarks
credit card
7/30/25
$437.91
tees
credit card
8/27/25
$318.86
tees
4. Payee Information Lj Add ❑ Remove
a. Full Name, %tailing Address & Phone
include city, state, & zip)
It. Coordinated Committee Name
d. Comments
Signs on the cheap.com
3680
c. Level Registered (Specify)
❑ Federal ❑ County:
❑ State ® Municipality:
e. Election Sum to Date
$ 2681.40
E Account Cade
g. Form of Payment
IL Purpose Code
L Date (mm/dd/yyyy)
J. Amount
k. Required Remarks
credit card
7/31/25
$1362.80
yard signs
credit card
9/19/25
51318.60
yard signs
4. Payee Information Lj Add ❑ Remove
a. Full Name, Mailing Address & Phone
include city, state, & zip)
b. Coordinated Committee Name
d. Comments
Car Stickers Inc lv1PAIGNFINANCF
2146 NE 4d' St
Suite 100 SEP 2 9 2925
Bend, OR 97701
RECEIVED
c. Level Registered (Specify)
❑ Federal ❑ County:
❑ State ® Municipality:
e, Election Sum to Date
$ 242.00
E Account Code
g. Form of Payment
h. Purpose Code
i. Date (mm/dd/vyyy)
j. Amount
it. Required Remarks
credit card
8/ 02025
$242.00
car magnets
$
Pae
5. Total only this
$ 3680.17
6. Total of ALL CRO -1310 Pages
(This line goes in lure 13a of Derailed Shmmmy Page CRO -1100 if Operating Expenses)
(This line goes in line lab of Derailed Summary Page CRO -1100 ifConvib to Candidates/Political Comm)
(This line goes in line lac ofDetailed Summary Page CRO -1100 if Coordinated Partr Expenditures)
$
7. Purpose Codes(List detailed expenditure code in above
A* - Media B* - Printing C* - Fundraising D - To Another Candidate
E - Salaries F* - Equipment G - Political Pan% H* - Holding Public Office Expenses
I - Postage J - Penalties K* - Offce Expenses Q* - Donation to Legal Expense Fund
O* - Other
* Codes require detailed explanation in required remarks field k
CRO -1310 NC State Board of Elections December 2009
Amendment
In -Kind Contributions Pg ThS of L ❑ 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 refimded within 7 days.
1. Committee Fall Name and Fund if applicable) 1 ID, Number
i'he Committee to Elect Angel Martin I D-3JMHVM
3. Contributor Information N Add U move
a. Full Namc, Mailing Address & Phone
(include city, state, & zip)
b. Type of Contributor
c. Comments
® Individual
❑ Candidate
❑ Parry
❑ PAC
❑ Referendum
❑ Other Receipt Source
Lauren Thomas
3025 Groves Edge
Marvin, NC 28173
d. Election Sum to Date
$ 115.76
e. Descriptioo
E Date (mm/dd/yyyy)
g. Fair Market Amount
You Tube promotion
9/20/25
$ 53.25
Yard Signs
9/20/25
$ 62.51
S
3. Contributor Information Lj Add Remove
a. Full Name, sailing Address & Phone
(include city, state. & zip)
h. Type of Contributor
c. Comments
❑ Individual
❑ Candidate
❑ Party
❑ PAC
❑ Referendum
❑ Other Receipt Source
d. Election Sum to Date
$
e. Description
1. Date (mm/dd/yyyy)
g. Fair Market Amount
$
$
`>
3. Contributor Information Lj Add Remove
H. Full Name, Mailing Address & Phone
(include city, state,&zip COUNTY
b. Type of Contributor
c. Comments
E]Individual
❑ Candidate
p Party
PAC
❑ Referendum
❑ Other Receipt Source
CAMPAIGN FI —
SEP 2 9 2025
R F, (-, F ! \ / F
d. Election Sum to Date
$
e. Description
E Dale (mm/ddlyyyy)
g. Fair Market Amount
$
$
$
4. Total only this Pae S "J
5. Total of ALL CRO -1510 Pages
S(This line must be online 17 ojDetai/ed Summary Page CRO -1100)
CRO -1510 NtSlate Board of Elections December 2007
k me ndm en
Contributions from Other Political Committees Pg uI I ❑ t es No
Use this form to report contributions from other candidate. referendum or PAC committees
1. Committee Full Name and Fund if applicable)
2. ID Number
The Committee to Elect Angel Martin
1D-3JMliVM
3. Contributor Information ® Add ❑ Remove
a. Full Name, )tailing Address & Phone
(include city, ante, & zip)
b.'i"ype of Committee
d. Comments
® Candidate ❑ PAC
❑ Referendum
Friends of Fred Ilarraza
7600 Stonehaven Dr.
Marvin, NC 28173
a Level Registered (Specify)
❑ Federal ❑ County:
❑ State ® Municipality:
e. Election Sum to Date
S
E Account Code
g. Form of Payment
Y. to -Kind Description
i. Date (mm/ddlyyyy)
j. Amount
wire
repayment of
shared expenses
9/20/2025
$ 590.00
3. Contributor Information ❑ Add ❑ Remove
a. Full Name. Mailing Address & Phone
(include city, state. &zip)
b. Type of Committee
d. ('moments
❑ Candidate ❑ PAC
❑ Referendum
I. Level Registered (Specify)
❑ Federal ❑ County:
❑ State ❑ Municipality:
e. Election Sum to Date
f. Account Code
g. Form of Payment
h. In -Kind Description
i, Date (mm/dd/yyyy)
j. Amount
$
NION COUNT_
$
1P. �
S
3. Contributor I atlon ❑ Add ❑ Remove
a. Full Name. %lailinp,,%ee`�+ trial\ R r
(include city, state 11LL�&tt lip)`
h. I.% PC of Committee
d. Comments
❑ Candidate ❑ PAC'
❑ Referendum
c. Level Registered (Specify)
❑ Federal ❑ County:
❑ State ❑ Municipality:
a Election Sum to Date
S
E Account Code
g. Form of Payment
It. In -Kind Description
L Date (mm/ddlyyyy)
j. Amount
$
$
$
4. Total only this Page
$ 590.00
5. Total of ALL CRO -1230 Pages
(This line muse be on line 8 ofDetailed Summon Page CRO -1100)
$ 590.00
CRO -1230 NC Slate Board of Flection, April 2007