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Amburgey,Michael_2025-35-DayAmendment Disclosure Report Cover ❑ Yea o No Use this form for general report and committee information, must be signed and submitted along with other detailed fortes. LBO -1000 rva, amre name w 1 Committee,Information". ..4 , t:_ :7777 77, ?P)'"";''. a. Full,Namec.]IDNumber _ �'l%TGhue ( %hvw��S An to ter e-. b. Mailing "Address (include City,. State and Zip Code) ,+` , -- ' ' ", ' " - °f -.-� d. Date Filed,-. /oia CC, (A riC r,, -e- q/ag )aoas -ZNdrk^j Tri,; l JJC 980-21 7oY-a9a-'/0Ko 2:;Re orbYear 3.'Eeriod'SWit Date mmtda/' " 4:;Period End D iti ,"( djdlji. 5. Treasurer Full:Name': ". daS 07�a3-as 08-93;, MctiAj.( 6: ` e`of C6mmittee Check'One <`S 9..Tya of Re ort: check anly"one ty`p'e of reportfrom one categ"ory)i, Candidate Campaign ❑ Party Municipal "': State/county - ii - - Referendum ❑ Organizational ❑ Organizational ❑ Organizational ❑ PAC ❑ Referendum ❑ Independent Expenditure ❑ Joint Fundraiser B Tbirty-five day Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ Pre-primary ❑ First ❑ Final ❑ Pre-election ❑ Second ❑ Supplemental Final ❑ Pre-mnoff Semi-annual ❑ Third ❑ Fourth ❑ Annual ❑ Special %. - „ B Of Fui d '. (if oppficable; check one). `,,. ` ❑ Booster Fund ❑ Building Fund ❑ Mid Year Semi-annual ` 10.'.S 'eclal Re- ort 81ne`, [3 Yen End [3 Mid Year ❑ Other. ❑ Final ❑ Special ❑ Year End ❑ Final ❑ Special $:.Number. of Fundraisers ttiis'Re Ort " "' - O 11,°AccouutInforutatton � +. �°'` lEAcco � ` ' '' - . Financial Institution Full Name'f - - a. Financi ".. n e c(GINr�N1 J I `rte— Fmp�d e±5 Co -e , .... - b.Purpose ,.,. " . " , :' " c. Account Code , r .. "' b. Purpose'.. ;;; 4 c. Account Code : a..... UNION COUNTY BOARD OF ELECTIONS CR.m�ay.}>ai d. Peri6d'BegitrBalance. ',-� - d.,Period Begin$alance $ 57,7y $ 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 prohibited or other non -disclosed funds. I further certify that this report is complete, true and correct and that I have been a Board of Electi . Nte 6M;cci�l �. /-k>~tbit 9�g /as Panted Name of Signer Si um of A ointed T u mate FOR OFFICE USE ONLY 2� (( Delivery Method leL (; ��3 Date Received: - I Employee: u ?i i❑ Normal Mail ❑ .Registered Mail t ,Date Postmarked: -, Employee:„ _ q Hand Delivered i +❑ Elec `onically Filed ''Employee: " Date Scanned:' ,[:3" Signer has not received ; ( Date Data Enteird:: Employee: mandato trainin 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. An Past tons LBO -1000 rva, amre name w Detailed Summary F r11C411_C.(. MA41 -5 bt• 35- De Start of Election Cycle: January 1, 02,2— Total this 4) Cash on Hand at Start Re ortin Period RECEIPTS $ 57,? $ ,a r ✓�J.. M1 M• •h'.1-Y.�_._ Ip iK4.:,.a l'ri te,.i^.:.. s pA."L..ti!'fiMltt An• ly K.., 5) Aggregated Contributions from Individuals (CRo-120s) $ ~_� $ 6) Contributions from Individuals 7) Contributions from Political Party Committees (CRO -1220)------------$ _ 8) Contributions from Other Political Committees$ (CRO -1230) $ $ 9) Loan Proceeds (CRo-1410) YO)- a un s eimburs_ements_to-tbeGammittee— (CR07240j 11) Other Receipt Sources SN011�3 13 j0 Pti $ $ — 3ptalN--_____-__ Ila) Interest on Bank Accounts (CRO -1250) ~ Ilb) Contributions from Not-17k"P p 3�� - " ---------------r rganizations (CRO -1250) llc) Outside Sources of Inco �3a (cn0-1250) lld) Legal Expense_Fund - Other Sources (CROa270) `Ile) Exempt Purchase Price Sales V '1 - (CRO -1265) 12) TOTAL RECEIPTS (Add lines 5 6 7 8 9 10,1 la11b,l le,11d and 1 le) EXEENDITUI2ES` " � ` ..._... ...... f~wly ..: `��..=i..'✓. .�rv��4� Srj h�ll v�.lj 7A �'td�IC 13) Disbursements $ $ $ $ � $ �� rc'jty�i{$�..c�j..:1.�A TlY �. $ $ $ ,.. `i: 22) 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 (CR0-1420) 16) Refunds/Reimbursements from the Committee (CRO -1320) 17) In -Kind Contributions (CRO -1510) 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 ADDITIONAL INL ®RIVIATION ., .+v. Y.._.LL '—.__-'' I irl t} 1{.}Y 20) Non -Monetary Gifts Given to Other Committees (CRO -1330) 21) Outstanding Loans (incl ones from other campaigns) (CRo.7430) Debts and Obligations owed by the Committee (CRO -1610) $ $ $ i $ / $ / $ $ $ $ � f. .b... �.1 �1 ✓riin5F� $ � $ $ S $ 23) Debts and Obligations owed to the Committee (coo -1620) $ 24) Account Transfers Within the Committee (CRO -1720) $ 25) 26) 27) 28) Administrative Support (CRO -1710) Forgiven Loans (CRO -1440) 48 -Hour Notice Reports Sum (CRO -2220) Contributions to be Refunded (CRO -1215) $ $ $— $ $ c F Amendment In -Kind Contributions Pg _ of _ ❑ Yes ❑ Na 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 Kapplicable) ep 2. ID Number 3. Contributor Information Add ❑ Remove a. Full Name, Mailing Address & Phone (includes city, stat/e,-& zip) /� f1 Wie'i.( ! 1'Id°g4 5 /A^ bl.✓ �o�-a5a -Y�Yd C �,e er��%t !pia. Coew . N �tvo(tL nl (rar ( C �8 v� l b. Type of Contributor ,1 Individual [3 Candidate ❑ PAC ❑ Referendum ❑ Other Receipt Source e. Comments d. Election Sum to Date $ e. Description E Daae (nunidd/yyyy) g. Fair Market Amount y� /,AKN ,M5 9//1( $ �/• �� (ewn k, Fr c✓3 9/aaa5- $ „r3 9/I BI aS $ l ia,rS 3. Contributor Information ❑ Add ❑ Remove SNOl10313 J0 Guvos a. Full Name, Mailing Address & Phone (include city, slate, & zip) // lY@ G NC- -;L-Z 0-7� h. "Type of Contributor 6 7 d �S (. 333a ❑ Individual f7oZ ® Candidate 76 1:1 Party ❑ PAC a3 Referendum ❑ Other Receipt Source d. Election Srrm to Date 1 $ e. Description f. Date (nm/ddlyyyy) g. Fair Market Amount min cr �f G/��c 9 $ 33,98 $ /3,8cp 0S.h., 07/a9/a5- 1 $ _7M c"" 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone (include city, state, & zip) b. Type of Contributor ❑ Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source c. Comments d. Election soon to Date $ e. Description f. Date (mm/dd/yyyy) g. Fair Market Amount $ $ $ 4. Total only this Page $ 6- '2 7a 5. Total of ALL CRO -1510 Pages (This line must be online 17 of Detailed Summary Page CRO -1100). $ 1ST V, 75-L CRO -1510 NC State Board of Elections December 2007 Contributions from Individuals Pg _ of _ Amend mens 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 applicable) 2. ID Number 3. Contributor Information ❑ Add Cl Remove a. Full Name, Mailing Address & Phone b. Job Title/Profession d. Comments (include city, state, -&&zip) /'lr LhNG� /(�+ums.5 /'fr^bt�.✓r,,�.�-y c. Employer's Name/Specific Field C „ t �YL lv (J �Fjd Ne 99"'71 e. Election Sum to Date lot/- i a-yoYo $ I. Prior g. .Account Code It. Form of Payment i. In -Kind Description J. Date (mm/d(/yyyy) k. Amount ❑ ty 4 F_ 6 i,N ce-5 $ 5!r`ftf ❑ czim#04r r) Fi ZV5 g/aa as $ i ❑ s; ,J-5 9 /!8 /as $ 15 ,15 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone b. Job Title/Profession SNOLLO d. Comments 13 JO OHV09 (include city, state, & zip) -m AIN OONOINf1 Ch T r vtv.,�as i4•.tbt,�� /o/a-Com°r� F.rc CtYc/t c. Employer's Name/Specific FieMho 9(69 C 7 J JC 0 6 C1JJ /X "071 a3 . �.IgC,L�oJ�uin to Date �j�J�� 7aY-a Sa-Yo yo 1. Prior g. Account Code - - h. Form of Payment I. In --Kind Description J. Date (mnVd(/yyyy) k. Amount 13- - Yet#v )m -p- &4A,r-5 $ 33-5-9 11 u,vle 5+,j 9z, 91 a7las $ 13.Rp ❑ A gl?aj/a!5- s 7�lrr oa 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone b. Job Tilie/Profession d. Comments (include city, state, & zip) c. Employer's Name/Specific Field e. Election Sum to Date $ f. Prior g. Account Code It. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k Amount ❑ $ ❑ $ 4. Total only this Page 5. Total of ALL CRO -1210 Pages $ (This fine must be online 6 of Detailed Summary Page CRO -1100) ��- CRO-1210 N( Statc Board of Elections April 2007