Gay,Dennis_2025-35-Day'.Amendment
Disclosure Report Cover jo.veg__ ®.no
Use this form for general report and committee information, must be signed and submitted along with other detailed fonrs.
Do not use this formto update information.
CRO -1000 NC Slate Boardof flections December 2007
a. Full Name
c. ID Number
COMMITTEE TO RE-ELECT DENNIS GAY
-PJM4HN--
b. Mailing Addreas (include CIty, State and Zip Code)
d. Date Filed
5106 OLD CHARLOTTE HIGHWAY
MONROE, NC 28110
09/29/2025
e. Phone Number
(252)723-1525
2. ReportYear 13.PvriodStartDate (mmfda/vy)
4. PeriodFndAatelmm/adhv)
S. Treasurer Fall Name =
Iced, -
RANDAI I II \R( )\ (, Al
6. Type of Committee (Check One)
9.
of Re (check on/v one 4, a -o rep riftom one trite. morn)
® tan dldat.-i .... en ❑ Porn
Municipal
State/County
Referendum
❑ )oini 1 v1drn,ci ❑ P v
❑
Organizational
❑ Organizational
❑ Organizational
❑ Relircndum ❑ 1 veal I yuu.r I and
®
❑
❑
Thirty-five day
Pre-primap
Pre-election
Quarterly
❑ First
❑ Second
❑ Pre -referendum
❑ Final
❑ Supplemental Final
7.Type of !i> applicable. check one) '
❑ "Rooster fund"
❑ Building Fund
❑
Pre -runoff
❑ Third
❑ Annual
❑ Presidential Election Year Candidates Find
Semi-annual
❑ Fourth
❑ Special
❑ NC Public Campaign Financing Fund
❑
Mid Year
Semi-annual
❑
Year End
❑ Mid Year
ftSpecial Report Nmne
❑ t nhrr
❑
❑
Final
Special
❑ Year End
❑ 1;nal
❑ 4tactul
a. Number of iLndraisers this Re rt.;-.
II
3. Accountlnformation
3. Account Information
a. Financial Institution Full Name
a. Fioancial Institution Pull Name
AMERICAN BANK
b. Purpose
c. Account Code
_ se[
c. Account Code
RE-ELECTION
011
d Period Begin Balance
d. Period Begin Balance
$
0.00
$
CE RTIMATION
I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B & 2213-22M 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 trained by the NC State Board
-;PC, /!�ypyyh j
4 09/29/2025
Printed Name of Sign
Signature of Appointed Ireas Date
FOR OFFICEUSE ONLY
/� ll
Date Received: -! 3 q aJ
Delivery Method
❑ Normal Mail
Date Postmarked:
7oy:e:
oye: ❑ 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, oraccount information.
You must amend the Statement of Organization
CRO -2100A -E to make committee changes.
CRO -1000 NC Slate Boardof flections December 2007
ndme
Detailed Summa al
Summary 0 Its IN Na
Use this form to summarize all disclosure reporting forms and to total monetan information
1. Committee Full Name and Fund if applicable)
2. TVne, of Report
13. ID Number
COMMITTEE TO RE-ELECT DENNIS GAY
2025 Thirty-five-day
-PJM4HN--
Start of Election Cycle: January 1, 2025
Total this
Reporting Period
Total this
Election Cycle
4) Cas h on Hand at Start
$
0.00
$
0.00
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
0) Refunds/Reimbursements to the Committee
I) Other Receipt Sources
Ila) Interest on Bank Accounts
Ilb) Contributions from Not -For -Profit Organizations
I1c) Outside Sources of Income
lld) Legal Expense Fund -Other Sources
Ile) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1210)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CRO -1240)
(CRO -1150)
(CRO -1250)
(CRO -1250)
(CRO -1270)
(CRO -1165)
$ 0.00
$
0.00
$ 1,789,18
$
1,789.18
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
$ 0.00
$
$
0.00
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
2) TOT.ALRECEIPTS (Add lines 5.6, 7.8.9.10.11x1Ib,l Ic,1Id and Ile)
$
1,789.18
$
1,789.18
EXPENDITURES _
3) Disbursements jmC)O j COUN I
CANIPAIGN FINANCE- -
13x) Operating Expenditures c[p' o 'n, (CRO -1310)
13b) Contributions to Candidates/Po1ikYfal CbtrdnftlHt� (CRO -1310)
13c- Coordinated PartyExpenditurE 0-1310)
n-VEI\J
4) Aggregated Non-Nledia Expenditures (CRO -1315)
5) Loan Repayments (CRO -1410)
6) Refunds/Reimbursements from the Committee (CRO -1320)
7) In-IGnd Contributions (CRO -1510)
$
125.00
$
125.00
$ 0.00
$
0.00
0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 1,039.18
$
1,039.18
8) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c. 14, 15. 16 and 17)
$
1,164.18
$
1,164.18
9) Cash on Hand at Fad (Add lines 4 and 12 together, then subtract line 18)
$
625.00
$
625.00
ADDITIONAL INFORMATION
0) Non -Monetary Gifts Given to Other Committees
1) Outstanding loans (incl. ones from other campaigns)
2) Debts and Obligations ovved by the Committee
3) Debts and Obligations ovvedtothe 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)
$
$
$
$
$
0.00
0.00
0.00
0.00
0.00
$ 0.00 $
0.00
$ 0.00 $
0.00
$ 0.00 $
0.00
8) Contributions to be Refunded
(CRO -1215)1
$
0.00
$
0.00
C'RO-1100 NC stale Board of Elections August 2008
\rn' or
Contributions from Individuals P ❑ \ex ® N'.
Use this lonnlo report indn iduaI contributions over S50 or con Irib ution, ander$5u it toren( RO 1205 i, not used
J. Committee Full Name and Flsfulifa icWe
2. ID Number
C'UMYtI I11 1 I'O RI'. -1 1 1 CT DENNIS GAY
-PJM4FIN --
3 Contributor information ❑ Add ,, ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & tip)
b. Job 71tle/Profession
d. Comments
RETIRED
RANDALL HARON GAY
5106 OLD CHARLOTTE HIGHWAY
MONROE, NC 28110
(252) 723-1525
c. Employer's Name/Specific Field
National Security and
International Affairs
e. Election Sum 10 Date
S 750.00
L Prior
g. Account Code
b. Form of Payment
i. In -fund Description
j. Date (mm/dd/yyyy)
k. Amount
❑
VIII
Check
07/18/2025
$ 750.00
❑
s
❑
S
3. Contributor Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job'Iille/Profession
d. Comments
SELF-EMPLOYED
WILLIAM DENNIS GAY
4705 PIONEER LANE
INDIAN TRAIL, NC 28079
(704) 345-8616
c. Finployeres Name/Specific Feld
Couriers and Messengers
e. Election Sum to Date
$ 1.039.18
L Prior
g. Account Code
h. Form of Payment
I. to -Kind Description
j. Date (mm/dd/yyyy)
k. Amount
❑
001
In -Kind
FILING FEE PAID TO
BOARD OF ELECTIONS
07/07/2025
$ 5.00
❑
001
In -Kind
HANDOUTS AND
BUSINESS CARDS
08/05/2025
$ 160.00
❑
001
In -Kind
CUSTOM YARD SIGNS
AND CAR DOOR MAGF.1
N'
09/042025
$ 874.18
4. Total only this Page
_ $ 1,789.18
5. Total of ALL CRO -12111, Pages $ 1789 18
(Tbb line must be on line 6 ofDemlled Summary Page CRO -1700)
CRO -/270
UNION COUNTY
CAMPAIGN FINANCE
SEP 2 9 225
RECEIVED
NCState Board ul I lcctions
April 2007
Amendment
Disbursements Pg I of I ❑ Yes N No
Use this formto report expenditures from the committee for operating expenses, contributions to candidate/political
committees and coordinated pang expenditures
f Committed• and Fundifa icabl_� _
('UM,%III TP[TO RP: -CII( I I)IAAIti UAF
2. ID Number,
—
JI% --
3.'IlypeofDisbursement(Please eseseaarateCRO-131ofornaforeaclit we ofDishnrvement.)
3.
ip"r-.nmr I ypoi.ce LJ (outnhwi,"n-t,,i nJ,J.rt. Iwcal('onuuittccs 11 A111-1 -'I"' I. y1cndilures
4. Payee Information ❑ Add ❑ Remove
a. Pull Name, Mailing Address & Phone
include city, state ,& zip)
b.Coordinated CommitteeName
d. Comments
PROPRINTING
103 INDIAN TRAIL ROAD NORTH
INDIAN TRAIL, NC 28079
(704) 234-8276
e. Uvel Registered (Specify)
Fcdcral 0 County:
❑ State ❑ Municipality:
e. Election Sum to Date
125.00
f. Account Code
g. Form of Payment
h. Purpose Cade
i. Date (mm/dd/yyyy)
j. Amount
1k. Required Remarks
001
Check
R
08/05/2025
S 60.00
BANNER
001
Check
It
08r29r102S
$ 61.00
; X 6 BANNER
5. Total only this Page
S 125.00
6. Total of ALL CRO -1310 Pages
(This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Espenaes) $ 125.00
(This line goes In line 13h of Detailed Smnnrag Page CFO -1100 if (warih is ( andidatevPolairal Coning
(This line goer in line 1A of Detailed SunmanPage CRO -1100 if (oordinated Parr, Evpendinues)
7. Purpose Codes (List detailed expenditure code in (h.) above)
A* - Media B` - Printing C* - Fundraising D- Iii A110thcr C:u)dida11
E - Salaries I` - Equipment G- Political Pang H* - Holding Public Office Expenses
1 - Postage .I - PCuthi„ K* -Office Expenses Q* - Donation to Legal FApense Fund
O* Other-
theri*Codes require detailed explanation in required remarks field k
[* Codes
CRO -1310 NC State Board of Elections Dccemlxr 2009
UNION N ,Nph1GE
Ga��pA1G
SEP � 9 2015
REGE�vED
Amendment
In -Kind Contributions Pg or 1 [3 Yes ® No
Use this form to report non -monetary contributions, donations, prods or services provided to the committee or fund.
Use CRO -1215 if In -Kind Contributions were or will he refunded within 7 davc.
1.CoruntitteeFull Name and Fund ita icable)
12.IDNumber
CuA1%11111 1 1()RL-ELLCI III`\NIS G.A1
-PJ%1411N-
3. Contributor information
❑ Add ❑ Remove
a. Voll Name. Mailing Addre» & Phone
h. Type of Contributor
c. Comments
(include city, state, & zip)
I ndn idtatl
❑ Canchdate
WILLIAM DENNIS GAY
4705 PIONEER LANE
0 Party
INDIAN TRAIL, NC 28079
0 PAC
(704) 345-8616
0 Referendlan
it. Election Sum to
Date
0 Other Receipt Source
$
1.039.18
e. Deseriptioo
L Date (mm/ddlyyyy)
g. Fair Market Amount
FILING FEE PAID TO BOARD OF ELECTIONS
07/07/2025
$
5.00
HANDOUTS AND BUSINESS CARDS
08/05/2025
$
160.00
CUSTOM YARD SIGNS AND CAR DOOR MAGNET (PAIR)
09/04/2025
$
874.18
tal only this Page
S
1,039.18
otal of ALL CRO -1510 Psges
t1,039.18
g
(This line must be o fine 17 of Detailed Summary Page CBO.1100/
C KU-/ J /O NL )late Board of Lleet ions Deeember 2007
UNION N FNANGE
CAMPAIGN
SEP 2 9 202
RECEjvED