Dotson,David_2025-Org-reportAmendment
Disclosure Report Cover ❑ Yea ❑ No
Use this form for general report and committee information, must be signed and submitted along with other detailed forms.
Do not use this form to update information.
1. Committee Information,o✓1 727 {
a . Full Name !lI/Il / d�6N
c. ID Number
b. Mailing Address (include City, State and Zip Code)
d. Date Filed
/O / ZS
(406, ^ 29///
e. Phone Number
2. Report Ye i
3. Period Start Date (mmfdd/yy)
14. Period End Date (mmfddfyy)
5. Treasurer Full Name
6. Type of Committee (Check One)
9. Type of Report (check
only one type of report
from one cafegoty)
Candidate Campaign ❑ Party
Municipal
State/County
Referendum
❑ PAC ❑ Referendum
S Organizational
❑ Organizational
❑ Organizational
❑ 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
7. Type of Fund (((applicable, check one) _
❑ Hoosier Fund
Semi-annual
❑ Fourth
❑ Special
❑ Building Fund
❑ Mid Year
Semi-annual
❑ Year End
❑ Mid Year
10. Special Report Name
❑ Other:
❑ Final
❑ Special
❑ Year End
❑ ,n.d
8. Number of Fundraisers this Report
❑ xl,e;al
11. Account Information
11. Account Information
. Financial Institution Full Name
a. I'i anodal Institution Full Name
11�1d�
UNION COUNTY
b. Purpose
c. Account Code
b. Purpnw
c. Aecounl Code
7878
OCT 16 2025
d. Period Begin Balance.
Period Begin Balance
FiFCEIVE
$
A
CERTIFICATION
I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 228 & 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 1 have been trained by the NC State Board of Elections.
Printed Name of Signer Signature of Appointed Treasurer Date
FOR OFFICE USE ONLY
Date Received: Employee: Delivery 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 UW NC State Board of Elections August 200R
Amendment
Detailed Summary ❑ Yes ❑ No
Use this form to summarize all disclosure renortine forms and to total monetary information
1. Committee Full Name (and Fund if applicable)
12. Type of
Report
3. ID Number
C 72�
Start of Election Cycle: January 1, %OIL
Total this
Re orcin Period
Total this
Election Cycle
4) Cash on Hand at Start
$
C7
$
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 Jul Interest on Bank Accounts
I1b) Contributions from Not -For -Profit Organizations
11C) Outside Sources of Income
l Id) Legal Expense Fund -Other Sources
Ile) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1210)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CRO -1240)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1270)
(CRO -1265)
$
$
$ /47O -e20
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
12)TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9. 10.11 a- I I b, I I c, I l d and l l C)
4
1,52,0. Oa
$
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)
$
-
$
$
$
$
$
$
$
$
$
$
$
$
$
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)
$
O
$
19) Cash on Hand at End (Add lines 4 and 12 together. then subtract line 18
$
pp. a 'o
$
ADOMONAL INFORMATION
0) Non -Monetary Gifts Given to Other Committees (CRO -1330)
1) Outstanding Loans (incl. ones fromeftggMog" (CRO -1430)
2) Debts and Obligations owed by tit lNANCVCRO.1610)
3) Debts and Obligations owed to the Co"t,e6 2025 (CRO -1620)
4) Account Transfers Within the Committee—(CRO-1720)
5) Administrative Support RECEIVE 4RO-1710)
6) Forgiven Loans (CRO -1440)
7) 48 -Hour Notice Reports Sum WRO.2220)
8) Contributions to be Refunded (CR0.1215)
$
$
$
$
$
° `€°
$
$
$
$
$
$
$
$
CRO -1100 NC State Board of Elections August 2008
Amendment
Contributions from Individuals Pg _ of _ 1 ❑ Yes ❑ No
Use this form to report individual contributions over $50 or contributions under S50 if form CRO 1205 is not used
1. Committee Full Name (and Fund if applicable)
2. ID Number
3. Contributor Information ❑ Add Remove
a. Full Name, Mailing .Address & Phone
(include city, state, & zip)
b. Job Title/Profession
O /
d. C'onmiens,
�/1
6U///� 6 7_30A9
Z8/1/
r. Employer's Name/Specitsc Held
C/It/PD/
a. Election aa Suto Date
$
I. Prior
g. Account Code
h. Form of Payment
I. In -Kind Descripttoo
'. Date (mmld(Vyyyy)
k Amomt
❑
78 78/GYM
/o�s�ZS�
$ /Da o0
❑
$
❑
S
3. Contributor Information ❑ Add ❑ Remove -
a. Full Name, !flailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. CommcnL
c. Employer's Name/Specific Field
e. Election Sum to Date
f. Prior
13_
g. Account Code
h. Form of Parmem
i. In -Kind Description
- _..
J. Date (nmVdd/yyyy)
k Amount
$
❑
$
❑
5
3. Contributor Information �. �� C-,�'�i - ❑ Add ❑ Remove
a. Full Name,Mailing Address &Phone 7F
(include city, state, & zip)
�ceil V ED
R v
b. Job'ritle/Profession
d, Comments
c. Employer's Name/Specific Field
-
e. Election Sum to Date
$
I'. Prior
g. Accomt Code.
h. Form of Payment
1. In -Kind Description
1. Date (mmldd/yyyy)
k Amount
E3
S
❑
$
❑
$
4. 'Total only this Page
5. Total of ALL CRO -1210 Pages
(This line must be on line 6 of Detailed Summary Page CRO -1100)
CRO -1210 NC Stoic Board of Eleokni, April 2001