Harris,Samuel_2025-Org ReportAn lent
I I NoDisclosure Report Cover
Use this form for general report and committee information, must be signed and submitted along with other detailed forms.
1. Comimttee Information
a. Full Name c. ID Number
^idfib. Mailing Address (include City, State and Zip Codfc)d. Date Flied
\l/^/zoz5\3M kuct^ <2,^- rii,Kn>^yNC Uno
e. Phone Number
2. Report Year 3. Period Start Date (inm/dd/yy)
Itrs \z/iltt>2.5
4. Period'End Date (mm/dd/yy);5. Treasurer Full Name
I Set'i^uel
6. Type of Cdmiiiittee (Check One) "9. Type of Repiort (check only one type of reportfrom one category) ' ^
0' Candidate Campaign |_| Party Municipal Stale/County Referendum
n PAC □ Referendum 1 1 Organizational li^(5rganizational 1 1 Organizational
n independent Expenditure □ Joint Fundraiser 1 1 Thirty-five day Quarterly l~~l Pre-referendum
n Legal Expense Fund l~l Pre-primary 1 1 First [~1 Final
r~l Pre-election I 1 Second 1 1 Supplemental Final
7.TypeofFund Ofapplicable, check one)?1 1 Pre-ninoff □ Third r~l Annual
1 1 Booster Fund Semi-annual i 1 Fourth 1 1 Special
1 ] Building Fund r~l Mid Year Semi-annual
n Other:
r~l Year End l~~l Mid Year 10. Special Repbct Name .
□ Final n Year End
8. Number of Fundraisers this Report 1 1 Special 1 1 Final
O special
11. Account Information 11: Account Information 7 ^
a. Financial Institution Full Name a. Financial Institution Full Name
riry-V C'MzeAi
b. Purpose c. Account Code b. Purpose
lObl
d. Period Begin Balance
0
c. Account Code
d. Period Begin Balance
GERTIFICATION
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 trained by the NC State Board of Ejections.
izJ^/zoz-sSignature of Appointed TreasurerPnnted Name of Signer
FOR OFFICE USE ONLY
Date Received: '
Date Postmarked:
Date Scanned:
Date Data Entered:
Employee:
Employee:
Employee:
Employee:
Delivery Method
□ Normal MallRegistered Mail
Hand Delivered
n Electronically Filed
n Signer has not receivedjnandatmj^rainii^
Please Note: This form cannot be used to amend committee information such as the committee address, treasurer,assist|^:^(^^J1^^0dian of books information, or account information.
You must amend the Statement of Organization (CRO-21OOA-E) to make committee changes.
CRO-mo 0£C 0 ^ 2025
UNION COUNTY
board of elections
August 2008
Detailed Summary Amendment
Yes EID No
1. .Committee Full Name'(and Fund if applicable)2.'Type of Report = - ] /3. ID Number / , /
fhinn^S
Start of Election Cvcle: .Tanuarv 1. 2. OZ^Total this
Reportine Period
Total this
Election Cvcle
4) Cash on Hand at Start $ 0 $
RECEIPTS - -
5) Aggregated Contributions from Individuals (CRO-ms)$$
6) Contributions from Individuals (CRO-I210)
7) Contributions from Political Party Committees (CRO-1220)$$
8) Contributions from Other Political Committees (CRO-I230)$$
9) Loan Proceeds (CRO-NIO)$$
10) Refunds/Reimbursements to the Committee (CRO-1240)$$
11) Other Receipt Sources
11a) Interest on Bank Accounts (CRO-1250)$$
lib) Contributions from Not-For-Profit Organizations (CRO-I2SO)$$
11c) Outside Sources of Income (CRO-I2SO)$$
lid) Legal Expense Fund • Other Sources (CRO'J270)$$
lie) Exempt Purchase Price Sales (CRO-1265)$$
12) TOTAL RECEIPTS (Add lines 5, 6.7, 8, 9,10,11a, 1 1 b, II c.lid and He)$ 235.1
EXPENDITURES' : - ; ^.^ .1 .
13) Disbursements
13a) Operating Expenditures (CRO-13JO)$'
13b) Contributions to Candidates/Political Committees (CRO-1310)$$
13c) Coordinated Party Expenditures (CRO-1310)$$
14) Aggregated Non-Media Expenditures (CR0-I31S)$$
15) Loan Repayments (CRO-1420)$$
16) Refunds/Reimbursements from the Committee (CRO'1320)$$
17) In-Kind Contributions (CRO-1510)$ 221.$ 221,
18) TOTAL EXPENDITURES (Add lines I3a, 13b, 13c, 14, 15, 16 and 17)$ ll\M $
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18^$
ADDITIONAL mFORMATION _ ;; ' .
20) Non-Monetary Gifts Given to Other Committees (CRO-1330)$
21) Outstanding Loans (incl. ones from other campaigns)(CRO-I430)$
22) Debts and Obligations owed by the Committee (CRO-1610)$
23) Debts and Obligations owed to the Committee (CRO-1620)$
24) Account Transfers Within the Committee (CRO-I720)$' • .laH
25) Administrative Support (CRO-1710)$$
26) Forgiven Loans HCV )$$
27) 48-Hour Notice Reports Sum fCjfly-221QJ $$
28) Contributions to be Refunded ^$$
board OF ELECTIONS
August 2008
Contributions from Individuals
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
Pg of
Amendment
□ Yes □ No
li Committee Full Name (and Fund if applicabliey 2. ID Number
Cv\a,a\^
3. Contributor Information ; - [1 ~\ Add JLJ Remove , ' „
a. Full Name, Mailing Address & Phone
(include city, state, '& zip)
b. Job Title/Profession d. Comments
I^IM Ri-
2?ll^
c. Employer's Name/SpeciHc Field
e. Election Sum to Date
$
f. Prior g. Account Code h. Form of Payment i. In-Kind Description j. Date (mm/dd/yyyy)k. Amount
□lDt>l i^hks
□-efl~s-tU03
□ .4W/—nil ks
3. Contributorjnformation - D Add ||_1'Remove .t 1' - •. . ,
a. Full Name, Mailing Address'& Phone
(include city, state, & zip)
b. Job Title/Profession d. Comments
c. Employer's Name/Specific Field
e. Election Sum to Date
$
f. Prior g. Account Code h. Form of Payment i. In-Kind Description j. Dale (mm/dd/yyyy)k. Amount
□$
□$
□$
3. Contributor Information |LJ Add |LJ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession d. Comments
c. Employer's Name/SpeciFic Field
e. Election Sum to Date
$
f. Prior.g. Account Code h. Form of Payment i. In-Kind Description j. Date (mm/dd/yyyy)k. Amount
□$
□D $
□OEC 0 0 2m s
4. Total only this Page = u^on cn, .s 2351. of
5. Total of ALL CRO-1210 Pages
^ (This line must be on line 6 ofDetailed Summary Page CRO-llOO) i 255'l.0'^
Pg of
Amendment
□ YesIn-Kind Contributions
Use this form to report non-monetary contributions, donations, goods or services provided to the committee or fund.Us^R0^12I^fIn4Cin^Contribution^er^Mvil^berefunde^jithir^Ma^
□ No
1. Committee Full Name (and Fund if applicable)2. ID Number
3. Contributor Information n Add o Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Type of Contributor
1 IndividualB^andidale
n Party
□ PAC
□ Referendum
□ Other Receipt Source
c. Comments
d. Election Sum to Date
e. Description f. Date (mm/dd/yyyy)g. Fair Market Amount
Sloo
iZ/i lio2£13
3. Contributor Information !0 Add jn Remove
a. Fuil Name, Mailing Address & Phone
(include city, state, & zip)
b. Type of Contributor
ET Individual
□ Candidaten Party
□ PAC
□ Referendumn Other Receipt Source
c. Comments
d. Election Sum to Date
e. Description f. Date (mm/dd/yyyy)g. Fair Market Amount
3. Contributor Information lO Add !□ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Type of Contributor
ET Individual
□ Candidate□ Party
□ PAC
□ Referendum
□ Other Receipt Source
e. Description
c. Comments
d. Election Sum to Date
f. Date (mm/dd/yyyy)g. Fair Market Amount
RECEIVED
DEC 0 8 2025
L Total only this Page iMiriM rrn imtv $ 21L095. Total of ALL CRO-1510 Pag^
(This line must be on lineJT of Detailed Summary Page CRO-IIOO)
BOARD OF ELECTIONS
CRO-1510 NC State Board of Elections December 2007