Harris, Samuel_2025-Year-End ReportAmendment
n YesDisclosure Report Cover
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.
Gomniittee InfoFmation
a. Full Name c. ID Number
b. Mailing Addre^ (include City, State and Zip Code)d. Date Filed
e. PhoneNumber
7<5V Z f2 /Sm
2^:jteport Y^r 3. Period Start Date (mmAdd/yv)i 4. Period End Date'tnun/dd/yy) 5. TreaSurer Full Name
\t l^xjzozs l\-arris,
6. Type of Committee (Check One)9; Type of Report (check only one type of reportfrom one category)
Candidate Campaign □ Party
□ PAC □ Referendum
□ Independent Expenditure □ Joint Fundraiser
□ Legal Expense Fund
Municipal
TliType^of Fund- (ifappjitahlezcheck one)
□ Booster Fund
□ Building Fund
l~l Oihen
8^ Number of Fundraisers this Report
O
□ Organizational
□ Thirty-five dayn Pre-primary
□ Pre-electionn Pre-mnoff
Semi-annual
n Mid Year
n Year End
n Rnal
□ Special
State/County
□ Organizational
Quarterly
n First
n Second
□ Third
n Fourth
Semi-annual
n Mid Year
Year End
n Final
Special
Referendum
□ Organizational
□ Pre-referendumn Final
□ Supplemental Finaln Annual
□ Special
10. Special ReportNamer
l;I;iAccount Information 11. Account Information
a. Financial Institutioh'Full Name,a. Financial Institution FuIl:Name<
brPurpose
Fir A Ci\r\-Z€nS
C.~ACCUUllt-^:.dde^b. Purpose •. c: Account 0)de
JQoS
d.Terio3 BeginBalance
/002
d.'Period B^in Balance
$o $ Zp3o.
CERTIFICATION
I certify that the Committee or Fund is in compliance with ail 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 trainedJay the NC Slate Elections.
Ih
Printed Name of Signer ^ignaiu^^^gg^te^Veasui^lll2-/Z0Z(:>
Date
FOR OFFICE USE ONLY
Date Received:
Date Postmarked:
DateScanned:
RECEIVED
■ IAN 1 ii'2026,1
Employee:
RECEIVEDEmployee: • .
EmplpyeefJAN ;i 2 2026
Date Data Entered: ' UNION COUNTY;nrrttis
UNION.COUNTY
ARB OF CLCCTIONS
Delivery Method , -
o Normal Mail
P Registered MailiS ;Hand Delivered- jlO Electronically Filed
n Signer has hot receivedmandatory'tfdining , ■■
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.
CRO-1000 NC State Board of Elections August 2008
Detailed Summary
Amendment
□ Yes □ No
l/IGdinirattee FiiU Nami!(ana'Fund if apjplicable)j.l . : . '2.;T>^Oib£Report-5"r?!::;£]iii mii
e.1
Start of Election Cvcle: .Tanuarv 1, Z 6 2 3 Total this
Reporting Period
Total this
Election Cycle
4) Cash on Hand at Start $
I^CMPTS "■ . • ' • - •
5) Aggregated Contributions from Individuals (CRO-I205)$$
6) Contributions from Individuals (CRO-I210)S HZ.^2.$
7) Contributions from Political Party Committees (CRO-1220)$$
8) Contributions from Other Political Committees (CRO'1230)$$
9) Loan Proceeds (CRO-1410)$$
10) Refunds/Reimbursements to the Committee (CRO-2240)$$
11) Other Receipt Sources
11a) Interest on Bank Accounts (CRO-1250)$$
lib) Contributions from Not-For-Profit Organizations (CRO-1250)$$
11c) Outside Sources of Income (CRO-1250)$$
lid) Legal Expense Fund - Other Sources (CRO'1270)$$
lie) Exempt Purchase Price Sales (CRO-1265)$$
12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,1 la,lib,lie,1 Id and 1 le)$ 921SZ $
EXBEP^rrURES . ^ . i '•' * f '
13) Disbursements
13a) Operating Expenditures (CRO-1310)$ ZSlo.o'f $
13b) Contributions to Candidates/Political Committees (CRO-1310)$$
13c) Coordinated Party Expenditures (CRO-1310)$$
14) Aggregated Non-Media Expenditures (CRO-1315)$$
15) Loan Repayments (CRO-I420)$$
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'$
A0DITIONAMNEDIUV1ATION
20) Non-Monetary Gifts Given to Other Committees (CRO-1330)$
21) Outstanding Loans (incl. ones from other campaigns)(CRO-1430)$
22) Debts and Obligations owed by the Committee (CRO-I610)$MWBPw- .v^
23) Debts and Obligations owed to the Committee (CRO-J620)$SHR:'" '-tfl
24) Account Transfers Within the ComniRte<^r:j\/pr\(CRO-1720)$ 2_, OOO . • "
25) Administrative Support '(CRO-1710)$$
26) Forgiven Loans JAM 1 ^ ZOZB (CRO-1440)$$
27) 48-Hour Notice Reports Sum , COUNTY (CRO-2220)$$
28) Contributions to be Refunded BOARD OF ELECT10[^o-i2/5J $$
CRO'llOO NC State Board of Elections August 2008
Contributions from Individuals
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
Pg of
Amendment
□ Yes □ No
1. Committee Full Name (and Fund if applicable)2. ID Number
-stfTfS
31: Contributor Information /; 11 ~l' Add -^n Remove - • . f v
a. Full Name, Mailing Address & Phone '
(include city, state,,&zip) '
b. Job Title/Profession d. Comments- ■ ;
UTr.
31\H
2n\o
c. Employer's Name/Speciric Field
^nj>lo\fe6 e. Election Sum to Date
^ ^oo.
f. Prior g. Account Code h. Form of Payment i. In-Ipnd'Oescriptton j. Date (mm/dd/yyyy)k. Amount. .
□/od3 ^kcck.lllnllS s Soo."'
□$
□$
3. Contributor Information V |Q Add |Q Remove \ -
a. Full Name, Mailing Address:& Phone
(include city, state, & zip)
b. Job Title/Profession d. Comments . * '
fksi' Spcchliri
l^/V ^U£oy*\ fJC-
2m D
c. Employer's Name/Specinc Field
Ncof{-^CS e. Election Sum to Date
'Onu
f. Prior g. Account Code h. Form of Payment i; In-Kind Description j. Date (mm/dd/yyyy)k. Amount. ' • -
□/Oo^IZ hkois «/ 72.52
□/003 efr
□$
3; Contributor Information !□ Add }□ Remove
a. Full Name, Mailing Address & Phone ' ...
(include city,'statei & zip) : ■ " '
b.'Job Title/Profession d. Comments
received
JAM 1 1 2026
UNION COUNTY
c. Employer's Name/Specinc Field
e. Election Sum to Date
$
f. Prior g. Account Code'^'IPFoVHi diTayment i. In-Kltid L-l-^j. Date (mm/dd/yyyy)k. Amount
□IAN 1 Z 2026 $
□UNION COUNTY $
□BOARD Uh tutCTlOwO
$
4. Total only this Page s i!2l.Z ' 9V.
5. Total of ALL CRO-1210 Pages
i (This line must be on line 6 ofDetailed Summary Page CRO-llOO) < I , 'r^a,^ .. 92
.5^
CRO-1210 NC State Board of Elections April 2007
Disbursements
Use this fonn to report expenditures from the committee for operating expenses, contributions to candidate/political
Pg of
Amendment
O Yes n No
1. Committee Full Name (and Fund if applicable)2. ID Number
3. Type of Disbursement (Please use sei/arate CRO'1310 forms for each tvoe ofDisbursement.)
LJ Ooerating Expenses □ Contributions to Candidates/Political Committees 1 1 Cnorrlinated Party Expenditures
4. Payee Information " |L3 Add |LJ Remove
a. Full Name, Mailing Address'& Phone " ' ^ ~ ■
(include city, state, & zip)
b. Coordinated Committee Name.d. Comments' ' t
T)C/7<f75"f
c. Level Registered (Specify)
LJ Federal M County:
n State D Municipality:e. Election Sum to Date
EIPT
f. Account Code |g, Fonn of Payment |h. Purpose Code i. Date (mni/dd/yyyy) j. Amount < k.'Required Remarks
ioo3.2,2 {■'flf/
k Payee Information lO Add Remove
a. Full Name, Mailing Address'& Phone
(include city, state, & zip)
b. Coordinated Committee Name^d. Comments- •-
\fiS'W friA*V27^ U/y/HflA f/; L\^/tiain fAaSS,
1 fa 207 4*155
c^ Level Registered (Specify)
n Federal B County:
n State n Municipality:e. Election Sum to Date
^CH.05
f. Account Code g. Form of Payment h. Purpose Code
£
i. Date, (nun/dd/yyyy)j. Amount k. Required Remarks
im \^I\S feot?4V.03
k Payee Information !□ Add ■ D 'Remove
a. Full Name, Mailing Address & Phone,
(include city, state, & zip) • - -
fof€S\- fW^. /jr^sird hJY'2010 n\.^2,]7 H(=IS
h
b. Coordinated Committee Name
c. Level Registered (Specify)
1_| Federal Coun
n Slate
ty:
□ Municipality:
d.C
JAN 1 2 2026
UNION COUNTY
« ZD'^.ZS
f. Account Code g. Form of Payment .Purpose Code i. Date (mm/dd/yyyy)1. Amount k. Required Remarks
ioo5 WT I 5-tsalC<.<5 J
5. Tptal only this Page Z;S3^. 01
6. Total of ALL CRO4310 Pages
(This line goes in line I3a ofDetailed Summary Page CRO-I200 if Operating Expenses)
(This line goes in line I3b ofDetailed Summary Page CRO-IlOO if Contrib to Candidates/Political Comm)
(This line goes in line 13c ofDetailed Summary Page CRO-llOO if Coordinated Party Expenditures)
Zp'JO.ui
7. Purpose Codes (List detailed expenditure code in (h.) above)
A* - Media ^
E - Salaries
I p Postage _
O* Other
■ JB* - Printing
IF* -Equipment
' ;J - Penalties
IC* - Fundraising
G - Political Party
Offlce^xpenses
D * To Another Candidate
Holding Public Office Expenses
Q* • Donation to Legal Expense Fund
^Gode^e^uir^etailedwtglanationji^eguire^einark^el^^
CRO-1310 NC State Board of Elections December 2009
Disbursements pg of
Amendment
□ Yes □ No
Use this form to report expenditures from the committee for operating expenses, contributions to candidate/politicalcommittee^n^oordnwte^art^xgendi^^
1. Coimnittee Fiill Name (and Fund if applicable)
Type of Disbursement (Please wsfe separate CRO-1310 forms
2. ID Number
3. Type of Disbursement (Please use separate CRO-1310 forms for each txoe ofDisbursement.)
tJ Operating ExpenseT LJ Contributions to Candidates/Political Committees u Coordinated Party Expenditures
4. Payee Information !□ Add ]□ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Coordinated Committee Name ^d. Comments " -
c. Level Registered (Specify)
|_1 Federal County:
n State n Municipality:c. Election Sum to Date
»L}.n
f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy)j. Amount k. Required Remarks
106^■ -/yLl25hsB $
$
4. Payee Information ]□ Add ]□ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Coordinated Committee Name d. Comments
c. Level Registered (Specify)
1 1 Federal I I County:
n State n Municipality:e. Election Sum to Date
$
f. Accoimt Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy)j. Amount k. Required Remarks
$
$
4. Payee Information ]□ Add, ]□. Remove ? .
a. Full Name, Mailing Address & Phone
(include city, state,
b. Coordinated Committee Name d. Comments
JAN 1 2 2026
UNION COUNTY
BOARD or FLECTIONS
c. Level Registered (Specify)
1 1 Federal I I County:
n State C] Municipality:e. Election Sum to Date
$
f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j.Amount k. Required Remarks
5. Total only this Page
6. Total of ALL CRO-1310 Pages
(This line goes in line 13a of Detailed Summary Page CRO-1100 ifOperating Expenses)
(This line goes in line 13b of Detailed Summary Page CRO-1100 ifContrib to Candidates/Political Comm)Z^SfO.Di
1. Purpose Codes (List detailed expenditure code in (h.) above)
A* - Media JB*-Printing
E - Salaries [F*-Equipment
[C*_ - Fundralsing ID - To Another Candidate
IG - Political Party [H* Holding Public Office Expenses
Account Transfers Within the Committee Page of
Amendment
□ Yes □ No
1. Committee Full Name (and Fund if applicable)2. ID Number^/n -fhr Cou^'hf
3. Transfer Informadonr , . ^ ' , , . . ,
a. Amend b. Account Code
Transferred From " -
c. Account Code
-Transferred To \ .
d. Date (mm/dd/yyyy)e. Amount . ' - - •
□ Add
O Remove lool /0o3 $ 2., 000.
□ Add
n Remove $
□ Add
n Remove $
□ Add
n Remove $
□ Add
n Remove $
(_I Add
n Remove RECLIVbU $
□ Add
n Remove JAN 1 2 2026 $
□ Add
n Remove UNION COUNTY
ROARD OF ELECTIONS $
□ Add
n Remove $
□ Add
n Remove $
□ Add
n Remove $
□ Add
n Remove $
□ Add
n Remove $
□ Add
n Remove $
□ Add
n Remove $
□ Add
n Remove $
□ Add
n Remove $
□ Add
n Remove $
□ Add
n Remove $
□ Add
n Remove $
□ Add
n Remove $
□ Add
n Remove $
Q Add
n Remove $
4/Total only this Page $ 2fO00.^^5. Tptal of AijL CRO-172() Pages
' (Tilts line mustbe on line 24'ofDetdUedSumNiary>Pag€lCRd'-1100)® Z^OOO.