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boag,terry_2025-YEment Disclosure Report Cover El ❑ Yes 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 u date information. 1. Committee Information a. Full Name c. ID Number j y SAG FO¢ tlnlltlN 60QNry NC. !_qjr rr . Mailing Address (include City, State and Zip Code) it. Date Filed 58115 LAr'oCFd-r0 �Ol 2gjAP-' 2zu P'rt�SN}�f LLE iVG e. Phone Number 2913 _5�104 Z. Report Year 3. Period Start Date (mm/ddtyy) 14. Period End Date (mm/dd/ 5. Treasurer Full Name Z0 2 5 Iz 1 c 2-0'2-s I II. 3r. zcyZs I TW_ 12 9AN1\ P. R - 6. Type of Committee (Check One) 9. Type of Report (efieck only one type of report from one category) ❑ Candidate Campaign ❑ Pariy Municipal Slate/County Referendum © PAC ❑ Referendum ❑ Organizational 0 thganiratimal ❑ Organizational ❑ Independent Expenditure ❑ Joint Fundraiser ❑ Thirty-five day Quarterly ❑ Pre -referendum ® Legal Expense Fund Pro -primary I] First © Final Pre-election Pre -runoff Second Third Supplemental Final Annual 7. Type of Fund (ifupplicahle, check one) ❑ Boo,ter Fund Semi-annual ❑ Fourth ❑ Special ❑ Build -fund Mid Year Semi-annual © Year End ❑ Mid Year 10. Special Report Name ❑ Other. © Final r7 Special Year End ❑ Final S. Number of Fundraisers this Report ❑ Special 11. Account Information 11. Account Information a. Finan ial institution Full Name a. Financial Institution Full Name b. Purpose c. Account Code b. Purpose c. Account Code CaPAPA 1414 (!j (07- C I d. Period Begin Balance d. Period Begin Balance A N A ri $ $ 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 trained by the NC State Board of Elections. I �Ry BOAC "'oroti 25 �� 102 ll, Printed Name of Si net Si Lure of Apgaiglited Veasurer Date FOR OFFICE USE ONLY Date Received: OI aq a/p Employee: Delivery Method ❑ Normal Mail Date Postmarked: Employee: ❑ Registered Mail Q Hand Delivered Date Scanned: Employee: ❑ Electronically Filed [-] Signer has not received Date Data Entered: Employee: mandato 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 -21 00A -E) to make committee changes. CRO -1000 NC State Board of Elections August 2008 Detailed Summary E:1e 'es ❑ No Use this form to summarize all disclosure rennnino fnrms and to total mnnetnry infnnnntinn 1. Committee Full Name (and Fund if applicable) I -LR Y 90A-6 F0 1Z 111V' dA) CUU N T 1vC 2. Type of Report AN O 3. H) Number Start of Election Cycle: January 1, Z3 Total this Re rtin Period TS Total this Election Cycle 4) Cash on Hand at Start S 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 Ila) Interest on Bank Accounts llb) Contributions from Not -For -Profit Organizations I lc) Outside Sources of Income 1ld) 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) $ $ $ $ S $ S $ S $ $ $ $ $ $ > $ 12) TOTAL RECEIPTS (Add lines 5.6, 7, 8, 9,10,1 laJ lb,I 1c.11d and Ile) S EXPENDITURES 13) Disbursements 13a) Operating Expenditures 13b) Contributions to Candidates/Political Committees 13c) Coordinated Party Expenditures 14) Aggregated Non -Media Expenditures 15) Loan Repayments 16) Refunds/Reimbursements from the Committee 17) In -Kind Contributions (CRO -1310) (CRO -1310) (CRO -1310) (CRO -131S) (CRO -1420) (CRO -1320) (CRO -1510) $ $ S $ $ $ S $ $ $ $ $ $ $ 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 181 S $ ADDITIONAL INFORMATION 20) Non -Monetary Gifts Given to Other Committees (CRO -1330) 21) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) 2) 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 -1720) 5) Admini trative Support (CRO -1710) 26) Forgiven Loans (CRO -1440) 27) 48 -Hour Notice Reports Sum ^. 46rr2220) 28) Contributions to be Refunded (CRO -1215) $ $ $ S $ S $ S $ $ $ $ $ t:R(1.110o NC State Board of Elections August 2008