De Iulio,Mike_2025-YEA>vrr�s•t
Disclosure Report Cover ❑ ,.� ❑ ,,,,
Use this fond for general report and committee information. must be signed and submitted along with other detailed forma
Do not use thi. Lain to undate information.
1. Committee Information
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MikeDforwaxhaw
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b. Mailing Addrefr (limlIN a dty. Str1emd Yip Ctde)
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3402 Taviston Dr Wattllaw NC 28173
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714.496.0144
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2025
10/21/2025 112131r2025
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RTIFICATION
I terrify that the Coma itrce or Fund is in cornu lance u ith all apphcablr provaaions d Article 22A. 228 & 22D -22M of (:'`aplQ 163
of rhe NC Genal Suauws and Ihat m funds we cxvnuningitd with prr,hibimdtradieraaodadrrrdEodL IfiAAW010*6 films
rgxnl is complete. we and correct and dial 1 have teen uainad by dte MC SOW Boaedef0r[rtow
Mike De lulio 113a 1 ZDZlo
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FOR OFFICE USE ONLY
Date Received: 3v oyee:Delivery Mdx)od
l7 Normal Mail
Date Postmarked: Employee: Registered Mail
Hand Delivered
Date Scanned: Employee: Electronically Tied
Date Data Entered: Employee: 0 Sigoer has not received
inandatory tramp
Please Note: This form cannot be used to amend committee information such as the crimmiucc address. treasurer.
assistant treasurer. custodian of books information, or account information.
You must amend the Statement of Organization (CRO -2100A -E) to rake conmutice (!surges.
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Contributions from Individuals Amendment
PR � 01 ❑Yes ❑ No
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
1. Committee Full Name (and Fund if applicable)
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2. ID Number
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3. Contributor Information ❑ Add ❑ Remove
a. Full Name. Mailing Address & Phone
(include city,st�aten, &nnzip)
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b. Job Title/Profession
d. Comments
c. Employer's Name/Specllic Field
e. Election Sum to Date
$
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g. Account Code
k Form of Payment
i. In -Kind Description
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J. Date (mmtddlyyyy)
it. Amount
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3. Contributor Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
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b. Job Title/Profession
d. Comments
c. Employer's Name/Specific Field
e. Election Sam to Date
$
L Prior
g. Account Code
It. Form of Pavment
i. In -Kind Description
J. Date (mmlddlyyyy)
k Amount
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11
3. Contributor Information ❑ Add ❑ Remove
. Full Name, ..Mailing Address & Phone
(include city, slate, & zip)
b. Job Title/Profession
d. Comments
c. Employer's Name/Specific Field
e. Election Sum to Date
I'. Prior
11
g. Account Code
h. Form of Payment
I. In -Kind Description
J. Date (mmtdd/yyyy)
it. Amami
❑
$
❑
$
4. Total only this Page
$
S. Total of ALL CRO -1210 Pages
(This line must be on line 6 of Detailed Summary Page CRO -1100)
$ 150, Zg'
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(RO-1211) NC State B,wd of Flections April 2007
Disbursements
Anointment
*c — f — ❑ rias ONO
Use this form to report expenditures from the committee for operating expensm contributions to candidate/political
committees and coordinated pane expenditures
L Canomiltee Foil Nmttw (mud Fund if )
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Type arDie�semeut {Please use seaarue CRO -1310 fares far em A tee ofDin6rursatl
eau., Ez ,n ❑ (-urtnlwti�.�a� v, Coad iSmtsTWitird C<awniatus Courdm lad Parts
. Payee Information Add Remove
Full Name, Mailing Address & Phone
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4. Payee h&rmadom U Add ❑ Remo. e
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S. Total only Ibis Page $ 5 g , -U v
. Total of ALL CRO -1310 Pages
(This Line gon in fine 13a of Oeladed Summary Page CRO -I 100 if Operating Frpeasn) $
(This Line goes in line 136 of Delailed SummarPage CRO -I 1W 1f Goamb m Ca�Pal wmf C'ammi
(This line goes in line He of Detailed Sum man Page CRO -I 100 tf Coosdiwated Pam' Fxpea&vrca)
7. Purpose Codes (List detailed expenditure code in (h) above)
' - Media Re - Printing Cm - Fundraising D - To Another Candidate
E - Salaries F• - Equipment G - Political Party Hs - Holding Public Office Expenses
I - Postage J - Penalties K- - Office Espmses Qm - Donation to Legal Expense Fund
0* Other
a Codes recruire detailed explanation in re uired remarks Geld (k
URV-13fu NC' Slate &wd W F.iedu,ros lX=n6ea 240w
In -Kind Contributions Fg of L p v Amendment p No
Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund.
Use CRO -1215 if In -Kind Contributions were or will be refunded within 7 days.
1. Committee Full Namean( d Fund if applicable)
2. ED Number
y)i K6 7 C_ W4cNAVJ
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. Contributor Information p Add Remove
. Full Name, Mailing Address & Phone
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b. Type or Contributor
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p Party
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❑ ()cher Receipt Source
C. Comments
OP-YIP'4lb PJ
ERS
Electron Sum to Date
$ .
. Description
L Date (zondddlyyyy)
IF Fair Market Amount
11 131-2025
$ 33,33
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$ t I b. 5
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. Contributor Information p Add p Remove
. Full Name, Mailing Address & Phone
(include city, state, &zip)
b. Type of Contributor
[3Individual -- - -
p Candidate
c. Comments
--
❑ Party
❑ PAC
❑ Referendum
d. Election Sam to Date
❑ Other Receipt Source
$
. Description
L Date (mm/dd/yyyy)
& Fair Markel Amount
$
3. Contributor Information ❑ Add p Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Type of Contributor
❑ Individual
c. Comments
❑ Candidate
❑ Party
❑ PAC
❑ Referendum
d. Election Sum to Date
❑ Other Receipt Sourer
$
v. Description
L Date(mmlddlyyyy)
g. Fair Market Amount
4. Total only this Page
5. Total of ALL CRO -1510 Pages
(This line must be on line 17 of Detailed Summary Page CRO -//00)
$ Sp 2g
CRO -1510 NC State Board of Elections December 2007