farris,daniel_2025-YEDisclosure Report Cover Amendment
P ED Vint _Cj_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 a infor 11AtioR
a. Fail Name
e. ID Number
RJM 12
Committee to Elect Daniel Farris
b. Mal ing Address (include City, State and Zip Code)
d. Date Filed
01130/2026
4003 English Oaks Ct.
Waxhaw, NC 28173
e. Phone Number
704-519-2444
2. Report Year
3. Period Start Date mm/d
4. Period End Date (mmlad/yy
5. Treasurer Full Name
2025
10/27/2025
�(r v9c3
Daniel Farris
6. Type of Committee Check One
9. Type of Report (check
Municipal
only one type o re
rt from one category)
_
Candidate Campaign Party
State/County
lucterenclum
❑ PAC ❑ Referendum
Organizational
❑ Organizational
13 Organizational
❑ Independent Expenditure ❑ Joint Fundraiser
❑ Thirty-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑ Pre-primary
❑ First
❑ Final
❑ Preelection
❑ Pre -runoff
Semi-annual
❑ Second
13 Third
❑ Fourth
❑ Supplemental Final
❑ Annual
❑ Special
7. Type of Fund (if applicable, check one)
❑ Buoster Fund
❑ Building Fund
❑ car
Semi-annual
10. Special Report Name
❑ Year End
E3 Mid Year
Other:
�Fnal
❑ Special
❑ Year End
❑ Final
❑ Special
8. Number of Fundraisers this Report
0
11. Account Information
11. Account Information
. Financial Institution Full Name
a. Financial Institution Full Name
TRUIST
b. Parpme
a Account Code
e Account Code
Year -End
1240
y Period Begin Balance
d. Period Begin Balance
S 595.93
S
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 1 have beentrained by the NC State Board of Elections.
DAME FARRI ,'X 1 1130 Ca('
Printed Name of Signer Signature of Appointed Treasurer Um,
FOR OFFICE USE ONLY
�y
Date Received: dot Employee: Delivery Method
❑ Normal Mail
Date Postmarked: Employee: �] Registered Mail
Havd Delivered
❑®
Date Scanned: Employee: Electronically Filed
[3 Signer has not received
Date Data Entered: Employee: mandato training
Please Note: Thisform 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 [Hake committee changes.
CRO -1000 NC State Board of Elections August ZUUM
Detailed Summary Amendment
❑ Yes No
1 ice this fnrm to summarize all disclosure renortinP fortes and to total monetary infortnation
1. Committee Full Name (and Fund if applicable)
12. Type of Report
13. ID Number
COMMITTEE TO ELECT DANIEL FARRIS
Year -End
I RJMQ12
Start of ElectionCycle: January1, 2025
Total this
Reporting Period
Total this
Election Cycle
4) Cash on Hand at Start
$
595.93
$
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
11 a) Interest on Bank Accounts
11 b) Contributions from Not -For -Profit Organizations
Ile) Outside Sources of Income
I ld) Legal Expense Fund - Other Sources
Ile) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1210)
(CRO -1220)
(CR0-1230)
(CRO -1410)
(CRO -1240)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1270)
(CRO -1265)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
12) TOTAL RECEIPTS (Add lines 5,6,7,8,9,10,1la,llb,llc,lldand Ile)
$
$
EXPENDITURES
13) Disbursements
13b) Contributions to Candidates/Political Committees (CRO -1310)
13a) Operating Expenditures (CRO -13177$777
13c) Coordinated Party Expenditures (CRO -1310)
14) Aggregated Non -Media Expenditures (CRO -131
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)
$
595.93
$
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18
$
0.00
$
ADDITIONAL INFORMATION
0) Non -Monetary Gifts Given to Other Committees
1) Outstanding Loans (incl. ones from other campaigns)
2) Debts and Obligations owed by the Committee
3) Debts and Obligations owed to the Committee
4) Account Transfers Within the Committee
5) Administrative Support
6) Forgiven Loans
7) 48 -Hour Notice Reports Sum
(CRO -1330)
(CRO -1430)
(CRO -1610)
(CRO -1620)
(CRO -1720)
(CRO -1710)
(CRO -1440)
(CRO -2220)
$
$
$
$
$
$
$
$
$
$
$
$) Contributions to be Refunded
(CRO -1215)
$
$
CRO -1100 NC State Board of Elections August 2UM
Disbursements Pg of Amendment
❑ Yes ❑ No
Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political
committees and coordinated party expenditures
1. Committee Full Name (a:d
COMMITTEE TO ELECT DANIEL FARRIS
12. ID Number
1 RJMQ12
3. Type of Disbursement (Please use separate CRO -1310 forms for each rope ofDisbnrsement.)
Operating Expenses Ll Contributions to Candidates/Political Committees C Coordinated Part Expenditures
4. Payee Information Add DRemove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Coordinated Committee Name
d. Comments
.JJ
Pressed For You LLC67
4052 Deep River Way
Waxhaw, NC 28173
321432-2667
e. Level Registered (specify)
U Federal Conaty:
❑ State J3 Municipality:
a Election Sum to Date
$ 100.00
L Acconut Code g. Form of Payment h. Purpose Code
L Date (mm/dd/yyyy)
j. Amooat IL Required Remarks
1240 Debit B
11/6/2025
I
$ 100.00 Campaign T-Shirtss
is
4. Payee Information U Add U Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
Queen South Grill
1201 N Broome St.
Waxhaw, NC 28173
704-256-4626
b. Coordinated Committee Name
d. Comments
�S
c. Level Registered (Specify)
Federal U county:
❑ State Municipality:
e. Election Sum to Date
$ 350.87
t Account Code
g. Form of Payment
1h. Purpose Code
IL Date (mmfdd/yyyy)
D. Amount JIL
Required Remarks
1240
Debit
O
$ 350.87
Campaign Meal
=Remove
$
4. Payee Information
a. Full Name, Mailing Address & Phone
(include city, state. & zip)
b. Coordinated Committee Name
d. Comments
►M�
Jersey Mike's Sub
8121 Kensington Dr.
Waxhaw, NC 28173
704-243-02777
a Level Registered (Specify)
U FederalCouaty:
0 State spi Municipality:
a Election Sam to Date
$ 31.49
f Acconat code
g. Form of Payment
lb.PurpmCode
IL Date (mWdd/yyyy)
D. Amort 1k. Required Remarks
1240
DEBIT
1 O
1 11/6/2025
$ 31.49 Meals
S
5. Total only this Page
5 Ln -s(,
6. Total of ALL CRO -1310 Pages
(This tine goer in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses)
(This line Roes in line 136 of Derailed Summary Page CRO -1100 if Contrib to CandidateslPolitical Comm)
(This line goes in line Or of Detailed Summary Page CRO -110 0 i Coordinated Pa F -x enditures)
$ 593.28
7. Purpose Codes (List detailed expenditure code in (h.) above)
A* - Media B* - Printing C* - Fundraising D - To Another Candidate
E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses
I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund
O* Other
* Codes reouire detailed explanation in re uired remarks field k
CRO -1310 NC State Board of Elections December 2009
Amendme
Disbursements Pg _ or _ 1 t
0 E3No
Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political
mirtr+ec nnrl rnnrdinnted nn" exrwn lihmres
1. Committee amelawrl IMM_— applicable) 12-
Committee to Elect Daniel Farris I
ID Number
RJMQ12
3. Type of Disbursement (Please use separate CRO -1310 forms for each type of DisbursemenQ
13 Operating -Expenses ❑ Contributions to Candidates/Political Committees U Coordinated Party Expenditures
4. Payee information 13 Add 0 Remove
a. Full Name, Mailing Address & Phone
(include city, state, & )
b. Coordinated Committee Name _
d. Comments
Disposition of surplus
funds, donation to
charity
Children's Tumor Foundation
(EIN#13-2298956)
P.O Box 7247
Philadelphia, PA 19170-0001
212-344-6633
a Level Registered (Specify)
Federal U County:
❑ State ❑Municipality:
e. Election Som ta Date
$ 110.92
f. Accoat Code IX.FormollPayment JILPerpmCode
Ii. Date (min/ddlyyyy) . Antenna
k. Required Remarks
1240 Debit O
01/30/2026 $ 110.92
Donation to Charity
Is
4. Payee Information ❑ Add Lj Remove
. Full Name, Mailing Address & Phone
(include city, state, & zip)
Is. Coordinated Committee Name
it. Commands
c. Level Registered (Specify)
LI Federal County:
❑ State ❑ Municipality:
e. Election Sam to Date
f. Account Code
g. Form of Payment JILPMWWCO&
i. Date (mmM&yyyy)
. Ammmt
1k. Required Remarks
Is
Is
1
4. Payee Information Add L3 Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Coordiated Committee Name
d. Comments
c. Level Registered (Specify)
Federal County.
❑ state ❑ Municipality:
e. Election Sum to Date
$
f. Aceou t Code
g. Form of Payment
JIL Purpose Cade
IL Date (mm/ddlym)
D. Amount
Ik. Required Remarks -
is
5. Total only this Page
$ t 10 •Ro1
6. Total of ALL CRO -1310 Pages
(This line goes in line 13a of Detailed Summary Page C'R&1100 if Operating Expenses)
(Thu line goes in line 136 of Detailed Summary Page CRO -1100 ifContrfb to Candidates/Political Comm)
(This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures)
$ 593'28
7. Purpose Codes (List detailed expenditure code in (h.) above)
A* - Media B* - Printing C* - Fundraising D - To Another Candidate
E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses
I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund
O* Other
* Codes reauire detailed exulanation in re uired remarks field k
CR0.1310 NC State Board of Elections December 'UU9
Amendment
Aggregated Non -Media Expenditures Page_ of ❑ Yes ❑ No
Optional form used to report NC Non -Media Expenditures of $50 or less.
1. Committee Full Name (and Fund if applicable)
In Number h
COMMITTEE TO ELECTDANIEL FARRIS
RJMQ12
3. Payee Information A
Amend
It. Account Code
c. Form of Payment
d. Purpose Code
c. Date (mm/dd/yyyy)
E Amount
g. Required Remarls
❑Add
Remove
1240
Debit
O
11/6/2025
$ 2.65
Meals
Add
$
❑ Remove
Add
$
❑ Remove
Add
$
❑ Remove
Add
$
❑ Remove
$
ove
$
ove
$
ove
$
ove
[Pemove
$
ove
$
ove
$
ove
$
ove
Add
$
❑ Remove
Add
$
❑Remove
Add
$
❑ Remove
Add
$
❑ Remove
Add
$
❑ Remove
Add
$
❑ Remove
Add
$
❑ Remove
4. Total only this Page
$
5. Total of ALL CRO -1315 Pages
$
(This line mast be on line 14 o Detailed Summa Page CRO -1100)2.65
6. Purnose Codes (List detailed expenditure code in above)
B* - Printing C* - Fundraising D - To Another Candidate
E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses
I - Postage 3 - Penalties K* - Office Expenses Q* - Donations to Legal Expense Fund
O* - Other
* Codes re vire detailed explanation in re uired remarks field
CRO -1315 NC State Board of Elections December 2009