Gay,Dennis_2025-YEAmendment
Disclosure Report Cover o Yea ® No
Use this fonnforgeneral report and corrinittee information, must be signed and submitted along with oiherdetailed forts.
Do not use this fort to undate information.
1. Committee Information
a. Full Name
c. ID Number
COMMITTEE TO RE-ELECT DENNIS GAY
-PJM41TN--
b. Mailing Address (Include City, State and Zip Code)
d. Date Filed
5106 OLD CHARLOTTE HIGHWAY
MONROE, NC 28110
01 /29/2026
e. Phone Number
(252)723-152?
4, Report Year
13. Period Start Date (mm/dd/yy)
4. Period End Date (mmldd/yy)
15. Treasurer
2021
10_-11'1-025
12/31^0'5
RAN DALLHARONGAY
. Type d(bmpittee (Clieck One)
9. Type
of Report (check only one type ofre ortfrom one eafe orp)
® Candidate Campaun ❑ Pdnm
Municipal
State/County
Referendum
❑ Joint Fundraiser ❑ PAC
❑
Organizational
❑ Organi/wonal
❑ Organizational
❑ Referendum Legal Expense Fund
❑
Thirty -live day
Quarterly
❑ Pre-referendurn
&e)
❑
Pre-primary
❑ First
❑ Final
❑ "Booster Fond"
❑
Pre-election
❑ Second
(] Supplemental Final
❑ Building Ford
❑
Pre -runoff
❑ Third
Q Annual
❑ Presidential Election Year Candidates Fond
ticmi-annual
❑ Fourth
❑ Special
0 NC Public Campaign Financing Fund
❑
Mid Year
Semi-annual
O
Year Find
(3 Mid Year
10. S pecial Report Name
❑ t n hc:
®
❑
Final
Special
❑ Year End
❑ Final
❑ Special
:NumberofFLndraisers this Re rt
0
. Account Information
3. Account Information
a. Financial Institution Full Same
u. Financial Institution Full Name
AMERICAN BANK
b. Purpose
c. Account Code
b. Pu rp.,c
C. Account Code
RE-ELECTION
001
d. Period Begin Balance
d. Period Begin Balance
$
625.00
g
CERT MATR)N
1 certify that the Committee or Fund is in compliance
with all applicable provisions of Article "A, 22B & 2213-22M of
Chapter 163 ofthe NC General Statutes and that no
funds are commingled with prohibited or other non -disclosed
funds. 1 farthercertify that this report is complete,
true and correct and thatI have been trained by the NC State Board
�ypn
JC4nr�.`� (5 �
� �A4, ,-X 01/29/2026
Printed Name of Signer
r Signature of Ap oinled "Frewaor Date
FOR OFFICELISEONLY
/-
Date Received: 029 .�!!/
Finployee: Delivery Method
4
❑ Normal Mail
Date Postmarked:
Firip oyee: 4g Registered Mail
Hand Delivered
❑ Electronically Filed
Date Scanned:
Employee:
❑ Signer has not received
Date Data Entered:
ErMloyee:
mandatory training
Please Note: This form cannot be used to amend committee information such as the comrtittee address, treasurer,
assistant treasurer, custodian
ofbooks information, oraccount information.
You must amend the Statement of Or anization CRC) -2100A -E to make committee chan es.
CRO -1000 NC Sate Board of Elections December 2007
Detailed Summa 0 l1en end
'es IN No
Use this form to summarize all disclosure reporting forms and to total monetary information
1. Committee Full Name and Fund ifapplicable)
2, Type of Report
13. ID Number
COMMITTEE TO RE-ELECT DENNIS GAY
2025 Final
-PJM4HN--
Start of Election Cycle: January 1, 2025
Re
Total this
rtin Period
Total this
Election Cycle
4) Cash on Hand at Start
$
625.00
S
0.00
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
0) Refunds/Reimbursements to the Committee
1) Other Receipt Sources
Ila) Interest on Bank Accounts
1lb) Contributions from Not -For -Profit Organizations
Ile) Outside Sources of Income
1ld) Legal Expense Fund -Other Sources
I le) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1110)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CRO -1240)
(CRO -1250)
(CRO -1250)
(CRD -1150)
(CRO -1270)
(CRO -1265)
$ 0.00
$
0.00
$ 6,121.48
$
7,910.66
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
S 0.00
$
$
0.00
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
2) TOTAL RECEIPTS (Add lines 5,6,7.8,9. 10,1 Ia.I I b.I 1c.I Id and I le)
$
6,121.48
$
7,910.66
EXPENDITURES
3) Disbursements
l3a) Operating FApenditures
13b) Contributions to Candidates/Political Committees
13c) Coordinated Party Expenditures
4) Aggregated Non-MedisFxpenditures
5) Loan Repayments
6) Refunds/Reimbursements from the Committee
7) IndGndContributions
(CRO -1310)
(CRO -1310)
(CRO -1310)
(CRo-1315)
(CRO -1420)
(CR0-1320)
(CRO -1510)
$
0.00
$
125.00
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 0.00
$
0.00
$ 625.00
$
625.00
$ 6,121.48
$
7,160.66
8) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14. 15. 16 and 17)
$
6,746.48
$
7,910.66
9) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18)
$
0.00
$
0.00
ADDITIONAL INFORMATION
0) Non -Monetary Gifts Given to Other Committees (CRO -1330)
1) Outstanding Loans (incl. ones from other campaigns) (CRO -1430)
2) Debts and Obligations ovvedbythe Committee (CRO -1610)
3) Debts and Obligations mvedtothe Conuoittee (CRO -1620)
4) Account Transfers Within the Committee (CRO -1710)
5) Administrative SupportZ 9 (CRO -1710)
6) Forgiven Lanus �` ((CRO -1440)
7) 48 -Hour Notice Reports Sum -` RIE (tRO-2220)
$
$
$
$
$
0.00
0.00
0.00
0.00
0.00
S 0.00 S
0.00
$ 0.00 $
0.00
$ 0.00 $
0.00
8) Contributions to he Refunded
(CRO -1215)
$
0.00
$
0.00
CRO -1100 NC State Hoard of Elections August 2008
Contributions from Individuals Pk I or I Amendment `C's IN`.,
Use this fonnto report individual contributions over S50 orcontributions under S50 if formCRO 1'05 is not used
1.Comadtlee auffmWIfa icable
2.IDNumber
COMMITTEE TO RF-F.I.FCT DFNNIS GAY
-P.IM-l11N--
3. Contributor Information
❑ Add ❑ Remove
a. Full Name. Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
SELF-EMPLOYED
WILLIAM DENNIS GAY
4705 PIONEER LANE
INDIAN TRAIL, NC 28079
(704) 345-8616
c. Employees Name/Specific Feld
Couriers and Messengers
e. Election Sum to Date
S
6.535.66
f. Prior
g. Account Code
It. Form of Payment
i. In -Kind Description
J. Date (mm/dd/yyyy)
k. Amount
❑
001
In -Kind
POST CARDS. POSTAGE
AND HANDOUTS
10?27/2025
$
2,927.54
❑
001
In -Kind
HANDOUTS
10/31/2025
$
93.94
❑
001
In -Kind
COCIAI_MEDIA VIDIi0
ITODL C I]()\
11'06'10_1i
$
3,100.00
4. Total only'
' ..
S
6,121.48
5. Total of ALL CRO -1210 Pages
(This line must he online 6 ojDemiled Summoq- Page CRO -1100)
�
6,121.48
( RO-1210 tiI al c Bo:ud o f l lcci inn> April 2007
%meadment
Refunds/Reimbursements From the Committee P. I „r 1 ❑ Nes ® No
Use this tonnto report refunds/reimbursements, including contrihutiuns returned to the contributor
LNG
1
2.IDNamher' ;.: r..
COMMI T EE TO RE-ELECT DENNIS GAY
-PJMIHN--
3. Payee Information ❑ Add ❑ Remove
a. Full Name, Mailing .Address & Phone
(include city, state, & zip)
it. Type of Committee
g. Comments
C'andidme PAC
❑ Reterendwn ❑ Pam
WILLIAM DENNIS GAY
4705 PIONEER LANE
INDIAN TRAIL, NC 28079
(704)345-8616
e. Uvel Registered (Specify)
It. Original Receipt Date
Ufederal cotmt).
❑ state ® Municipality-
09/04/2025
I. Original Receipt Amount
$ 874.18
b. Job 7itle/Profession
Ic. Employer's Name/Speciric Feld
f. Purpose Code
Ii. Election Sum to Date
ti[ I 1-1 %t1ll1)) LD
Couriers and Messenger,
h
$ 6,535.66
k. Account Code
I. Form of Payment
m. Required Remarks
In. Date (mmlddlyyyy)
In. Amount
ntll
Check
YARD SIGNS/I'R V,11
1 1 /10'2025
$ 625.00
4.'I'otal only this Page
$ 625.00
5. Total of ALL CRO -1320 Pages
(This Ilne must be an fine 15 of Detailed Summary Page CRO -1100)
$ 625.00
6. Purpose Codes (List detailed disbursement code in (f) above)
L- Rettuned to Contributor At - (h crpucnxnt Ihr "CIA ice N - Exceeded Cmllibution Lintit
P^ - Reimbursement of bt-Fini O* Other
"Codes rthatire detailed extillanstion in remdred rumors field m
CK(1-13:0
NC slate Board of Elections
Juh 2007
Amendment
In -Kind Contributions Pg ! of 1 ❑ ves ®_Na
Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund.
Use CRO -1215 if In -Kind Contrihutions were or will be refunded within 7 day's.
1. Commi and Fuad if a icable
2. to Number
-P,IM41IN--
('t1Mh1I PTEE TO RF,-FI.FCT DENNIS GAY
3. Contributor Information
❑ Add ❑ Remove
it. Full \ame. Mailing Address & Thune
h. Type of Contributor
c. Comments
(include city, state, & zip)
Individual
❑ Candidate
WILLIAM DENNIS GAY
4705 PIONEER LANE
❑ Party
INDIAN TRAIL, NC 28079
❑ PAC
(704) 345-8616
❑ Referendum
it. Election Sum to Date
❑ Other Receipt Source
$
6.535.66
e. Description
L Date (mm/dd/yyyy)
g. Fair Market Amount
POST CARDS, POSTAGE AND HANDOUTS
10/27/2025
$
2,927.54
HANDOUTS
10/3/2025
$
93.94
SOCIAL MEDIAIVIDEO PRODUCTION
11106/2025 $
3,100.00
4. Total only, e :
$
6,121.48
5. Total of ALL O-1 kes
g
6,Izt.48
(Th8 tine mum be on line 17 aJDetaHed S'unueary Page CRO -1100) .'.'
CRU -1.11107 NC stare Hoard of uections December 2007