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Merrell,Melissa_2025-YEAmendment Disclosure Report Cover ❑ Yes No Use this form for general report and committee information, must be signed and submitted along with other detailed forms. ib. not ..an this fnrn to utvtate infnrrnatinn 1. Committee Iutormation . Full Name c. In Number � (JIe1;ss�Pl��r�ll 4-v- 5TWZYV . Mailing Address (include City, State and Zip Code)l d. Date Filed 26°3 AIbcAr-ass 1-A. 01 1 Sin 1 2172 M a4-+ k" 5 , tsir,Z� I 17 e. Phone Number 10 . Report Year 3. Period Start Date ( ) 4. Period End Date (r W4fty_ 5. Treasurer Full Name 2.oZ 5 1 D'f o i ZoZS IZ 31 2015 Me, .—s6a trrc- of Comtmttee (Check One) Y. Type Report (check only one type of report from one category) Candidal!Campaign ❑ Pany Muwdpd Smtelcoulay Referendum PAC ❑ Referendum ❑ Organizational ❑ Organizational ❑ Organizational ❑ Independent Expenditure ❑ Joint Fundraiser ❑ Thirty -fire day Quarterly ❑ Pre -referendum Legal Expense Fund Pre-primary ❑ First ❑ Final Pmeleclion ❑ Pre -runoff ❑ Second ❑ Third ❑ Supplemental Final Annual . Type of Fund ffapplicuble, check one) ❑ Booster Fund Semi-annual In Fmnh Special ❑ Building Fund ❑ Mid Year Semi-annual ❑ Year End ❑ Mid Year 10. Special Report Name_ ether. Final ❑ Special Year End ❑ Final *N r of Fundraisers this Report -_ _ _ _ ❑ Special 1. Account Intornladm 11. Account Information . Fiducial Institution Fun Nam a. Financial Institution Full Name f 1� Purpose c. Account Code It. Purpose c. Account Code 2513 �, ,• ,� - A i� L ,Begin 11 Period Begin Balance U, $ � 0 CERTIFICATION�� 1 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. 1 further certify that this report is complete, we and correct and that 1 have been train by the NC State Board of Elections. 001it-6c K. Z„ r PIZly.00 01 e Rimed Name of Signer t nature o A to TreasureraaW FOR OFFICE USE ONLY Date Received: 1 30 Employee: Delivery Method ❑ Normal Mail Registered Mail Date Postmarked: Employee: Hand Delivered Date Scanned: Employee: Electronically Filed has nreceived E3Date Data Entered: Employee: mndandatoryr 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-210OA-E) to make committee changes. CRO -1000 NC Stale Board of Elections „.gni. Ameudmeot Detailed Summary 0 Yf M No IJ -hi form to summarize all disclosure rertin forms and to total mune m inforation se s o 1. Committee Fall Nam (and Fund It ap ca a) MG �tSswerr2� 1 'tom l� ss o� 12. Type of Report 2oz 5 _ �(eQ r- E/4 umber �J �i I 1 Y Start of Election Cycle: January 1, 202 5 Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start $ 3 $ RECEIPTS 5) Aggregated Contributions from Individuals (CRO -1105) 6) Contributions from Individuals (CRO -1210) 7) Contributions from Political Party Committees (CRO -1110) 8) Contributions from Other Political Committees (CRO -1130) 9) Loan Pis (CRO61410) 0) Refunds/Reimbursements to the Committee (CRO -120) 11) Other Receipt Sources I la) Interest on Bank Accounts (CRO -1150) I lb) Contributions from Not -For -Profit Organizations (CRO -1150) 110 Outside Sources of Income (CRO -1250) lid) Legal Expense Fund -Other Sources (CRO -1170) Ile) Exempt Purchase Price Sales (CR&1265) $ $ ,- $ rl , $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 12) TOTAL RECEHgN (Add lines 5, 6, 7, 8, 9,10.11a.1 Ib,l Ic,l Id and Ile) I c L $ EXPENDITURES 13) Disbursements l3a) Operating Expenditures (CRo-1310) 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 -1420) 16) Refunds/Reimbursements from the Committee (CRO -1320) 17) In -Kind Contributions (CRO -1510) $7 $ $ $ $ $ $ T7,00 $ 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14. 15. 16 and 17) $0.00 31, OD $ 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 181 $0.00 34,1,7 $ DITIONAL 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 owed by the Committee (CRO -1610) 3) Debts and Obligations owed to the Committee (CRO -1620) 24) Account Transfers Within the Committee (CRO -120) 25) Administrative Support pm 3 r(u-'u (CRO -1710) Forgiven Loans GG G I \ / F (CRO -1440) 48 -Hoar Notice Reports Sum (CRO -2220) E7)Contributions to be Refunded rCRO-1215) $ $ $ $ $ $ $ $ $ $ $ $ $ CRO -1100 NC state umm of Elections ,.eu.,, -w Rt3set Form Contributions from Individuals Amendment Pg of 10 Yes Na Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not us d 1. Committee Full Name{and Fund if applicable) 2. ED Number nn I d"95k Oe( -.rd( i, Dees—lemA]yV 3. Contributor Information Add 1❑ Remove a. Full Name, Mailing Address & Phone (include city, state, &zip) b. Job Title/Profession d. Comments - t ;q t C1 , Me k, sd- I I�� r 5 2 7- GU Ztio-,I� ,41),a.1r�vrsS L�.. MOJ4FNP^US) t 1 ` Z<R-lo� c: Employer's Name/Specific Field !1/ ,/O�s IrIJ Tt P�•P.�p, V e. Election Sum to Date . $ g7 a� C Prior g. Account Code h. Form of Payment i. In -Find Description j. Date (mnt/ddlyvyy) k. Amount - 13t �: (2 oi�2UZS' $ 126'? -L ❑ $ ❑ $ 3. Contributor Information Add j❑ Remove a. Full Name, Mailing Address & Phone _ (include city, state, & zip) b. Job Title/Profession d. Comments c. Employer'sName/Specitic Field e. Election Sum to Date $ f. Prior g. Account Code h Form of Payment , �. y. In -Kind Description j. Date (mmtdd/yyyy) it. Amount ❑ $ ❑ $ ❑ $ 3. Contributor Information ]❑ Add 1❑ Remove a. Full Name, Mailing Address & Phone - (include city, state, &zip) b. Job Title/Profession d. Comments - c. Employer's Name/Specific Field e. Election Sum to Date $ f. Prior g. Account Code' h. Form of Payment i. In -Kind Description j. Date (mm/_dd_ lyyyy) k. Amount ❑ $ ❑ $ ❑ $ 4. Total only this Page $ 8"7, a p 5. Total of ALL CRO -1210 Pages - _(This 6iiemusf be on liaeb ofDefai(ed Summary Page CRO -7700) $ ¢ u ' CRU -1210 NC State Board of Elections April 2007 Amendment In -Kind Contributions px _ of _ 0 Yes ,m No Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund. T T..- f -DQ 1115 :f t.,_Y:-A fn-Irihi i15nnc w r will M rnfirnded urilhin 7 davx- 1.Committee Fut! Name (and Fund if a plicable) -- LID Number - Mel••ssaMerr�ct1 � SSM'7YV 3. Contributor Information Add Remove . Full Name, Mailing Address & Phone b. Type M Contributor c. Comm nts (include thy, aura•& zip)- - ❑ Individual �`rty� Fil6N J j�jeGSSG. M. MIerrell 2-Q03 A0Dai-o--!5'7 �` ❑ PAC Eked=Sam to Date rAa s) I V Z� ot{- [3Referendtun C.Vvi ❑ Other Receipt Source f 1O7• �� t)setpfm Hddr(mmA1ft y) &FAIrRierWAnund 1 0! zD $ qg7• oc7 X25 p,ltp a a 3. Contributor Information ❑ Add E3 Remove . Full Name, Mailing Address & Phone b. Type of Contributor o cmmmis lindude cite, state, & rip) NI F" individual FINaNLL ❑ Candidatc ❑ Party ]AN 3 0 2026 ❑ PAC L HeColte sm1 to Inde ❑ Refelmdum I� ❑ Other Recopt Source $ .Description LDaft (mmfd&yyyy) e•FakMadxtAmount S s 3. Contributor Information ❑ Add ❑ Rernove . Full Name, Mailing Address & Phone b. Type of Contributor c. Comments (htnh city, nate, & ylp) ❑ Individual ❑ Candidate ❑ Piny ❑ PAC d. F]ecti msumto Date ❑ Referendum ❑ Other Receipt Source $ .Description f.Dag(ttuWddyyyy) Fsk MarkNAmnunt s i 4. Total only this Page $ 40. 5. Total of ALL CRO -1510 Pages g �• (This line mart be on tine 17 ofDemiled .tiummary Page CRO -1100) " CRO -1510 NC State Board of Elections uecemocr c& 1