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Kerr,James_2026-1st-QtrI Amendment Disclosure Report Cover ❑ Yes C No Use thiF, 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 Information a. Full Name c. ID Number b. Mailing Address (include City, Siate and Zip Code) d. Date Filed > 1 W - r2nNKc/npl ,ST X11-7 IA R O C h G Zo //� AA 7- - Phone e. Number 16�213 .3111 2. Report Year 3. Period Start Date (mm/dd/yy) 4. Period End Date 5. Treasurer Full Name (mm/dd/yy) 2, o Z 12 0 2 (e ' / z �7 /Z azo -rte i k* S 6. Type of Committee (Check One) 9. Type of Report check only one type o re ort om one category) Candidate Campaign ❑ Party Municipal State/County Referendum ❑ PAC ❑ Referendum ❑ Organizational Organizational ❑ Organizational Independent ❑ Expenditure ❑ Joint Fundraiser ❑ Thirty-five day Quarterly E]Pre-referendum ❑ Legal Expense Fund l✓_ ❑ Pre-primary Pre-election First ❑ Second ❑ Final ❑ Supplemental Final 7. Type of Fund (f applicable, check one) ❑ 'Booster Fund" ❑ Building Fund ❑ Pre -runoff ❑ Third ❑ Annual Semi-annual ❑ Fourth ❑ Special ❑ Mid Year Semi-annual ❑ Other: ❑ Year End ❑ Mid Year 10. Special Report Name ❑ ❑ Final Special ❑ Year End ❑ Final ❑ Special 8. Number of Fundraisers this Report 11. Account Information 11. Account Information a. Financial Institution Full Name a. Financial Institution Full Name m 44( CAINJ I3A 04 1144r C41ZOLIA441 b. Purpose c. Account Code b. Purpose c. Account Code e� ►��..,Sw UUNIONA CAMPAIGN FINANCE. F R q c d. Period Begin Balance d. Period Begin Balance 1 rX "'f'� $ �U+ $ 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 Boa E cti s. �►�� R. ai-7 /a� Printed Name of Signer Signature of Ap—pointe4 Treasurer FOR OFFICE USE ONLY ] r Delivery Method Date Received: 1 Employee: ❑ Normal Mail Date Postmarked: Employee 3 Registered MailHand Delivered Date Scanned: Employee: ❑ Electronically Filed ❑ Signer has not received Date Data Entered: Employee: mandatory 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 -2100A -E) to make committee changes. CRO -1000 NC State Board of Elections August 2008 Amendment Detailed Summary ❑ Yes�( No Use this form to summarize all disclosure renortinn forms and to tntnl monetary infnrmntinn 1. Committee Full Name (and Fund if applicable) 2. Type of Report 13. ID Number e4& Co L"Aj c /L Start of Election Cycle: January 1, p Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start $ $ 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 11b) Contributions from Not -For -Profit Organizations 11c) Outside Sources of Income lld) Legal Expense Fund - Other Sources lle) 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) $ $ $ SO 6 0 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ TOTAL RECEIPTS (Add lines 5, 6,7,8,9,10,1 la, l lb, l l c, l Id and l le) $ 'l {i rQ . O a $ 112) EXPENDITURES 13) Disbursements 13a) Operating Expenditures 13b) Contributions to Candidates/Potitical 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 -1315) (CRO -1420) (CRO -1320) (CRO -1510) $ 3 2 0 1. 2 1 $ $ $ $ $ $ $ $ $ $ $ $ $ 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $ 3201. 2 1 $ 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18 11 $ 1 l.N1' 'l $ ADDITIONAL INFORMATION 20) Non -Monetary Gifts Given to Other Committees 21) 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 Commit&6)UNV 25) Administrative Support (; vii'hi6 NCS— 26) Forgiven Loans F Cu 7) 48 -Hour Notice Reports Sum r ,- • ; �- e N (CRO -1330) (CRO -1430) (CRO -1610) (CRO -1620) (CRO -1720) (CRO -1710) (CRO -1440) (CRO -2220) $ $ $ $ $ $ $ $ $ $ $ 28) Contributions to be Refunded F (CRO -1215) $ $ CRO -11U0 NC State Board of Elections August 2008 Amendment Contributions from Individuals Pg of (� ❑ Yes ,Fkr No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. CJoommittee Full Name (and Fund if applicable) 2. ID Number /` Zk 1r -4y C o v 1.- c. 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments W I k, l A.Nt, K . '1 ' `+ . Z2 c, 4q 3 Z 3 M, rvLa n,Yo,L., c. Employer's Name/Specific Field C., - e. Election Sum to Date $ zV vo f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ k 644- Zot 02 IM Z z4 $ 1-5-0.60 ❑ $ ❑ 1 1 $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments 2-7 3 1 I k-kj�LU � y , / K 2S l l it c. Employer's Name/Specific Field tTJ �.vls �nd►.s�r�s e. Election Sum to Date f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ A 0 3 y $ /a O 0• 6 a ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments vw>ti- k, rVL ..� t...�,•>r tic 2$! �`� c. Employer's Name/Specific Field (Tt •,ryAte..Q Swv;c.s e. Election Sum to Date $ efd f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ C -�(bo UNION COUNTY Z p,/ Zo2L $ ❑PER i 9 L $ 4. Total only this Page $ 13Sn . 00 5. Total of ALL CRO -1210 Pages $ S� • D a (This line must be on line 6 of Detailed Summary Page CRO -1100) CRO -1210 NC State Board of Elections April 2007 Am Contributions from Individuals Pg of El Yest 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) 2. ID Number ke-R r -z) A e°(L wC I L 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, &zip) b. Job Title/Profession d. Comments 12Cot C--rbrL IS j l W41641. / `k 4,-** 16,", # C • 7 c. Employer's Name/Specific Field JC e. Election Sum to Date $ SDD. sa I. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ A Cl. s lz IS zo zS $ 5-6 6. Qa ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Z I It d c. Employer's Name/Specific Field e. Election Sum to Date $ 7— b D f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ 3'tIS 6 L $ �� . 00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments 'Q.44_4 Cl��.s Ct�b�,. 1:5-1.0 f . �r�w4ltti. Sf, w r'b. t h e Z$ 1 l L c. Employer's Name/Specific Field C nA,t,ll u� e. Election Sum to Date $ f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ Ar #l05--7 p y oe� 2oL� $ /p E • a 6 ❑ $ ❑ 7 UNION COUNTY $ 4. Total only this Page CAMPAIGN FINANCE $ 5. Total of ALL CRO -1210 Pages FEB 19 202E $ (This line must be online 6 of Detailed Sununary Page CRO -1100) CRO -1210 NC State Board of Elections - April 2007 Contributions from Individuals Amendment Pg � of �a ❑ Yes E� No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not need 1. Committee Full Name (and Fund if applicable) 2. ID Number Kcr jz Fvx Cou hClL 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments JAI-eu 6y-'4 1-&A 13 oX ( 3 S8 'T r� l NC —7f7 v1 � 0 �n 1 c. Employer's Name/Specific Field �,. v c ws -f L k»�.5•r e. Election Sum to Date E Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ '�20$$ 02- -y Z9 $ top . Qd ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments �tl'-�L �'Vl�v-� �• awl.•. G r; •f��, '?off 2a3 zgos l2s 91W1. y 1-f c. Employer's Name/Specific Field �r;f��-- �• -�-3�' e. Election Sum to Date f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount Ck-d- Ill Oz a�12°ZG $ /0'P ea ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, &zip) b. Job Title/Profession d. Comments PD. 84 703 NC �l � /116 p.) e s Z I c. Employer's Name/Specific Field e. Election Sum to Date $ Zvo • 60 f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ %C Z O.Z v Zy $ Zvp . pa ❑ iii ION COUNTY $ ❑ ; \PJI /MUN FINANCE. l: ;_i J� 4. Total only this Page $ 5. Total of ALL CRO -1210 Pages- - p -'IED $ (This line must be on line 6 of Detailed Summary Page CRO -1100) CRO -1210 NC State Board of Elections April 2007 Amendment Contributions from Individuals Pg of ❑ Yes ;@� No Use this form to report individual contributions over $50 or contributions under $5 if form CRO 1205 is not used 1. Committee Full Name (and Fund if applicable) 2. ID Number KE 1z rL IF7h z a t,t A c r L_ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments 1 ` (I d V e -A k* -4,e -..s r 4 �a 4 y �dt6�w �. l /a civ �Il�srw j�•rc k 7�� . AJC 2 PZ?1 c. Employer's Name/Specific Field S-�L e. Election Sum to Date f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ b31 ozlvq Iz-.zk $ /o•o . oo ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments f"C�IWK k3i�. n5,1� " 4., j1 f<" '^rf 1-761 6~A w.•1 �.,. #%O IL r d c NG 2 ��f'Z c. Employer's Name/Specific Field n. P 1 e. Election Sum to Date $ f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ A Z/4 Y 04 $ '57 j? ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments �r`� �rx�s A c�iaX- 3460 136 j%e& R m �YJ Il C a�1�'Z c. Employer's Name/Specific Field 4s jk •-•z e. Election Sum to Date $ f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ t #S�'� 6 2 b av1 $ o2or. 00 ❑ $ ❑ UNII $ 4. Total only this Page _�AMF' IC NI FINAi�1Ct.: $ 5. Total of ALL CRO -1210 Pages 19 2026 (This line must be on line 6 of Detailed Summary Page CRO -1100) $ CRO -1210 NC State Board of Electiolls April 2007 Amendment Contributions from Individuals Pg of ❑ 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) 2. II) Number �aithe,te- 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments /�1 3 S3 L A j wti re)l �. Ier k .1 C4 7K c. Employer's Name/Specific Field �1/ l �`� ~� e. Election Sum to Date $ f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ _e" -;� Z p Ozs,1 Z� $ F-17 $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments '(1 / �4 p 1 �-SZz ae,J•/y,.r A.I G c. Employer's Name/Specific Field S►- C wj. 'd e. Election Sum to Date $ f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ �k $ ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments l � ° Z U • 'Frit /,�,1�. /n yo1 l ke- t k f Z c. Employer's Name/Specific Field e. Election Sum to Date I. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ A - sty z 6 Zb 12,6 $ �a� e 10 ❑ $ ❑ $ 4. Total only this Page $ y' p o . a, e 5. Total of ALL CRO -1210 Pages UNION COUWY CAMPAIGN FIN NCE.$ (This line must be online 6 of Detailed Summary Page CRO -1100) CRO -1210 NC State Board of Elections F F 8 19 2026 April 2007 Contributions from Individuals Amendment Pg � of � ❑ 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) 2. ID Number L tZ fC r --p X e° k N L I j-- 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments /' `7' z' Z'1 Lk W54 A-// ?'r - w u jG til o yC � c. Employer's Name/Specific Field —�L... %-.k-�b✓ e. Election Sum to Date $ f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ A �-�� b� �� $ ❑ $ ❑ T $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments nc %naxt-Oc h.L .24 1/7— c. Employer's Name/Specific Field Jac( -F EMr IJ4 e. Election Sum to Date f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ A CAS b 7j— 0 2 aL $ ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments t"if7 G a4 c>lloc /kG� 1 t L I t 1 IL C- `4.J N4+ � 'fes 1 / 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/yyyy) k. Amount ❑ A- Gars¢}- d Z i Z r Zk $ ❑ $ 4. Total only this Page ^,AMPF.ICN FINANCE $ rs'6 0 0 5. Total of ALL CRO -1210 Pages $ (This line must be on line 6 ojDetailed Summary Page CRO -1100) CRO -1210 NC State Board of Elect�i j[ .Jti April 2007 I h...=. D k'x^ �!I v Amendment Contributions from Individuals Pg 'f of ❑ Yes No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used Fund if a applicable) 1. Committee Full Name (andel ID 2. Number /1oeR 1� °04/VC /(. 3. Contributor Information ❑ Add ❑ 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/yyyy) k. Amount ❑ ( $ ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments N G 2- q Z 'j'� c. Employer's Name/Specific Field sC', e. Election Sum to Date f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ $ a ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments / C ( 'e 0 K 1 ' 4 / 0 s, iyyyr� .2fl(•2- c. Employer's Name/Specific Field LK e. Election Sum to Date f. Prior g. Account Code Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount El /n�h��. 1�4� 4k517q l2 $ )66a .A -d ❑ $ ❑_ 1 $ 11 H 4. Total only this Page CAMPAIGN FINANCE $ A; Sa � 5. Total of ALL CRO -1210 Pages FEB 19 2026 (This line must be on line 6 of Detailed Sununary Page CRO -1100) $ CRO -1210 NC State Board1 I VE April 2007 C Amendment Contributions from Individuals Pg of ❑ Yes i 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) 2. ID Number 1Z Co u lU e-1 c--- 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments OW k r �Y"� �'4 "R rr`j rd �SpI.. a� -4 a -w,6 D . e t O A( a f r I 5-6 7 7 c. Employer's Name/Specific Field - Tr.� e. Election Sum to Date $ f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ L' cA*,1255 ZSZvZ $5­6d.oa ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments II (,. 1 �,. w — (,,k*_ -Tej t' Il d S. �l��L9 / 7 3 OA 7v4 wf j 'h G c. Employer's Name/Specific Field ,S' e. Election Sum to Date f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ A- Z / n Lv zf $ a$`D . a a ❑ $ _T $ 3. Contributor Information ❑ Add ❑ 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/yyyy) k. Amount ❑ & a* 4 1134 L A t (I $ /Ge , a ❑ $ ❑ UNION Url COUNTY Af�`Nj $ 4. Total only this Page $ �se e v 5. Total of ALL CRO -1210 Pages FEB (This line must be online 6 of Detailed Summary Page CRO -1100) $ CRO -1210 NC State Board of Ele8dbris�;) �_ - r V fir.. 0 April 2007 contributions from Individuals Pg of l6 A❑mendYest E 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) 2. ID Number �``--x ) r:: �-, 0 (A/L4/L 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments 1 4)6✓T & C Z c.Employer's Name/Specific Field e. Election Sum to Date L Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ 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/yyyy) k. Amount ❑ $ ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ 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/yyyy) k. Amount ❑ $ ❑ $ ❑ Uil 4. Total only this Page $m. 106 5. Total of ALL CRO -1210 Pages ki (This line must be on line 6 of Detailed Summary Page CRO -1100) , C,'ICU-1210 NC State Board of Elections - April 2007 Amendment Disbursements Pg � of ' � ❑ Yes 0 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 (and Fund if applicable) 2. ID Number e K, g T=.to Cz'LLN C I — 3. Type of Disbursement (Please use separate CRO -1310 forms for each type of Disbursement.) El Operating Expenses Contributions to Candidates/Political Committees 0 Coordinated Party Expenditures 4. Payee Information ErAdd ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments Kcc,A br try 's f LL G U l T. d . a X (e 2.1 1 p Dyl 1 -I -A, S 1 7.-x —1 S 1 l c. Level Registered (Specify) Federal 0 County: ❑ State -a Municipality: e. Election Sum toDate $ ,j� Z� f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks $3,7-0-1. Z1 AI i- FA -S 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments c. Level Registered (Specify) Federal County: ❑ State ❑ Municipality: e. Election Sum to Date $ . Account Code g. Form of Payment h. Purpose Code i. Date (nmVdd/yyyy) j. Amount k. Required Remarks $ $ 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments c. Level Registered (Specify) Federal 13 County: ❑ State ❑ Municipality: e. Election Sum to Date $ . Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks $ $ 5. Total only this Page $ 57-61, Z 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Detailed Summary Page CRO -1100 if Contrib to Candidates/Political Comm) (This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures) $ 7. Purpose Codes (List detailed expenditure code in (h.) above) A* - Media B* - Printing C* - Fundraising i I C D -To Another Candidate E - Salaries F* - Equipment G - Political Pafly I `= I I f i � '-_ 'Holding Public Office Expenses I - Postage J - Penalties K* - Office Expenses .. ,Q* - Donation to Legal Expense Fund O* Other * Codes re uire detailed explanation in re uired remarks field W CKO-1310 NC State Board of Elections " December 2009