Harris,Samuel_2026-1st QuarterAmendment
□ Yes la^oDisclosure Report Cover
Use this form for general report and committee information, must be signed and submitted along with other detailed forms.
l!\Cominittee InforDiatioD
a. Fidl Name c. ID Number
b. Mailing Address (include City, State and Zip Code)d. Date Filed
l-l2^/2ozL
e. Phone Number
70^-2U?3o|
2; Report Year 3; Period Start Date (mi^dd/yy) 4; Period End Date (mm/dd/yy) 5. Treasurer Full N^e
Z6ZQ Ol/Zoit o2-/iH/ZoZ^ tfi-e/
6. Type of Gommittee (Check One)173 9vType.of Report (check only one typf of reponfr^-Candidate Campaign |_| Party Municipal State/Coun^Referendum
n PAC n Referendum 1 1 Organizational 1 1 Organizational i 1 Organizational
n Independent Expenditure Q Joint Fundraiser l~l Thirty-five day Quarterly 1 1 Pre-referendum
1 1 Legal Expense Fund n Pre-primary lU-f^ First i 1 Fnal
fTl Pre-election □ Second Q Supplemental Final
7i Type of Fund ^ (ifapplicable, check one) :1 I Pre-mnoff □ niird n Annual
1 1 Booster Fund Semi-annual LJ Fourth i 1 Special
n Building Fund n Mid Year Semi-annual
1 1 Year End □ Mid Year 10. Special Report Name
n Other n Final 1 "1 Year End
8. Number of Fundraisers this Report 1 1 Special n Final
i Special
11; Accounblnfonnatidn 11. Account Information
a. Financial Institution Full Name a. Financial Institution Full Name
Rq-I'
b. Purpose c. Account Code b. Purpose c: Account Code
"FiAOVLt^lool
(L Period Begin Balance
lcx>3
d. Period Be^ Balance
$130.00 %}51M5
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 W the NC State3oard of Elections.
Printed Name of Signer Signatu^^^gpoinle^reasu^Date
FOR OFFICE USE ONLY
Date Received:
Date Postmarked:
Date Scanned:
Date Data Entered:
Employee;
RmnlovbS^^ 99-\i\
Employee:ftBEmployee: .,i>Please Note: This form cannot be used to amend com^^S^^oimation such as the committee address, treasurer,
assistant treasurer, custodian of books information, or account information.
Vtti Vi iuio
a
• ^inrxA T^N
Delivery Method
n Normal Mail
O Registered Mailm Hand Delivered
O Electronically Filed
;□ Signer has not received
mandatory training
RECEIVED
Detailed Smnmary Amendment
□ Yes □ No
1. Committee Full Name (and Fund if applicable)2. Type of Report 3. ID Number
Start of Election Cycle: January 1 ^Total this Total this
Election Cvcle
4) Cash on Hand at Start $
RECEIPTS
5) Aggregated Contributions from Individuals (CRO-nos)$$
6) Contributions from Individuals (CRO-I2IO)$$
7) Contributions from Political Party Committees (CRO-I220)S IIH.I5 $
8) Contributions from Other Political Committees (CRO-J230)$
9) Loan Proceeds (CRO'1410)$$
10) Refunds/Reimbursements to the Committee (CRO-1240)$$
11) Other Receipt Sources
11a) Interest on Bank Accounts (CRO-1250)$$
lib) Contributions from Not-For-Profit Organizations (CRO-12SO)$$
11c) Outside Sources of Income (CRO-I250)$$
lid) Legal Expense Fund - Other Sources (CRO-I270)$$
lie) Exempt Purchase Price Sales (CRO-1265)$$
12) TOTAL RECEIPTS (Add lines 5,6,7,8,9,10.ila,l Ib.llc.l Id and I le)$ i.nz.7i)$
EXPENDITURES
13) Disbursements
13a) Operating Expenditures (CRO-I3IO)$ 1U;(0 $
13h) Contributions to Candidates/Political Committees (CRO-I3IO)$$
13c) Coordinated Party Expenditures (CRO-13IO)$$
14) Aggregated Non-Media Expenditures (CRO-1315)$$
15) Loan Repayments (CRO-1420)$$
16) Refunds/Reimbursements from the Committee (CRO-1320)$$
17) In-Kind Contributions (CRO-ISIO)$ 572-Zo $
18) TOTAL EXPENDITURES (Add lines 13a, 13b. 13c, 14,15,16 and 17)_ -IHbSo $
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18]$
ADDITIONAL INFORMATION
20) Non-Monetary Gifts Given to Other Committees (CRO-1330)$
21) Outstanding Loans (incl. ones from other campaigns)(CRO-1430)$
22) Debts and Obligations owed by the Committee (CRO-16IO)$
23) Debts and Obligations owed to the Committee (CRO-I620)$
24) Account Transfers Within the Committee (CRO'J720)$
25) Administrative Support (CRO-mO)$$
26) Forgiven Loans (CRO-I440)$$
27) 48-Hour Notice Reports Sum (CRO-2220)$$
28) Contributions to be Refunded (CRO-I215)$$
CRO-1100 NC State Board of Elections
UNION COUNTYcampaign finance
FEB 2 3 2026
received
August 2008
Contributions from Individuals pg i of
Ameadmeot
□ Yes □ No
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
L Committee Full Name (and Fiind if aoDlicable)2.ID'Number
3. Contribntor Information |LJ Add |LJ Remove
a. Full Name, Mailing Address & Plione
(Include city, state, & zip)
b. JobTitle/Professioo d^Comments
20|2 C^Cord A^^-
c. Employer's Name/Specific Field
e. Election Sum to Date
$ 300.'"'
(.Prior g. Account Code h. Form of Payment 1: In-Kind Description j. Date (nun/dd/yyyy)k Amount V
□I0D2.oihzfmio » 300.°"
□$
□$
3. Contributor Information ]LJ Add jLj Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession d. Comments '
PefA I\. SWIpgri"
5"o5 S
c. Employer's Name/Specific Field
^^e^flvyed e. Election Sum to Date ' . ^
(.Prior g. Account Code h; Foim of Payment i. In-Kind Description j. Date (mm^dd/yyyy)k. Amount ^ .
□loo2.Di/|2./202(,« ^00.°^
□$
□$
Contributor Information \l I . Add |lJ Remove
a. Full Name, Mailing Address & Phone
(include city, stat^ & rip) ^
b. Job Title/Profession (L Comments
£ L^yjerS •c. Employer's Nam^Specific FieldFarr*iA^e. Election Sum to Date$ |0o.°^
f. Prior g. Account Code h.FonnofPayment 'i. lu-Kind DescriptioD j. Dale (mm^dd/j^yy)k. Amount -
□IDOI cV-^cK oi^o/^o2t $ 100.'^°
□$
□$
4. Tpt^ only this Page $ kOO.""5. Total of ALL CRO-1210 Pag^
(This line must be online iSd/DeimledSuaundiy Page CROrllOO) > ■$
UNiON COUNTYCAMPAIGN FINANCE
FEB 2 3 2026
received
Contributions from Individuals pg of
Amendment
□ Yes □ NoUse 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
3. Contributor Information ' |LJ Add |LJ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession d. Comments
Le,n<
c. Employer's Name/Speciflc Field
kotA.J&e. Election Sum to Date
$
f. Prior g. Account Code h. Form of Payment 1. In-Kind Description j. Date (mm/dd/yyyy) -k. Amount
□^ m.M
□T-Sl\Jrfs Z/Djmk s 2.2.1 Z8
□$
3. Contributor Information [□ Add jO Remove
a. Full Name, Mailing Address & Phone
(incliide city, state, & zip)
b. Job Title/Profession d. Comments
c. Employer's Name/Speciflc 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
□$ ti.%
□Ftpdc^ihltoT^L ' Po.ii
□$
3. Contributor Information jU Add |LJ Remove
a. Full Name, Mailing Address & Phone
(incliide city, state, & zip)
b. Job Title/Profession d. Comments
UNION COUNTYCAMPAIGN FINANCE
FEB 2 3 2026
c. Employer's Name/Speciflc Field
e. Election Sum to Date
$
f. Prior g. AccountICbd&.'h/ £orlnVf It^Wnt i. In-Kind Description j. Date (mm/dd/yyyy)k. Amount
□$
□$
□s
4. Total only this Page s m. on
5. Total of ALL CRO-1210 Pages
_^(ThisUne must be on line 6 of Detailed Summary Page CRO-IJOO)® Io5i.o7
CRO-1210 NC State Board of Elections April 2007
ofContributions from Other Political Committees
Use this form to report contributions from other candidate, referendum or PAC committees
Pg
Amendment
□ Yes □ No
1. Committee Full Name (ahd Fund if applicable)2. ID Number
/A>rr5
3. Contributor Information jU Add jLJ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Type of Committee d. Comments
k4'^andidate 1 1 PAC
I~1 Referendum-firitZ-l 3««dl«y OnVfc
76W -Hoo-liiS
c. Level Registered (Specify)
LJ Federal LI County:n State Municipality:e. Election Sum to Date
$
f. Account Code g. Form of Payment h. In-Kind Description i. Dale (mm/dd/yyyy)j: Amount(cee^ ^fy>lycC S 11H.I3
$
$
3. Contributor Information ||_| Add ]□ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Type of Committee d. Comments
1 '1 Candidate [_! PAC
n Referendum
c. Level Registered (Specify)
LI Federal LI County:n State n Municipality:e. Election Sum to Date
$
f. Account Code g. Form of Payment h. In-Kind Description 1. Date (mm/dd/yyyy)j. Amount
$
$
$
3. Contributor Information jl_| Add ILJ Remove
a. Full Name, Mailing Address & Phone
■ (include city, ^ni INTY
b. Type of Committee d. Comments
I 1 Candidate I 1 PAC
n ReferendumCAMPAIGN FINANCE
FEB 2 3 2026
RECEIVED
c.'Level'Registered (Specify)
LI Federal Li County:
LI State n Municipality:e. Election Sum to Date
$
r. Account Code g. Form of Payment h. In-Kind Description i. Date (nun/dd/yyyy)j. Amount
$
$
$
4. Total only this Page $ IHIS
5. Total of ALL CRO-1230 Pages
(This:line^musi be on line 8 ofDetailed Summary Page CRO-JlOO)$
Pg of
Amendment
□ Yes □ NoDisbursements
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. IDiNumber
3: Type of Disbursement (Please use seifarateCRO-1310 forms for eacli tvoe ofDisbursement.\'
li^ Ooerating Expenses 1 1 Contributions to Candidates/Political Committees l_i Coordinated Party Expenditures
4. Payee Information JLJ Add ILJ Remove *
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Coordinated Committee Name d: Comments
c. Level Registered (Specify)
1 j Federal County:n State Municipality:e. Election Sum to Date
s 95:70
r. Account Code g. Form of Payment b. Purpose Code i. Dale (mm/dd^fyyy)j. Amount k. Required Remarks
(OOt EfT o $1a>'
$
4. PayM Information |LJ Add lU Remove
a. Full Name, Mailing Address & Phone
(include dly, state, & zip)
b. Coordinated Committee Name d. Comments
/?Z3 Will c. Level Roistered (Specify)
LJ Federal County:
Stale Municipality:e. Election Sum to Date
» l^llh
r. Account Code g. Form of Payment h. Purpose Code i. Dale (mm/dd/yyyy)j. Amount k. Required Remarks
1061 M'li 3 ol/l\IZ(£'L s IZl 10
$
4. Payee Information !LJ'Add ]LJ Remove
a. FuU Name, Mailing Address & Phone
(include city, state, & zip)
b. Coordinated Committee Name (L Comments
FirJ'V
\\\
liwi
laM-UP-Hooc
c. Level Registered (Specify)
LJ Federal County:
n State n Municipality.e. Election Sum to Date$ £ 00
f. Account Code g. Form of Payment h. Purpose Code 1. Date (mm/dd/yyyy)j. Amount k. Required Remarks
tool BFr K 01 $
$
5. Total only this Page;lU.l
Ibtl6. Total of ALL CRO-1310 Pages
(This line goes in line 13a of Detailed Summary Page CRO-IlOO ifOperating Expenses)
(This line goes in line 13b of Detailed Summary Page CRO-1100 ifContrib to Candidates/Political Comm)
7. Purpose Codes (List^detaiied expenditure code in (h.) above)
'A -St « M _ i«_ ( n* "w*! s • •A^[C*- Media
E - Salaries
i - Postage
0* Other
_jB*-PrintingIf* - Equipment
Tj - Penalties
- Fundraisirigfo - P'oliti^ Party
(K* - Office Expens^
j D - To Mother Candictete
jH* - Holding PuhOc Office Expenses
j Q* - Donation to Legal Expense Fund
^Code^ec|iiiredetaile^xg!anafioiMi^eguire^emark^el^t^
CfiO-JJ/0 NC State Board of Elections December 2009
UNION COUNTYCAMPAIGN FINANCE
PF.B 2 3 2026
RECEIVED
In-Kind Contributions
Use this fonn to report non-monetary contributions, donations, goods or services provided to the committee or fund.
Pg of
Amendment
□ Yes □ No
1. Committee Full Name (and Fund if applicable) '2. ID Number.0?/^ /j^rrif -/^iT ^ouw'fv
3. Contribotdr Information jLJAdd- |LJ .Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
\HZ\
-^0Q-(b35"
b. Type of Contributor
tJ Individual
□ Candidate
n Party□ PAC
O Refexendum
□ Other Receipt Source
c. Comments
iL Election Sum to Date
' > 5
e* Description f. Date (mm/dd/yyyy)g. Fair Maidcet Amount
s s/ •"1.■f
/$
» ♦ ^ —
f • * '/ '1 $
lA d $ IS
3. Contributor Information ILJ Add !□ Remove
a. Full Name, Mailing Address & Phone
(include dty, state, & zip) ^
l^elts^a. I^etrel^
Z4o?ric
b. Type of Contributor
rr Individual
Candidate
n Party□ PAC
□ Referendum
□ Other Receipt Source
c. Comments
d. Election Sum to Date
55'5. D\
e. Description f. Date (mm/dd/yyyy)g. Fair Market Amoimt
\n' Ct\pie-lc. ^ygt^viVf ihlut\o I3I. 73i'a"|^'i/vA ^Hbrjfnn-k^ T'SU/r-h tlw Imu ^ 12\.U
3. Contributor Information O Add ]□ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
Vff ^ A . /
NZ(/ £<fifZ
76 W -HOO' USS
b. Type of Contributor
u Individual
□ Candidaten Parq*□ PAC
□ Referendum
□ Other Receipt Source
c. Comments
d. Electibn Sum to Date
« lo^. Ot
e. Descripdoa f. Date (min/dd/yyyy)g. Fair Market Amount
in 1/(./U2.L s2^.9o
iVKiAct 1^'^ fuhliy l/7lZtZ.L s ^0. Ilo
4. Tot^ only this Page:S71
5. Total of ALL CRO-1510 Pages
(This line must be on line 17 of Delved Summary Page CRO-IlOO)•>5^2.^0
CRO-1510 NC State Board of Elections December 2007
UNION COUNi^CAMPAIGN FINANCE
FEB 2 3 2026
received
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