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Merrell,Melissa_2026-2nd-QtrDisclosure Report Cover Amen es ent No Use this form for general report and committee information, must be signed and submitted along with other det2filed forms. Do not use this form to undate information. 1. Committee Information a. Full Name( c. ID Number r yV b. Mailing Address (include City, State and Zip Code) I d. Date Filed ,2<-03 A- h ct~-t�ss t_l\ - 07 o t 20Z(, 1 ' -C.-P . 4 1 i n� 5) 9 C, 21 S'(p l e. Phone Number. - _ /_ 0 . q gg' 5 o '1! 2. Report Year 3. Period Start Date (mm/dd/yy) 4. Period End Date (mm/d& ) 15. Treasurer Full Name C '2_�,- I C"015/7-02_0 1")b/39/2-02,01�44,snaKerre_Al 6. T pe of Committee Check One 9. Type of Report (check only one type of reportfrom one category) Candidate Campaign ❑ Party Municipal State/County Referendum ❑ PAC ❑ Referendum ❑ Organizational ❑ Organizational Organizational ❑ Independent Expenditure ❑ Joint Fundraiser ❑ Thirty-five day Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ Pre-primary First ❑ Final ❑ Pre-election ❑ Pre -runoff Semi-annual Second ❑ Third ❑ Fourth ❑ Supplemental Final ❑ Annual ❑ Special 7. Type of Fund (if applicable, check one) ❑ Booster Fund ❑ Building Fund I[]Final ❑ Mid Year Semi-annual ❑ YearEnd ❑ Mid Year 10. Special Report Name ❑ Other: L] Special ❑ Year End u Final ❑ Special W?—G 5P -C" n + _ 8. Number of Fundraisers this Report 11. Account information 11. Account Information a.-'Fginnaancial Institution Full Name a. Financial Institution Full Name 1 `'-Lk)'7t v b. Purpose c. Account Code b. pAIGNIF A�jrc. Account Code JUL 0 9 2026 d. Period Begin Balance d. Period Begin Balance CERTIFICATION '— '� e 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 y thXNate Board of ections. Printed Name of Signer ign06r of App inted Treasurer D to FOR OFFICE USE ONLY Date Received: Employee: Delivery Method ❑ Normal Mail Date Postmarked: Employee: Registered Mail Hand Delivered Date Scanned: Employee: Electronically Filed Date Data Entered: Employee: ❑ Signer has not received 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 0 Yes I No lice thic form to cnmmariz(-.all dicclncnre. rennrtinu fnrm.c and to tntal mnnetnry information 1. Committee Full Name (and Fund if applicable) 2. Type of Report 3. ID Number 2.O 2— Start of Election Cycle: January 1, % 0 `. � Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start $ rjl $ RECEIPTS 5) Aggregated Contributions from Individuals (CRO -1205) 6) Contributions from Individuals (CRO -1210) 7) Contributions from Political Party Committees (CRO -1220) 8) Contributions from Other Political Committees (CRO -1230) 9) Loan Proceeds (CRO -1410) 10) Refunds/Reimbursements to the Committee (CRO -1240) 11) Other Receipt Sources Ila) Interest on Bank Accounts (CRO -1250) llb) Contributions from Not -For -Profit Organizations (CRO -1250) Ile) Outside Sources of Income (CRO -1250) lld) Legal Expense Fund - Other Sources (CRO -1270) l lel Exempt Purchase Price Sales (CRO -1265) $ $ $ -5 V 7 ' $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,11 a, l l b,1 l c, l Id and 11 e) .$ -Q& 570 1 $ EXPENDITURES 13) Disbursements 13a) 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) _ $ OZ . 5 2. $ $ $ $ $ $ $ $ $ $ $ $ 59.00 $ 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) .$$Q9 Z (V (.52— $ 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18 $$ra¢ 3 7 $ 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 -1610) 23) Debts and Obligations owed to the Committee (CRO -1620) 24) Account Transfers Within the Committee (CRO -1720) 25) Administrative Support (CRO -1710) 26) Forgiven Loans (CRO -1440) 27) 48 -Hour Notice Reports Sum (CRO -2220) $ $ $ $ $ $` $ $ $ $ $ 28) Contributions to be Refunded (CRO -7215) $ $ UKU-1100 NC State Board of Elections August 2UU6 Reset Form Amendment Contributions from Individuals Pg of ❑ SNo Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is'es not ,red 1. Committee Full Name (and Fund if applicable) 2. ID Number AIN , uc' I� 1 i++1 i Psi FYI � � '+' I f �( Yr 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments lze*kk r" c. Employer's Name/Specific Field e. Election Sum to Date i IIII �� �� ty(h (y.' 6oi t� C�. ,�Jr-1 � � f. Prior g. Account Codeh. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ ?_6 o Z i sh—, $ 257, ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Continents l �s cl�1'tCtR j1 ° j.�' c. Employer's Name/Specific Field e. Election Sum to Date $ I001 0C-) . Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (nun/dd/yyyy) IL Amount ❑ 07-17-44 jZ1D2Jp $ 10 0 , L)C) ❑ $ ❑ $ 3. Contributor Information ❑ add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments {,ionSLLI ce/a V c. Employer's Name/Specific Field ���',�li j� e. Election Sum to Date $ 61 .7-5 —5 f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ Z5l 3,GVj UNION COUNTY o;lp3 2o2.jo $ 51. ❑ � rl $ El JUL U) (t.1t.' 4. Total only this Page: 5. Total of ALL CRO -1210 Pages (71is 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 $50 if form CRO 1205 is not used 1. Committee Full Name (and Fund if applicable) 2. In Number 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, &zip) b. Job Title/Profession d. Comments V( 1 F t �`(a� qj'' ,H,Leir_�re-�A,j Ate➢ � i C 1 �) c. Employer's Name/Specific Field � , e� e. Election Sum to Date I. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (nun/dd/yyyy) k. Amount ❑ {4M�i $ . l) ❑ b ®7o2-lu $ , 00 ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Conunents ` ♦ I � 67 r1 X1/1 C_�-1/ � c. Employer's Name/Specific Field ly e. Election Sum to Date $ '51"7-5 7-5 Prior g. Account Code It. 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+ c. Employer's Name/Specific Field e. Election Sum to Date I. Prior g. Account Code h. Form of Payment i. In -Kind Descriptidn j. Date (mm/dd/yyyy) k Amount ❑ ; Q `fIN $ ❑=� $ 4. Total only this Page $ 5. Total of ALL CRO -1210 Pages (This line must be on line 6 of Detailed Sunmimy Page CRO -1100) $ CRO -1210 NC State Board of Elections April 2007 Amendment Disbursements Pg _ of _ ❑ Yes Pf No Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated nartv exnenditures 1. Committee Full Name (and Fund if applicable) 2. ID Number q f� d�'h�., � � � '"'%� ���.; �i 4� X11 �f.��' \�(.�I.ii't �,tLCc� . t�✓ ICji'�� H,7yv 3. Type of Disbursement (Please use separate CRO -1310 forms for each type of Disbursement. ) Operating Expenses Contributions to CandidatestPolitical Committees ----E:l Coordinated Party Expenditures 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments Dox"—fN 450pL4�—' Gem I . ! ro G Vv,,, -O— C- � � � 6� � c. Level Registered (Specify) Federal U County: El State E] Municipality: e.$ lection Sum to Date f. Account Code g. Form of payment h. Purpose Code it. Date (mm/dd/yyyy) 1j. Amount k. Required Remarks 2-513 ikbA— n 104z-1 hc,24 1$1-02,54 T Eta is 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 U County: ❑ State ❑ Municipality: e. Election Sum to Date f. Account Code g. Form of Payment h. Purpose Code i. Date (mmtdd/yyyy) j. Amount k. Required Remarks $ $ 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phot1erY (include city, sta %4FA i j GO_ b. Coordinated Committee Name d. Comments CAMPAIG t jjllr� U `► ►� �U� J l _ g¢ CE ld c. Level Registered (Specify) ❑ Federal 0 County: ❑ State ❑ Municipality: e. Election Sum to Date $ . Account Code g. Form of Payment h. Purpose Code 11. Date (mm/dd/yyyy) 1j. Amount Ik. Required Remarks $ S. Total only this Page $ 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 131; of Detailed Summary Page CRO -1100 if Contrib to Candidates/Political Comm) (This line goes in line l3c 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 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 require detailed eiOavaii6n in ie aired remarks field W (;Ku -1110 NC State Board of Elections December 2009 Amendment In -Kind Contributions Pg of Yes No Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund. zp TTcP ifTn_Kind ('nntrihntinnc were nr will he refunded within 7 days - 1. Committee Full Name (and Fund N applicable) 2. ID Number me1S�S��. . Contributor Information ❑ Add ❑ Remove F -U Name, Mailrog Address & Phone (include city, state, & zip) b. Type of Contributor c. Comments Individual ® Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source J;e t + y_ � �, look %�i1a�-� a—�; 4c �' �� d. Election Sum to Date $ Description f. Date (mm/dd/yyyy) g. Fair Market Amount �\ r1 $ z $ . Contributor Information ❑ Add ❑ Remove a. Fu0 Name, Mailing Address & Phone (include city, state, & zip) b. Type of Contributor c. Continents E3 Individual ® Candidate ❑ Parti' ❑ PAC ❑ Referendum ❑ Other Receipt Source d. Election Sum to Date $ Description f. Date (mm/dd/yyyy) g. Fair Market Amount $ $ Contributor Information ❑ Add ❑ Remove Full Name, Mailing Address & Phone (include city, state, & ziQ ,_ b. Type of Contributor c. Comments Individual [3 Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source CA�J PA,IGN i=Il�1ANCE r flJ 0 9 09-6 E d. Election Sum to Date $ Description f. Date (mm/dd/yyyy) g. Fair Market Amount $ $ $ . Total only this Page 1 $ 5. Total of ALL CRO -1510 Pages (This line must be on line 17 of Detaed Summary Page CRO -1100) $ CRO -1510 NC State Board of Elections December wu i