Karlan,Peter_10-01-26Amendment
Independent Expenditure Report Cover 10 Yes ❑ No
This form should be accompanied by forms CRO -22108 and CRO -2210C. For statutory guidance, please refer to'N.C.G.S. § 163-278.12 & 163.278.6(9a). - -
1. Reporting Entity Information -
a. Full Name of Entity Maldng Disbursement -
�\ "� \ "� s -r 1 '.
d. En ty Type (Check One)
Individual
❑ Othcr Organization
l7 Nonprofit Organization
1c. FederalID Numbei(if applicable) '
b. hla0in Address include Ci State and Zl ole)an Phone Number
-g, ( City, P ) � . - ',
f.Date Filed -- '
3pq� r c,
g. Employer's Name or Principal Place of Business
h. Occupation
c. Report Type
nitial Quarterly: ❑ First ❑ Second ❑ Third ❑ Fourth
48 Hour Semi -Annual: ❑ Mid Year ❑ Year End ❑ Other (Specify)
2:• Report Year
13. Period Start Date (mm/,dd/ .yy) :.
4.,Period End Date,(mm%dd/yyyy)
cry
o (c zaz
lz a zo2cP ,
5: Cdstodian of Books
.Full Name of EidiWs Custodian of Book and Accounts - -
b. Mailing' Adtiiess,(includeCity, State and Zip Code) and Phone Number _ -
c.Employer's Name or Principal,Place of Business
3 z o P Lay %I/y/_%
M d I/L U
5, .
d. Occupation
6., Total Donations ALL' Pages S pe) Q
r .
1 Total Expenditures ALL Pages
.
CERTIFICATION .: OCT1 certify that [ "statement is complete, true and correct. C 0 7 2026
/J f UNION COUNTY
80ARD OF EL i p19 N7' / Z a
Printed Name of Signer -:,; r ., ,. :.8ignature ( Date
CRO -2210A �.:NC Stale Board of Elections March 2012
Incurred Costs for Independent Expenditures of
Use this form to report Independent Expenditures vathin 00 days after.they.exceed $100 or l0; days '.before-an:election'they. affect. This form should also "' '.> _!
be used to report incurred costs of $5,000 or more before an election but after the period covered by the IasCreport due before that.cleclion' Registered committeesuse form CRO --2520. .
1. Expenditure Informahon
x
_ 6
a. Item Number ,. b. Incurred Date mm/dd/
( yyyy) � . '
-
c. Communication Start --
Id. Purpose (including titles) ofcommunica on(s)p'
i 1b 1 c
z b zcto
s
���5 l S 1-e
e. Full Namei Mailing Address (include city, state, and zip)&Phone Number,
P 1 r° 1 2.
(.Amount . - - '
3
L1.`Koo s-e�i-
0-� N � t 8't t 0
$ 500-
op-CaM&IIr
ndidate Full Name.
Candidate
1 {(�� �,{ �
❑ pport
Amount " -:' Office Sought
$ OD El House El Senate
V
DiIstrict:� E]Co./Municipal Off ice: KAT! —.. Co.
Y I U\ tt'^'A
pose
Other Office:
_ _ County/District: 1)A/ 0-0
Candidate Full Name
-
Amount Office Sought
❑ Support
❑ House ❑ Senate
District: ❑ CoJMunicipal Office. _ Co.
❑ Oppose
$
❑ Other Office:
County/District:
Referendum Name
Dale
Level
_
❑ Support
❑ State ❑ County
❑ Oppose
❑ Municipality '
a. Item Number ;. •
b. Incurred Date (mildd/yy5y)
a Communication Start Date. `=` '
d. Purpose (including title(s) of communication(s))
O .
e. Full Name, Mailing Address (include city; state, and zip),&Phone Number • ,:, -.ter, - ..:'.
C , '
I. Amount =
��!
10130
01
O �N\oNGO
��G�s
$
Candidate Full Name
Amount
Office, Sought
�oi>• - _ ._ .
❑ Support
❑ House ❑ Senate
_
District . ❑ Co./Municipal Office; ;, -.i - Co.
❑ Oppose
❑ Other Office:
- County/District:
Candidate Full Name
'.
Amount" ',' -.
Office Sought
❑ Support
❑House ❑ Senate
.
District:_ ❑Co./Municrpal Office-•` + 'r ' Co.
❑ Oppose
$
❑ Other Office:
jw
Gounty/DistncCt:
Referendum Name _
----
Date
Level
❑ Support
❑ State ❑ County'•_
❑ Oppose
❑ Municipality '
2. Total Expenditures THIS Page .'
,,.N �nLrthe'%f'enines vii
_. .,
3. Total Expenditures ALL Pages
e'IJ;eninesgndll,exRendtnirepagesJ
CRO -22700 i; • f' NC State Board of Elections1. • � - October 2010