Harris,Sam_2026-Third Qtr ReportDisclosure Report Coveroe �ent ❑ Nn
Use this form for general report and committee information, most be signed and submitted along with other detailed forms.
Do not use this form to undate information.
CRO -1000 NC Stam Board of Elections August 2008
. Fall Name -
a ID Number
Syr. 4rr;S e- (Vk
J3,i1 W
b. Mailing Address (include City, State and Zip Code)
T Date Filed
i31Y Avo„
I 1p 2� A02
e. Phone Number
7oY 2 4L Isoi
28?Re ort Yeas
3 Period�Stiirt Date. ifiiNd ' a 4:,Period End"Date(modad;" j' 5.' TreasiireuWName.: __ d '.Vr's
202 (,
1 -71( 2026 1 1011-712026
Sgrmue- rn, r
6 `'erof:Committee
Cheol�One ( '%r
9:T eoFRe ort`({(cneck'onl "one ryp"eo re art• rom`one!cd(e o
WCondidam Campair ❑ Party
Municipal
State/County
Referendum
❑ PAC ❑ Referendum
❑ Organizational
❑ Organizational
❑ Organizational
❑ Independent Expenditure ❑ Joint Fundraiser
❑ Thirty-five day
Quarterly
❑ Pre -referendum
❑ Isgal Expense Fund
❑ Pre-primary
❑ Fast
❑ Anal
❑ Pre-election
❑Pre-runofr
Semi-annual
❑ Second
Third
❑ Fourth
❑ Supplemental Final
❑ Annual
❑special
T.._e Of Fund.;(-rUr(rjappbcable.'.eheck oneJ`;:'t
❑ BoostaFuad
❑ Building Fund
❑ Md Year
Semi-annual
❑ Year End
❑ Mid Year
10'S 'eeial'R6 ort Name z
❑ Other.
❑ Final
❑ Special
❑ Year End
❑ Anal
❑ Special
8:'.NumberoRFiihdrmsers this=Re ort : `,i
11VAccatut =luformahon*,., `-yam• �.;
;>3 , p:?'.�<,
IL='Accodiif�Irifortnationw,
,;.
.� ',k �::id r,.,E,'<.,::
. Financial Institution Full Name
a. Financial Institution Full Name
r '
hZ SBAn
N COUNTY
. Purpose _
c. Account Code
- N F l
c.Account Code
Ca��pai w FIn�i1c
IODZ
OCT 27 2026
d. Period Begin Balance
d. Period Begin Balance
$ C`
$
RECEIVED
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 N
trained dons.
sion"e/ �ms
! 0 27 t, 6
Printed Name of Signer Si azure of A ointed Treasurer
Date
FOR OFFICE USE ONLY.(^
I I (,
-
Delivery Method
Date Received: 1 V `. I d (i Employee:' J_jt�/�
-
❑ Normal Mail
Date postmarked: Employee:
E3 Registered Mail `
Hand Delivered
Date. Scanned: Employee:
Electronically Filed
Date Data Entered: Employee:
:[3 Signer has not received
;mandato 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 Stam Board of Elections August 2008
Detailed Summary E3 Yes eut 0 No
Use this form to summarize all disclosure renorting forms and to total monetary information
1. Committee Full Name; (and Fund if applicable)
12. Type of Report 13. ID Number
am 4vics - r (o
-o
ZnJ 0,,Ar4,-
TTAPoLt
Start of Election Cycle: January 1, 12-02-3
Total this
Re ortin Period
Total this
Election Cycle
4) Cash on Hand at Start
$
$
RECEIPTS
5) Aggregated Contributions from Individuals
(CRO -1205)
$
$
6) Contributions from Individuals
(CRO -1210)
$
$
7) Contributions from Political Party Committees
(CRO -1220)
$ ZSp 00
$
8) Contributions from Other Political Committees
(CRO -7230)
$
$
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 -7250)
$
$
11c) Outside Sources of Income
(CRO -1250)
$
$
lld) Legal Expense Fund - Other Sources
(CRO -1270),
$
$
Ile) Exempt Purchase Price Sales
(CRO -7265)
$
$
12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,1 la,11b,1 Ic,l Id and l le)
j, 00
1 $
EXPENDITURES
13) Disbursements
13a) Operating Expenditures
(CRO -1310)
$ �22, Z
$
13b) Contributionsto 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)
$
$
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14,15, l6 and 17)
$' Z
$
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18
$ ZU , 03
$
ADDITIONAL INFORMATION
0) Non -Monetary Gifts Given to Other Committees
(CRO -1330)
$
1) Outstanding Loans (incl. ones from other campaigns)
(CRO -1430)
$
-
Z) 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 -1720)
$
5) Administrative Support UNION G COUNTPINA.
0.1210)
$
$
6) Forgiven Loans CA
(CRO -1440)
$
$
7) 48 -Hour Notice Reports Sum KI 2 7 202
(CRO -2220)
1 $
$
8) Contributions to be Refunded
(CRO -1215)
1 $
$
CRU -1100 ! NCStat68oanl of Elections August 2008
Amendment
Contributions from Political Party Committees Pg _ of _ ❑ Yes ❑ No
Use this form to report contributions from a political party
1.,Committee Full Name.(and Fund'.if applicable..
2'411) Number
Sa� #VriS -1-'&'r 6.
ST/K 1
3. Contributor Information - 1❑ Addj❑ Remove
Full Name, Mailing Address & Phone
(Include city, state, & zip)
b. Comments
ikoviOr,6-kk n�./ O P I
P o. &m I l'(L Iwcitw� �rQ6l� yc Zb'(]7�
e Election Sum to Date
$ Z576. oa
. Account Code
a Formof Payment
f. In -Kind Description
g. Date (mm/dd/yyyy)'
h. Amount
I out
G h eA
07/09129C
$ 156. °
$
$
. Contributor Information _ 1❑ :Add -1❑ Remove _ - -
a. Full Name, Mailing Address&Phone - - - --
'(include city, state, & zip)
b. Comments
CAMPAIGN FINANCE
oCT 27 2026
QF:CENED
L Election Sum to Date
$
d. Account Code
e. Formof Payment
f. In -Kind Description -
g. Date (mmtdd/yyyy)
h. Amount
$
3. Contributor Information JAdd jRemove
-- -- _ ,
. Fall Name, Mailing Address &.Phone
(include city, state, & zip).
b. Comments
c. Election Sum to Date
d. Account Code
e. Farm of Payment
I. In -Kind Description
g. Date (mmtddtyyyy)
IL Amount
$
4. Total only this Page
5., Total of ALL CRO -1220 Pages
Mir line must be online 7 of DetailedSummmy'Page CRO -1100)
$
CRO -1220 NC State Board of Elections Apri12007
Disbursements Pg / of Amendment
❑ Yes ❑ 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) _
2.11). Number
Sit s r -b,, 60"A (
i7mgnq
3. Type of Disbursement (Please use. seoarti a CRO -1310 toms for each type ofDisbursemenlJ
mtin Ex Conmbudons to Candida[es/Polidcal Committees Coordinated Party Expenditures
4. Payee Information j❑ Add j❑' Remove
a. Full Name, Mailing Address & Phone
(include ci ,stale & zip) .
b. Coordinated Committee Name.
d. Comments
F�S} yrTl22KS BR++
t) ��•
I�o4ro ¢ ISG �1f2 7u't 28L `(o
c. Level Registered (Specify)
Ll Federal19 County:
13 State ❑Municipality:
.
e. Election Sum to Date
1 $ 72, ow
f.Account Code
g. Form of Payment
h. PurposeCodei.
Date (mmldd/yyyy)
j.Amount
k Required Remarks
a02
�7
k
lot
o7 3120
$
S 4 m �
/002
3r NA$
Y. °D
tf.e„ -e—
. Payee Information - ILI Add p] Remove
. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Coordinated Committee Name
d. Comments
'R 1. +12•ex3 �.%' /l i
�, J �x ✓
640e AIS- 7,81M 70y282 -q
c. Level Registered (Specify)
Lj Federal1l County:
❑ State E3 Municipality.
e. Election Sum to Date
$ I a
. Account Code
Ig.FomofPayment
h. Purpose Cade
i. Date (mmlddlyyyy)
j. Amount
IL Required Remarks
10b2
I OFT
K
VZ301202,L
$ Y-00
S n+cn ee
$
UNION COUNTY
4. Payee Information j Add j❑ Remove CAMPAIGN FINAN
. Full Name, Mailing Address & Phone. -
(include city, stale, &zip)
b. Coordinated Committee Name d. Comments
OCT V '1096
e
e. Lel Registered (Specify) RECEIVED
L
Staeral County
❑State E3 Municipality: e. Election Sum to Date
4! to i n Pa,! �ltr r
� � f71 1 � R.I.�(
11 /l J �K%wer
9wV4,--A mcksfa64" S e s D y5
$ 35'1. 02
. Account Code
Ig.FomorPayment
JIL Purpose Code
11. Date (mm/dd/yyyy)
1j. Amount
JIL Required Remarks
oa
EF T
log2 =$
321. °°
w
S. Total only this Page. _
g &.00
6. Total of ALLCRO-1310 Pages
rr
(This lin goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses)
Mris line goes in line 13b of Detailed Summary Page CRO -1100 if Contrib to CandidateslPolfaeal Comm)
(This line goes in line 13e o Detailed Summary Page CRO -1100 if Coordinated Party Expenditures)
7. Parpose Codes (List detailed expenditure code in (h) above)
AA*—Media IB* - Printing C* - FundraisingD - To Another Candidate
- SaSalariesV---kip mpment G - Political Party H* -Holding Public Office Expenses
I - Postage J -Penalties K' -Office Expenses I Q* - Donation to Legal Expense Fund
O* Other
* Codes require detailed explanation in re aired remarks field k
CRU -1310 NC State Board of Elections December 2009
Amendm
Disbursements Pg of ❑ Yes ent No
Use this form to report expenditures from the committee for operating expenses, contributions to candidatelpolitical
committees and coordinated nartv exnendimres
1. Committee Name :(and if/a livable),- -
2.IDI-Number _
l�JlFull CFund
�^�""j G7"'s•IS —Cpi `.'pun
(.fir+. ✓NZSIOH-�I'
lJ�/'1 V
. Type ofDisbursem
_ ent (Please use sena nate.
CRO -1310 forms for each type of
f D
O tin Ex nses U Contributions to Candidates/Polidcal Committees Coordinated Party Ex enditums
4. Payee Information -
10 Add 10 Remove
a. Full Name, Mailing Address & Phone
(include city, gate, & zip)
b. Coordinated Committee Name-
_
It. Comments _
CQm�t�dllgPt /A✓�qCt�
I t 0 S•f (/�
s�1o ver •Lj
b r
r?a Scat 1><ts� f4 s o� y5(
c. Level Registered (Specify)
Federal is County:
❑ State ❑ Municipality:
e. Election Sum to Date
$ 3511. W
. Accowt Code
g. Form of Payment
h. Purpose.Code'
i. Date (mmIdd/yyyy)
J. Amount
1k.RequiredReirarks,
002
O
�2
$ 3
1Web
$
4. Payee Information -
1❑ Add J❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zzf
CAMPAIGN FINANCE
7 2026
OCT 2 !
RECEIVED
b. CoordinatedCommittee Name
d. Comments
c. Level Registered (Specify)
Federal County:
❑ Sane ❑ Municipality:
e.Election Suento Date
$
i Accowt Code
g. Form of Payment
III. Purpose Code
ji. Dat.(mrddd/yyyy)
j. Amount
Ik. Required Remarks
$
$
4. Payee Information
_.I -Add113 Remove
. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Coordinated Committee Name
d. Comments
e. Level Registered (Specify)
Federal County:
❑ State ❑ Municipality:
e.Eleclion Sumto Date
L Accowt Code
g. Form of Payment
1b. Purpose Code
It. Date (u Wddlyyyy)
j: Amount
IL Required Remarks _
is
I
Is
1
5. Total only this Page
-
$91, 2-
& Total, of ALL CRO -1310 Pages
'.
$ 122-32
(This Rnegoes in fine 13a ofDemded Summary Page CRO -1100 ifOperadng Expenses)
(This lingoes in fine 131, of Detailed Summary Page CRO -1100 ifConhib to Candidates/Political Camm)
(This finegoes in fine 13c o Detailed Summmy Page CRO -1100 if CoordinatedP Ex endtiures)
7: Purpose. Codes (List detailed expenditure code in (h.) above)
* -Media - I B* -Printing
C3 - Fundraising D - To Another Candidate
E - Salaries iF-FEquipment
G - Polifical Party H* - Holding Public Offiee Expeases
I -Postage J -Penalties
O* Other
H* - OtFice Expenses Q* - Donation to Legal Expense Fund
* Codes re dire detailed ex lanation in required remarks field
CKU-1310 NC Stat Hoard of Elections December 2009