Merrell,Melissa_2026-3rd-QtrDisclosure Report Cover A❑3 Yes o No
Use this form for general report and committee information, must be signed and submitted along with other detailed forms.
Do not use this form to uDdate information.
1. Committee Information
a. Full Name
c. ID
`Number
b. Mailing Address (include City, State and kip Code)
d. Date Filed
2-& 03 Al
10 Z ao2 �
Phone Number
r�
Q e+ L--
2. Report Year
3. Period Start Date (mm/dd/yy)
4. Period End Date (mm/dd/ )
5. Treasurer Full Name
Zo Z4&�
tl ( I Z..o
(o Zq
Me_PPCA
6. Type of Committee Check One
9. Type of Report
(check only one type of report frons one category)
Candidate Campaign ❑ Party
Municipal
StatelCounty
Referendum
PAC ❑ Referendum
❑ Organizational
❑ Organizational
❑ Organizational
Independent Expenditure ❑ Joint Fundraiser
r7lType
❑ Thirty-five day
Quarterly
❑ Pre -referendum
Legal Expense Fund
❑ Pre-primary
❑ First
❑ Final
❑ Pre-election
❑ Pre -runoff
Semi-annual
❑ Second
Ef Third
❑ Fourth
❑ Supplemental Final
❑ Annual
❑ Special
of Fund (if applicable, check one)
❑ Booster Fund
❑ Building Fund
❑ Mid Year
Semi-annual
❑ Year End
❑ Mid Year
10. Special Report Name
❑ Other:
❑ Final
❑ Special
❑ Year End
❑ Final
❑ Special
S. Number of Fundraisers this Report
Ia.
11. Account Information
11. Account Information
Financial Institution Full Name
a. Financial
Institution Full Name
ft---
—
Purpose
F
c. Account Code
b. Purpose
c. Account Code
CA'V-�'t�d.
�✓
_
REE� I
Period Begin Balance
d. Period Begin Balance
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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 traine the
NC State Board of Elections.
h�1e, Hf_s- re-
ALS12
,o
Printed Name of Signer natu
o A po ted reasurer I I Date
FOR OFFICE USE ONLY
Date Received: Employee:
Delivery Method
❑ Normal Mail
Date Postmarked: Employee:
egistered Mail
and Delivered
EKIAlectronically
Date Scanned: Employee:
Filed
Date Data Entered: Employee:
[3 Signer has not receivedmandatory 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
Detailed Summary
Amendment
❑Yes ❑ No
Ilse this form to summarize all disclosure renortinQ forms and to total monetary information
1. Committee Full Name (and Fund if applicable)
2. Type of Report
3. ID Number
J -C. M�� �� µ�
, 3r'
Start of Election Cycle: January 1,
Total this
Reporting 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, q0
$
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
l la) Interest on Bank Accounts
(CRO -1250)
$
$
I1b) Contributions from Not -For -Profit Organizations
(CRO -1250)
$
$
llc) Outside Sources of Income
(CRO -1250)
$
$
11d) Legal Expense Fund -Other Sources
(CRO -1270)
$
$
Ile) Exempt Purchase Price Sales
(CRO -1265)
$
$
12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,1la, l lb, i 1c, l Id and 11 e4
1 1- (7
$
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)
$ `�� t)
$
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)
$ 0.00 l 7 • d
$
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18
$ 0.00
$
ADDITIONAL INFORMATION
0) Non -Monetary Gifts Given to Other Committees
(CRO -1330)
$
1) Outstanding Loans (incl. ones from other campaigns)
(CRO -1430)
$
2) Debts and Obligations owed by the Committee
(CRO -1610)
$
3) Debts and Obligations owed to the Committee
(CRO -1620)
`'$
4) Account Transfers Within the Committee
(CRO -1720)
$
1
5) Administrative Support
(CRO -1710)
$ _
$
6) Forgiven Loans
(CRO -1440)
$
$
7) 48 -Hour Notice Reports Sum
(CRO -2220)
$
$
8) Contributions to be Refunded
(CRO -1215)
$
1 $
CRO -1100 NC State Board of Elections August 2008
Reset Form
Contributions from Individuals
Amendment
Pg of ❑ Yes ❑ No
ITce this form to renort individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
FullNaame (and Fund N applicable)
2. ID Number
r Information ❑ dd ❑ Remove
ailing Address & Phone
FNName,
tate, & zip)c.
b. Job Title/Profession
d. Comments
��� �J
Employer's Name/SpecificFieldZ(,o
e. Election Sum to Date
Prior
g. Account Code
h. Form of Payment
i. In -Kind Description
j. Date (mm/dd/yyyy)
k. Amount
❑
. Contributor Information, ❑ Add ❑ Remove
Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
��
A��
c. Employer's Name/Specific Field
e. Election Sum to Date
$
g. Account Code
h. Form of Payment
i. In -Kind Description
j. Date (mm/dd/yyyy)
k. Amount
kFuH
$
12,513
Boaz
$Z�.
ributor Information ❑ Add ❑ Remove
ame, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
_
Ui�iuN (�Uuiv
CAMPAIGN FINANCE
�j
OCT L 7 2026
: _ .
G Employer's Name/Specific Field
e. Election Sum to Date
g. Account Code
ym}orm of Pa ent
h. F`
i. In-I{'md Description
j. Date (mm/dd/yyyy)
k. Amount
$
L
$
$
al only this Page
$
al of ALL CRO -1210 Pages
(This fine maw be on fine 6 ojDeta&d Summary Page CRO -1100)
$ Z ��
CRO -1210 NU Mate Boara of hiecnons nyiu
Amendment
III -Kind Contributions Pg of ❑ Yes ❑ No
Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund.
TTc ('RCL171 S if Tn-Kinn i"nntrihntinnc were nr will he refitnded within % days_
1. Committee Full Nawe,(and Fund if applicable)
2. W Number
, Ma(4 AVE � ,er-
53'J-1 Y
. Contributor Information ❑ Add ❑ Remove
Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Type of Contributor
c. Comments
Individual
CandidateParty
❑PAC
❑ Referendum
❑ Other Receipt Source
I o
`V 7, gtz)4
d. Election Sum to Date
$
Description
f. Date (mm/dd/yyyy)
g. Fair Market Amount
wgzlp
$ ._6 1D
(P
$ Z"` -V-D
L`
�1'12-A
, a'0
. Contributor Information ❑ Add ❑ Remo e
a. Full Name, Mailing Address & Phone
(include city, state, &zip)
b. Type of Contributor
Individual -- -- --_--- _-
Candidate
Party
❑ PAC
❑ Referendum
❑ Other Receipt Source
c. Comments
_— -� -
r� �1
Avlf C-1�r /"
d. Election Sum to Date
$
Description
f. Date (mm/dd/yyyy)
g. Fair Market Amount
1.�ID
$
.Contributor Infoxmatio ❑ Add ❑ Remove
-
Full Name, Mailing, ,
(include city, state, &1 zip)
b. Type of Contributor
c. Comments
Individual
[3 Candidate
❑ Party
[:I PAC
❑Referendum
❑ Other Receipt Source
!/
O L I 2 7 2025
RECEIVED
�P
d. Election Sum to Date
$
Description
f. Date (mm/dd/yyyy)
g. Fair Market Amount
$
$
$
4. Total only this Page I $ . 00
5. Total of ALL CRO -1510 Pages j $
(7his line must be on tine 17 of Detailed Summary Page CRO -1100) I / 07. 00
CRO -1510 NC State Board of Wections Vecemoer Lw i