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Petterson,Heidi_2026-3rd-QtrDisclosure Report Cover . Amendment - - ❑ Yes 0 No Use this form for general report and committee information, must be signed and submitted along with other detailed forms. Tho not nse this fnrm to nnrlata ;nfnrmati », 1. Committee Information a. Full Name e. ID Number V sve r3611 u M No( b. Mailing Address (include City, State and Zip Code) d, Date Filed 5/z,5' C yxe woo iYi�, ! 2 I (I 201L5 1 t �f rj 0'6 1 AIC % 9116) ' V !/ e. Phone Number 9 ( I (oz V6353 2. Report Year 3. Period Start Date (mm/dd/yy) 4. Period End Date (mmm ) 5. Treasuurer Full Name (1, 10 /o�l?lZo2(P CJ0el �� G 6. Type of Committee Check One 9. Type of Report (check only one type of report from one category) Eff 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 ❑ Mid Year Semi-annual ❑ Year End ❑ Mid Year 10. Special Report Name ❑ Other: ❑ Final ❑ Special ❑ Year End ❑ Final 8. Number of Fundraisers this Report --- - — - — ❑Special 11. Account Information 11. Account Information a. Financial Institution Full Name a. Fiame :rw�+ C ( i u05 13no k - b. Purpose c.Account Code b. Pur en c. Account Code M 'Li— tn,k.SS UNION COUNTY 13 � BOARD OF ELECTIONS d. Period Begin Balance d. Period Begin Balance $ D . OO $ 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 by the NC State Board of Elections. VAI S, R4-tySon G 'P'. - 5. 2? 06(ak Printed Name of Signer Signature of A pointed Treasurer Date FOR OFFICE USE ONLY Date Received: fO Employee: Delivery Method ❑ Normal Mail Date Postmarked: Employee: egistered MailHand Delivered Date Scanned: Employee: Electronically Filed Date Data Entered: Employee: E3 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. UKU-1 UUU NC State Board of Elections August 2008 Detailed Summary Amendment ❑Yes ❑ No Use this form to summarize all disclosure renrn•rina frn•,r,s anal in mr�t ,,,­,.,,-., ;.,f,....,,,..:,... - -- --------....... ....... ... ...................., .uav,,,,a a vu I. Committee Full Name (and Fund N applicable) 12. Type of Report 13. ID Number C0MtI.i 4&c -1b -:eI eC' - 9-t Id, CJMN0(P Start of Election Cycle: January 1, Z-O�Z Total this Total this Re ortin Period Election C cle 4) Cash on Hand at Start $ $ RECEIPTS 5) Aggregated Contributions from Individuals (CRO -1205) $ NO Q ,D5 $ `c/o,O g 6) Contributions from Individuals (CRO -1210) $ 1) (3d , G 3 $ 1,130,(03 7) Contributions from Political Party Committees (CRO -1220) $ 2,50. o o $ -L50. pO 8) Contributions from Other Political Committees (CRO -1230) $ 5,00 . O O $ ,rj 00 . O O 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) $ $ llc) Outside Sources of Income (CRO -1250) $ $ lld) 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,1lc,1ld and I le) $'1,.020. (,p 171-0 D , & 8 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) $ —7 4 I $ 1 15) Loan Repayments (CRO -1420) $ $ 16) Refunds/Reimbursements from the Committee (CRO -1320) $ $ 17) In -Kind Contributions (CRO -1510) $ . !76 $ , OD 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $ 197 2 ,001 $ 101-12 Q 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18 $ .5 $4 9,.!5 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 C x1620) 4) Account Transfers C E� $ Within the Committee �E (ROV-1220 ) $ 25) Administrative Support (gQ5710) $ - $ 6) Forgiven Loans (CR yfO) UI� $ $ C 27) 48 -Hour Notice Reports Sum UNION Lp $ $ 28) Contributions to be Refunded (CRO -1215) $ $ u1 u -l1 uu NC State Board of Elections August 2008 Aggregated Contributions from Individuals Page of Amendment Optional form used to report NC Cnr,tr;h,,r;,,,,c F,-,,,,, T�a:..:a....,_ —1-11 Yes ❑ No Contributions from Individuals Pg Use this fol'm to 1'eD01't inrlividiml rnntrihnt __ Ncn _. Amendment ❑ Yes ❑ No wuiitvuuvus unuer �)w 11 corm UKO 1205 is not used 1. Committee Full Name (and Fund if applicable) 2. ID Number Co mm;f �-ec +b C�e.cfi l _We .�-+--e 5nno/ U M lel o 3. Contributor Information ❑ Add ❑ Remove Full Name, Mailing Address & Phone b. Job Title/Profession d. Comments (include city, state, &zip) O w � 0 , M . W Al YI-2- Elan �� ' `'"V � c. Employer's Name/Specific Field 2 O 3 lZol G C o ovi V U Y1 ,/^ �5 � 1 e. Election Sum to Date 2 S � 1 $ 100 e h. Form of Payment i. In -Kind Description Date mm/dd/ j• ( yyyy) k. Amount C �101 $ 105 LContributor $ $ mation ❑ Add ❑ Remove,gdress & Phone (include city, state, & b. Job Title/Profession d. Comments zip) 2001�Q1 V c. Employer's Name/Specific Field NO'� � b� n n1 M� • `rid '� e. Election Sum to Date $ 150 Prior ❑ g. Account Code M 11 h. Form of Payment i. In -Kind Description C� ��� CE�vED -0917-012.0-2.P Date mm/dd/ j• ( yyyy) k. Amount $ 5 0 ° 2 2026 $ ❑ COUNTY NION IONS $ utor Information OARD Add ❑ Remove FFull, Mailing Address & Phone b. Job Title/Profession d. Commentsty, state, &zip) � , ^ A �� f 3125 C f..e..e+ w 0 D �, c. Employer's Name/Speck Field V `O VjY'0 D t f C /� I � O �a � � w� X18 � e � e. Election Sum to Date L t `. L. 1 $���J Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ra. $ 1' 1 ' C In cr w% �l.cc.d lJyl ° (�.o►V'o� 178b1 ��is-�Y'a'�i ah, F�,e_. �2 0 1 1A?S $ 5 . pts y this Page LTotal $ rj 0 U3 ALL CRO -1210 Pages$ be on line 6 of Detailed Summary Page CRO -7100) ) ` 7 CRO -1210 NTT Q..,. n .._-, _� r, _ .. April 2007 Contributions from Individuals Amendment Pg of ❑ Yes ❑ No Use this form to report individwil ronh•il—ti— err, .. -_ - w .,1 wuulvururus under 550 if form UK() I. Committee Full Name (andFund if a licable) - �o e (,_P 1 �t-�_W15d-Yt 1205 is not used 2. ID Number C, � M X10 3. Contributor Information ❑Add ❑Remove Full Name, Mailing Address & Phone b. Job Title/Profession (include city, state, &zip) La � r-ev�, �v �r,n,5 f � owl�'►a kms+'' LlI 5 �G�� 51 _ Q Y+V��. c. Employer's Name/Specific Field 2(J II O �(�� �iVY) l ��%`epl e. f d. Comments Election Sum to Date .Priorg. Account Code M h. Form of Payment i. In -Kind Description Date mm/dd/ J ( yyy tComments 3. Contributor Information ❑ Add ❑ Remove Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession rt+i "re d 1^ �,, A�'�/'flZjY / I VIA Vi Q t �� ���' O c. Employer's Name/Specific Field P"w W� Coo��e. �' it V-� Election Sum to Date $ '--7 5 Prior g. Account Code In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ fForm 12(o5�zo25 $ 5 ❑ N� �..1, Gln1 oa I�2� $ (a o Im co 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, &zip) b. Job Title/Profession d. Comments Q� 1M o v1 fo el L IAC, 2S L (2 c. Employer's Name/Specific Field U5 Navy e. $ Election Sum to Date _350 . Prior g. Account Code h. Form of Payment i. In ton j. Date (mm/dd/yyyy) k. Amount ❑ M I I c.l,ec_, k-2026 vt 1 L3 1202,L,$ 100 ❑ n^ ION oovN IONS $ 'l �✓ ❑ 30Apo 0 $ 4. Total only this Page $ 5. Total of ALL CRO -1210 Pages (This line must be online 6 of Detailed Summary Page CRO -1100) $ CRO -1210 ,.1n _ c....n___., .• Cl 25 ofl 3 (O 11 13d. �m � u1culUus April 2007 Amendment _ Contributions from Political Party Committees pg of , ❑ Yes ❑ No Use this form to report contributions from a political party I. Committee Full Name (and Fund if applicable) - co � _ �� - 1 e'1 �I �� ���� - 2. ID Number CJ ("1 X10 LO - -- - 3. Contributor Information ❑ Add ❑ ,Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) �O O� ���►�,� ��-�,NC ��o�a b. Comments — -- - c. Election Sum to Date $ d. Account Code e. Form of Payment f. In -Kind Description g. Date (mm/dd/yyyy) h. Amount - 01 147_0z� $ 250A60 $ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) h. Comments _ ------ c. Election Sum to Date $ d. Account Code e. Form of Payment f. fn -Kind Description g. Date (nun/dd/yyyy) h. Amount $ $ $ 3. Contributor Information ❑Add ❑ Remove a. Full Name, Mailing Address & Phone ��� ( (include city, state, & zip) C ------------- Q�� 21 OF ��E ��VNS b. Comments - c. Election Sum to Date $ d. Account Code - e. Form of Payment f. In -Kind Description g. Date (mm/dd/yyyy) h. Amount $ $ $ 4. Total only this Page $ S 0 , p p 5. Total of ALL CRO -1220 Pages (This lute Hurst be on line 7 of Detailed Sumuuury Page CRO -1100) inn »�n $ 2150. 4�_ Ouue noaru of Eiecnons April 2007 Contributions from Other Political Committees pg of Amendment Use this form to report contributions from other candidate, referendum or PAC committees ° Yes ❑ No 1. Committee Full Name (and Fund if applicable) 2. ID Number Co v�►� ��--e�.e, -�L � I CCA- 0.6_Al Ve,��5 o -vi _C J MN Oto 3. Contributor Information ❑ AT ❑ Remove a. Full Name, Mailing Address & Phone b. Type of Committee _ _ (include city, state, &zip) d. Comments® Candidate PAC Referendum l c. Level Registered (Specify) � I MAIkQcd L ovu4 f %J l�r, Federal County: E01 State ❑Municipality: e. Election Sum to Date uvlou�f©e , z� i� o � s0o Account Code g. Form of Payment h. In -Kind Description i. Date mm/dd/ ( YYYY) j. Amount 0 311 �l Zo2 $ 500. Z) Contributor Information Full Name, Mailing Address & Phone (include city, state, & zip) Add ❑ Remove b. Type of Committee d. Comments Candidate PAC ❑ Referendum c. Level Registered (Specify) Federal U County: ❑ State ❑ Municipality: e. Election Sum to Date Account Code g. Form of Payment h. In -Kind Description i. Date ( yyyy) j. Amount mount 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone {m, b. Type of Committee 7d.Comments (include city, state, & zip) C"L1 Candidate PAC Account Code Ig. Form of Payment ❑ Referendum c. Level Registered (Specify) Federal County: gpARo OF EL ❑ State ❑ Municipality: e. Election Sum to Date $ h. In -Kind Description i. Date (mm/dd/yyyy) j. Amount $ $ $ 4. Total only this Page $ po. 00 5. Total of ALL CRO -1230 Pages (This line must be online 8 of Detailed Summary Page CRO -1100) $ 55ao • 0 0 CRO -1230 NC State Board of Elections April 2007 Disbursements Amendment Pg of —El Yes ❑ No Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committees and cnrnvtinntPrl --t., --14...•o.. 1. Committee Full Name (and Fund if applicable) 2. ID Number C- Ovvm� ie,-� ` b 3. Type of Disbursement (Please use separate CRO -1310 forms for each type of Disbursement.) ® Operating Expenses Contributions to Candidates/Political Committees Coordinated Party Expenditures 4. Payee Information ❑ Add —ff Remove a. Full Name, Mailing Address & Phone b. Coordinated Committee Name d. Comments (include city, state, & zip) KT -r i -VA � 1 M ?4,1 A t-�W c. Level Registered (Specify) VIII. V0O;-D4v t,,+- 7F>` V O ` 1 0�-0 r� Q ` �A IliD 1FPayee Federal County: ❑ State ❑ Municipality: e. Election Sum to Date $ tj552.2t de g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) of(og ti0Zc. j. Amount $21q.o8 k. Required Remarks L;ttj .ttvr, D4b��'formation ❑ Add ❑ Remove Mailing Address & Phone b. Coordinated Committee Name d. Comments y, state, & zip) r � v\t k vl T -C i v��-ear c. Level Registered (Specify) J�C7W. Federal ❑County: On \C (D -e— C ^ 1 O l� G ` ❑ State ❑ Municipality: e. Election Sum to Date $ I)C52,2t [�Aount Code g. Form of Payment h. Purpose Code •'L$ i. Date (mm/dd/yyyy) j. Amount k. Required Remarks DO.8�.1. -p.er�j�� $ �`�3012024' $533.15► �s .ayee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone b. Coordinated Committee AW4Lt, a is (include city, state, & zip) —d 7 2026 W a—M0`''-+ 2u O 1/1 Oo*eV�I.' �'v 6 c. Level Registered (Specify) Federal CoumtJNIO ❑ State ❑ M fie. �M-1 /1�- V' �O\AY-0`4 1 t� `(C Z8 U O COUNTY ��C pTn161i�Eto Date $ 0 . Account Code- g. Form of Payment h. Purpose Code 0 i. Date (mm/dd/yyyy) 01 j. Amount k. Required Remarks Debit t12�-, 02� $2 .01 flTV n� tee 5�it�� $ 5. Total only this Page $ 5 2 6. Total of ALL CRO -1310 Pages (This lute goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) $ (This line goes in line 13b of Detailed Sumuzary Page CRO -1100 if Contrib to Candidates/Political Comm) (This lute goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures) 7. Purpose Codes (List detailed expenditure code in (h.) above) A* - Media B* - Printing E - Salaries F* - Equipment C* - Fundraising D - To Another Candidate G - Political Party H* - Holding Public Office Expenses I - Postage J - Penalties O* Other K* - Office Expenses Q* - Donation to Legal Expense Fund * Codes require detailed exDlanation in re uired remarks field W CRO -131n 11 �.a.c uun.0 v, n,ccuvus December 2009 Disbursements Amendment Pg of ❑ Yes ❑ No Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committees and rnnrdinat—] --t- --- .,Aa..-.,.,. 1. Committee Full Name (and Fund if applicable) 2. H) Number cim N06 I Type of Disbursement (Please use separate CRO -1310 forms for each type of Disbursement.) Operating Expenses Q Contributions to Candidates/Political Committees 4. Payee Information Coordinated Party Expenditures ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone b. Coordinated Committee Name d. Comments (include city, state, & zip) Anna z c Vi (� 1 ^ \ � —1 10 Tomr V A " e c, Level Registered (Specify) Federal County: ❑ State ❑ Municipality: e. Election Sum to oo7Date e g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks 0`� -rot L5.2 'Ski1�-fo o tis1�z� 33 .9 oormation rINa ❑ Add ❑ Removeailing Address & Phone , ssttaate, & zip)�/1 b. Coordinated Committee Name d. Comments mO� roe— c. Level Registered (Specify) ll l. �r 1 o l W, A \Ot� W a� Federal County: t JJ 1111 INS o ✓► �>,� � C ?--(6l 10 ❑ State ❑ Municipality: e. Election Sum to Date � $ 4 � .3-7 . Account Code g. Form of Payment h. Purpose Code �cloi �- i. Date (mm/dd/yyyy) j, Amount k. Required Remarks �°� i2 Zozb $2Z. k2 o7-(- $ Lot . 22 4. Payee Information Add ❑ Remove 7FuIlWailing Address & Phone b. Coordinated Committee Na state, & zip) 7l j` At 3 V �► �' �0j 1/v Q(�/ c. Level Registered (Specify) 2 t 2026 Federal County: MD NV,D e Il 1 JG �� `j `� ��-I 1 ❑ State ❑ Munici ali�N I ate 10 2(y � �t • t/ l f. Account Code g. Form of Payment - h. Purpose Code — — 0 i. Date (mm/dd/yyyy) 08-L- j. Amount k. Required Remarks �Zb $ Z -t .3 `{ 3towtL�-4— $ 5. Total only this Page $ 5 3 6. Total of ALL CRO -1310 Pages (This lute goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses)$ 011 (This litre goes in litre 13b of Detailed Sunrnrary Page CRO -1100 if Contrib to Candidates/Political Conon ) (This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures) 7. Purpose Codes (List detailed expenditure code in (h.) above) A* - Media B* - Printing E - Salaries F* - Equipment C* - Fundraising D - To Another Candidate G - Political Patty H* - Holding Public Office Expenses I - Postage J - Penalties O* Other K* - Office Expenses Q* - Donation to Legal Expense Fund * Codes require detailed exDlanation in re wired remarks field k CRO- 1?It) _1 _1,-1 .. December 2009 Disbursements Pg of Amendment ❑Yes ❑ No Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committee,,.- nrtrl cnrn•rlinntPrl nnrt,, av„a„r7; r,,.•o� 1. Committee Full Name (and Fund if applicable) C a vin IL tf�,V� 2. ID Number CJ I► N O (O - - 3. Type of Disbursement (Please use separate CRO -1310 forms for each type of Disbursement.) CmOperating Expenses Contributions to Candidates/Political Committees Coordinated Party Expenditures 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, &zip) b. Coordinated Committee Name d. Comments COMW.v,�;�y y1 `� c. Level Registered (Specify) Federal County: ❑ State ❑ Municipality: e. Election Sum to Date $12�. 0b f. Account Code g. Form of Payment h. Purpose Code equired Remarks i. Date (mm/dd/yyyy) j. AmouoName 1 Cl�rck 001/0 202b $ L qdvt : o0 $ 4. Payee Information ❑ Add ❑ Remov . Full Name, Mailing Address & Phone (include city, state, &zip) b. Coordinated Commd. Comments c. Level Registered (Specify) EF Federal County: ❑ State ❑ Municipality: e. Election Sum to Date $ . Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) '. Amount $ k. Required Remarks 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Ph rCD (include city, state, & zi CEN v G b. Coordinated Committee Name d. Comments C 0l� , 2 T 202u COUNTY UNIOONF ELECTIONS BOARS c. Level Registered (Specify) Federal County: ❑ State ❑ Municipality: e. Election Sum to Date $ . Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount $ k. Required Remarks $ 5. Total only this Page $ i 25 . D 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 l ab of Detailed Summary Page CRO -1100 if Contrib to Candidates/Political Comm) (This line goes in line 13c 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 explanation in re uired remarks field W a nv-1 �i v NC State tsoara of Elections December 2009 Aggregated Non -Media Expenditures Page of Amendment❑Yes ❑ No Optional form used to report NC Non -Media Expenditures of $50 or less. 1. Committee Full Name (and Fund if applicable) 2. ID Number COAJOAA,',C +� EJZC7_ �ZAdL ��i� saw lcjNNoo 3. Payee Information a. Amend b. Account Code c. Form of Payment d. Purpose Code e. Date (mm/dd/yyyy) f. Amount g. Required Remarks Add ❑ Remove � f! 3 D � 20Z j� $ V, W I✓u►�1� JZ OI�.Q/V�•(�y�'� ,�,e�i� ❑ Remove , l I 1 .�• ! O 07-1 Z7/2-0.iO S 8.ODAdd ❑ Remove 1'� 1 1 3 I Z2� IP $ 3 rj • 8 l�i/�Q� �-� T-Q,e Add ❑ Remove �� �� ! 2D26 2 $Ll Add ❑Remove VV` li �� �y ZO Z.iJ $ 1.35 1�►�an� Add ❑ Remove / .1-� OLTJ f����P $ �.� 3 5 tee, Add ❑ Remove f� jvv� O � 212.6 1 2,02 (o $ 'Z , 00 Add ❑ Remove 1'l VQK/'� O nG D 9/25 �z02p $ ] p� 6�' 0 l Add ❑ Remove $ Add ❑ Remove $ Add ❑ Remove $ Add ❑ Remove $ Add ❑ Remove $ Add ❑ Remove RE $ Add ❑ Remove (' ©�+� $ Add ❑ Remove CO UN�O0F ELEC SONS $ Add ❑ Remove $ Add ❑ Remove $ Add ❑ Remove $ Add ❑ Remove $ 4. Total only this Page 5. Total of ALL CRO -1315 Pages $ �% I (This line must be on line 14 o Detailed Summary Page CRO -1100) { ` 6. Purpose Codes(List detailed expenditure code in d above 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* - Donations to Legal Expense Fund O* - Other * Codes require detailed explanation in required remarks field UK0431 J NC State Board of Elections December 2009 In -Kind Contributions AmendmentPg of —El Yes ❑ No Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund. Use CRO -1215 if In -Kind Cnntrik,16 a , ,:n r. .. r.._a_a -.1.1— - L-1 Ua 3. e Full Name (and Fund if applicable) ,;tk ym Fl1ec�- R_�A1 ; ���k-e��s --[c3 F3ont;ributor 2. ID Number M N o� Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Type of Contributor c. Comments JY Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum [oilOther Receipt Source 9 441)As," 2 1 K�J�'�,� k— ,z 64 "Dy. 1 nn (� ^ O V r + 0 6 -e-v/ � L d. Election Sum to Date $ -b-00 .O0 e. Description f. Date (mm/dd/yyyy) g. Fair Market Amount Cso �ror �� Qrc.L►g5e, dl 1g1202,P $ (, Oo 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Type of Contributor c. Comments Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source \ f �C�, `� �D r�C d. Election Sum to Date $ e. Description G Cl- \O f. Date (mm/dd/yyyy) g. Fair Market Amount $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Type of Contributor c. Comments Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source d. Election Sum to Date $ e. Description f. Date (mm/dd/yyyy) g. Fair Market Amount $ $ 4. Total only this Page $ 5. Total of ALL CRO -1510 Pages (This line must be online 17 of Detailed Summary Page CRO -1100) r+n_ -1 $ VI\V�1 JlV NC State tsoard of Glecttons December 2007