The URL can be used to link to this page

Anthony,Surluta_2026-Amended Third Qtr ReportA ndment Disclosure Report Cover ,Yes o Use this form for general report and committee information, must be signed and submitted along with oilier de ailed fonts. Do not use this form to update information. 1. Committee Information a. Full Name c. ID Number COMMITTEE TO ELECT SURLUTA B ANTHONY b. Mailing Address (include City, State and Zip Code) d. Date Filed 1307VIRGINIA-AVE 10/28/2026 MONROE, NC 28112 e. Phone Number —% ,q 2.Re rt Year 3. Period Start Date.(mm/dd/yy) 4. Period End Date (mm/dd/yy) 5. Treasurer Pull Name 2026 07/01/2026 10/17/2026 KATHLEEN M DOMANSKI 6. Type of Committee Check One) 9. Type of Report (check only one type ofrepori from one category) ® Candidate Campaign ❑ Party Municipal State/County - Referendum _ ❑ Joint Fuadraiscr ❑ PAC ❑ Organizational ❑ Organizational ❑ Organizational ❑ Referendum ❑ Legal Expense Fond ❑ ❑ ® Thirty-five day Pre-primary Pre-election Quarterly ❑ First ❑ Second ❑ Pre -referendum ❑ Final ❑ Supplemental Final 7. Type of Fund (fapplicable, check one) ❑ "Booster Fund" ❑ Building Fuad ❑ Pre -runoff Thud ❑ Annual ❑ Presidential Election Year Candidates Fund Semi-annual ❑ Fourth ❑ Special ❑ NC Public Campaign Financing Fund ❑ Mid Year Semi-annual ❑ YearEnd ❑ Mid Year 10. Special Report Name ❑ Other: - ❑ ❑ Final Special ❑ Year End ❑ Final ❑ Special S. Number of Fundraisers this Re rt 2 3. Account Information 3. Account Information a. Financial Institution Full Name -_ a. Financial Institution Full Name FIFTH THIRD BANK UNION COUNTY b. Purpose c.Account Code b..Purp MpAI - cAccountCode FUNDRAISING AND D2026 OCT 2 R 2026 SPENDING d. Period Begin Balance d. Period Begin Balance $ 5gq $ RECENED CMTIFICATION I certify that the Conunittee or Fund is in compliance with all applicable provisions of Article 22A, 22B & 2213-22M of Chapter 163 ofthe NC General Statutes and that no funds are commingled with prohibited or other non -disclosed funds. I further certifythatthis report is complete, true and correct and that I have been trained by the NC State Board �0V1A11 a � h�r (0 A 10/28/2026 TPnn c Name of Sigaer Signature of Appointed Treasurer Date FOROFFICELISEONLY ` p q Delivery Method Date Received: 1 0�-10.. Employee: . 1 ❑ Normal Mail ❑ Registered Mail Date Postmarked: Employee: V Hand Delivered ❑ Electronically Filed Date Scanned: Employee: ❑ Signer has not received .Date Data Entered: Employee: , 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 Omani2ation CRO -2100A- to [rake committee changes. Amendment Detailed Summary Yes 6-R, Use this form to summarize all disclosure reuortina fours and to total monetary infomntion 1. Committee Full Name and Fund ifa icable 2. of Report 13. ID Number COMMITTEE TO ELECT SURLUTA B ANTHONYre- e Start of Election Cycle: January 1, 2025 Re Total this rtin Period Total this Flection Cycle 4) Cash on Hand at Start $ 1,584.86 $ 1,584.86 RECEIPTS 5) Aggregated Contributions fromindividuals (CRO -7105) $ 0.00 $ 0.00 6) Contributions from Individuals (CRO -1210) $ 14,730.00 $ 29,460.00 7) Contributions from Political Party Committees (CRO -1210) $ 250.00 $ 500.00 8) Contributions from Other Political Committees (CRO -1230) $ 5,500.00 $ 11,000.00 9) Loan Proceeds (CRO -1410) $ 0.00 $ 0.00 0) Refunds/Reimbursements to the Committee (CRO -1240) $ 0.00 $ 0.00 1) Other Receipt Sources Ila) Interest on Bank Accounts (CRO -1250) $ 0.00 $ 0.00 llb) Contributions from Not -For -Profit Organizations ((RO-1250) $ 0.00 $ 0.00 Ile) Outside Sources of Income (CRO -12S0) $ 0.00 $ 0.00 ltd) Legal Expense Fund -Other Sources (CRO -1270) $ 0.00 $ 0.00 Ile) irtemptPurchasePrice Sales (CRO -1165) $ 0.00 $ 0.00 2) TOTALRECIIPTS(Add lines 5, _ �� Q JTt{llc,lldand Ile) $ 20,480.00 $ 40,960.00 EXPENDTPURES CAMPAIGN FINANUM 3) Disbursements OGT -22 a 2026 13a) Operating Expenditures REGEWED 13b) Contributions to Candidates/Political Committees (CRO -1310) (CRO -1310) $ $ 14,211.62 2,000.00 $ $ 28,403.24 4,000.00 13c) Coordinated Partypgpenditures (CRO -1310) $ 0.00 $ 0.00 4) Aggregated Non -Media Expenditures (CRO -1315) $ 0.00 $ 0.00 5) Loan Repayments (CRO -1420) $ 0.00 $ 0.00 6) Refunds/Reimbursements from the Committee (CRO -1320) $ 50.02 $ 100.04 7) In-IGnd Contributions (CRO -1510) $ 3,500.00 $ 7,000.00 8) TOTAL EXP1NDfIURFS (Add lines 13a, 13b, 135 14, 15, 16 and 17) $ 19 761.64 $ 39,503.28 9) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18) $ 2,303.22 $ 3,041.58 ADDMONAL INFORMATION - 0) Non -Monetary Gifts Given to Other Committees (CRO -1330) $ 0.00 - 1) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) $ 0.00 - 2) Debts and Obligations owed by the Committee (0R0-1610) $ 0.00 3) Debts and Obligations owed to the Committee (CRO -1620) $ 0:00 4) Account Transfers Within the Committee (CRO -1720) $ 0.00 5) Administrative Support (CRO -1710) $ 0.00 $ 0.00 6) Forgiven Loans (CRO -1440) $ 0.00 $ 0.00 7) 48 -Hour Notice Reports Sum (CRO -2220) $ 0.00 $ 0.00 8) Contributions to be Refunded (CRO -1215)1 $ 293.02 1 $ 293.02 CR(1.1106 NU state tsoaro or mecnons A.Ww< 20Uo Contributions from Individuals Pg1 of 13 ❑velment Na Use this formto report individual contributions over $50 or contributions under$50 iffnnn CRO 1205 is not ,sM 1. Committee Full Name and Fundif applicable) 2. ID Number COMMITTEE TO ELECT ST RLUTA B ANTHONY 3. Contributor Information ❑ Add ❑ Remove a. FLIT Name, Mailing -Address & Phone (include city, state, &zip) b. Job. Title/Profession d. Comments NOT EMPLOYED DAVID BARTKO 220 PINELAKE DR MONROE, NC 28110 c. Employer's Name/Specific Field NOT EMPLOYED r. (lection Sum to Date $ 75.00 f. Prior g. Account Code h. Form of Payment i. In -land Description j. Date (mm/dd/yyyy) k. Amount ❑ D2026 Electric Funds Tran 08/16/2026 $ 25.00 ❑ D2026 Electric Funds Tran 09/16/2026 $ 25.00 ❑ D2026 Electric Funds Tran 10/11/2026 $ 25.00 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession it. Comments NOT EMPLOYED BRIAN K BATTLE 9166 PERSEVERANCE DRIVE HARRISBURG, NC 28075 c. Employer's Name/Specific Feld NOT EMPLOYED e. Election Sum to Date $ 50.00 f. Prior g. Account Code h. Form of Payment i. In -land Description j. Date (mm/dd/yyyy) k. Amount. ❑ D2026 Electric Funds Tran 08/10/2026 $ 50.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone TY (include city, state, & zip) 11�11(GAUN b. Job Title/Prafession it. Comments CONSTRUCTION WALT BELL rrAMpAIGN 205 MARVIN WATKINS R)3r. MONROE, NC 28112 QCT 2 R 2026 (704) 242-6031 RE�ENEp Fmployees Name/Specific Feld CONSTRUCTION SALES e. Flection Sum to Date $ 100.00 f. Prior g. Account Code h. Form of Payment i. In -land Description j. Date (mm/dd/yyyy) k. Amount ❑ D2026 Cash 10/16/2026 $ 100.00 ❑ $ ❑ $ 4. Total only this Page $ 225.00 5. Total of ALL CRO -1210 Pages (This line mast be on line 6 ojDelailed Smnmary Page CR0.1100) $ 14,730.00 CRO -1210 NC State Board of Elections April2007 Amendment Contributions from Individuals Pg 2 of 13 ❑ Yes ® No Use this fotmto 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. ID Number COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Contributor Information ❑ Add '❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession - d: Comments BUSINESS OWNER CARLBOGGS 1501 N CHARLOTTE AVE MONROE, NC 28110 c. Employees Name/Specific Feld TRUE ROCK HOLDINGS, MONROENC e. Election Sum to Date $ 10,300.00 f. Prior g. Account Code h. Form of Payment i. In-IGnd Description - j. Date (mmlddlyyyy) k. Amount. ❑ D2026 Check 09/15/2026 $ 6,800.00 ❑ D2026 In -Kind FACILITY RENTAL AT MONROE AIRPORT 10/15/2026 $ 3,500.00 ❑ $ 3. Contributor Information ❑ Add '❑ Remove a. Full Name, Mailing Address & Phone ,(include city, state,..&zip) b. Job Title/Profession - - d. Comments NOT EMPLOYED KATHLEEN A BORING 1305 ANN ST MONROE, NC 28112 c. Employees Name/Specific Feld NOT EMPLOYED e. Election Sum to Date $ 50.00 f. Prior g. Account Code It. Form of Payment i. In-IGnd-Description j. Date (mmlddlyyyy) k. Amount ❑ D2026 Check 07/14/2026 $ 50.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add '❑ Remove a. Full Name, Mailing Address & Phon (include city, state, & zip) UNIOfd COUNTY CE b. JobTitle/Profession - d. Comments NOT EMPLOYED APRIL BUNDY 1510 GREEN OAKS LANEOCT 2 R 2026 APT 5 MONROE, NC 28205 RECEIVED (704) 242-0506 c. Employer's Name/Specific Feld NOT EMPLOYED e. Flection Sum to Date $ 750.00 E Prior. g. Account Code. h. Form of Payment i. In-IGnd Description j. Date (mm/dd/yyyy) k. Amount ❑ D2026 Electric Funds Tran 10/04/2026 $ 750.00 ❑ $ ❑ $ 4. Total only this Page Is 11,100.00 5. Total of ALL CRO -1210 Pages (This line must bean lune 6 of Delalled Summary Page CRO -1100) $ 14,730.00 CRO -1270 NC State Bond of Elections April 2007 Ameadment Contributions from Individuals Pg 3 of 13 ❑ 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. ID Number COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Contributor Information ❑ Add i❑ Remove _ a. Full Name, Mailing Address '& Phone - (include city, state,&zip), _ b. Job Title/Profession it. Comments NOT EMPLOYED STEVE CLYBURN 1500 E FRANKLIN ST MONROE, NC 28112 (650) 888-0695 c. Employer's Name/Specific Feld NOT EMPLOYED e. Election Sum, to Date $ 200.00 f. Prior g. Account Code h. Form of Payment _ i. In-IGnd Description j. Date (mm/ddlyyyy) k. Amount 0 D2026 Check 10/16/2026 $ 200.00 ❑ $ 3. Contributor Information ❑ Add ;❑ Remove a. Full Name, Mailing Address & Phone (include city, state, &zip) b. Joh Title/Profession - it. Comments NOT EMPLOYED SHERRY CROWDER 1002 CALHOUN ST MONROE, NC 28112 (704) 650-5634 e. Employees Name/Specific Feld NOT EMPLOYED e. Election Sum to Date $ 100.00 f. Prior g. Account Code hr Form of Payment i.In-IGnd Description j. Date (mm/ddlyyyy) It. Amount ❑ D2026 Electric Funds Tran 09/19/2026 $ 100.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ,❑ Remove o. Full Name,.Mailing Address &Phone TY (include city, state, &_zip) uW1014 cooN b. Job Title/Profession it. Comments, CPA FRANKLIN DEESE CAMPAIG 6605 E MARSHVILLE BLVD I R Ig MARSHVILLE, NC 28103-1199 �CT (704) 242-8299 RECENEp c. 15uployer's Name/Specific Field A PLUS TAX SERVICE e. Election Sum to Date $ 100.00 E Prior, g. Account Code h. Form of Payment i. In-IGnd Description - j. Date (mmlddlyyyy) k. Amount _ ❑ D2026 Check 09/01/2026 $ 100.00 ❑ $ ❑ $ 4. Total only this Page $ 400.00 5. Total of ALL CRO -1210 Pages (77ds line must be on Gne 6 ojDelailed Summary Page CR0.1100) $ 14,730.00 CRO -1210 NC State Board of Elections April 2007 Amendment Contributions from Individuals Pg 4 of 13 ❑ Yes ®xa 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. ID Number COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Contributor Information ❑ Add !❑ Remove a. Full Name, Mailing. Address & Phone (include city, state, & zip), b. Job Title/Profession d. Comments NOT EMPLOYED PAMELA DEMARIA 1108 HUNTERS TRAIL DR INDIAN TRAIL, NC 28079 c. Employer's Name/Specific Field NOT EMPLOYED e: Election Sum to Date $ 50.00 f. Prior g. Account Code h. Form of Payment i. In -land Description j. Date (mm/dd/yyyy) k. Amount ❑ D2026 Electric Funds Tran 08/13/2026 $ 50.00 ❑ $ ❑ $ 3. Contributor information ❑ Add I0 Remove a. Full Name, Illailing Address & Phone - (include city, state, &zip) NTY b. Job Tile/Profession - _ d. Comments NOT EMPLOYED KATHLEEN M DOMANSKI MPAIGN V NA 3714 BANYAN WAY CA WAXHAW, NC 28173 OCT Z R 2p26 (704) 6184116 RECE1v�D c. Employees Name/Specific Feld' NOT EMPLOYED e. flection Sum .toDate $ 80.00 f. Prior g. Account Code h. Form of Payment i. In-IGnd Description j. Date (mm/dd/yyyy) k. Amount ❑ D2026 Electric Funds Tran 07/01/2026 $ 20.00 ❑ D2026 Electric Funds Tran 08/01/2026 $ 20.00 ❑ D2026 Electric Funds Tran 09/01/2026 $ 20.00 3. Contributor Information ❑ Add ;❑ Remove a. Full Name,Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession _ it. Comments NOT EMPLOYED KATHLEEN M DOMANSKI 3714 BANYAN WAY WAXHAW, NC 28173 (704) 6184116 c. Fmployer's Name/Specific: Feld NOT EMPLOYED e. Election Som to Date — $ 80.00 f. Prior g.. Account Code h. Form of Payment i. In-IGnd Description j. Date (mm/dd/yyyy)- k. Amount ❑ D2026 Electric Funds Tran 10/01/2026 $ 20.00 ❑ $ ❑ $ 4. Total only this Page Is 130.00 5. Total of ALL CRO -1210 Pages (This line must beon line.6 of Detailed Summary Page CRO -7100) $ 14,730.00 CRO -1210 NC State Board of Elections April 2007 Amendment Contributions from Individuals Pg 5 of 13 ❑ Yes IN No I tea this rnrm tn rennrt individnal enntnhutinns over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee Full Name and Fund if applicable) - - 2. ID Number COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Contributor Information ❑ Add '❑ Remove a. Full Name, Mailing Address & Phone (include city, state, &zip) b. Job Title/Pmfession it. Comments NOT EMPLOYED WILL DUKE 2675 OLD CHARLOTTE HWY MONROE, NC 28110 c. Employer's Name/Specific Feld NOT EMPLOYED e. Rection Sum'torDate $ 200.00 L Prior Ig. Account Code h. Form of Payment i.In-IGnd-Description - j. Date (mm/ddfyyyy) k. Amount ❑ D2026 Electric Funds Tran 10/15/2026 $ 200.00 ❑ $ ❑ $ 3. Contributor Information ,❑ Add 10. Remove -. a.. Full Name, Mailing Address & Phone (include city, state, & zip). _ b. JobTitle/Profession' ' it. Comments - NOT EMPLOYED EVANN R DUNCAN UNION CD INANCE 209 RIDGEWOOD DR CAMPAIGN MONROE, NC 28112226 (980) ext.8712 QCT 2 RECEIVED c. Fmployer's Name/Specific Feld NOT EMPLOYED e. Election Sum to Date $ 100.00 f. Prior. g. Account Code h. Form of Payment i..ln-IGmd Description.. j. Date (mm/ddlyyyy) _ k. Amount 13 D2026 Check 07/10/2026 $ 100.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name,Mailing Address & Phone .(include city, state, & zip)- " b. Job Ttle/Profession d.Comments - NOT EMPLOYED FRANCES KAY EDWARDS 302 CRESTVIEW TRAIL MONROE, NC 28112 (704) 681-0424 c.Fmployer's Name/Specific Field NOT EMPLOYED e. Election Sum to Date $ 20.00 f. Prior g. Account Code h. Form of Payment is In -Rind Description - j. Date (mmlddfyyyy) k. Amount 13 D2026 Cash 08/18/2026 $ 20.00 ❑ _ $ ❑ $ 4. Total only this Page $ 320.00 5. Total of ALL CRO -1210 Pages (This &e must be on fine 6 ojDelaifed Summary Page CRO -1100) $ 14,730.00 CRO -1210 NC State Boma of Elections Apia Amendment Contributions from Individuals Pg 6 of 13 ❑ 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. ID Number COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Contributor Information ❑ Add '.❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments NOT EMPLOYED RACHELLEEVANS 420 NORTON CROSSING WOODSTOCK,GA 30188 c. Employees Name/Specific Feld NOTEMPLOYED e. Election Sum to Date $ 50.00 f. Prior g. Account Code h: Form of Payment i. In -Kind Description j. Date (mm/ddlyyyy) k. Amount ❑ D2026 Electric Funds Tran 07/30/2026 $ 50.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ,❑ Remove a. Full Name, Mailing Address & Phone UNTO (include city, state, &zip) CO b. Job-Title/Profession d. Comments NURSE PRACTITIONER GRACE GALLOWAY CAMp1\104 217 PALASIDE DR NE6 CONCORD, NC 28025 Qzj 2 g 20� (980) 322-5447 FtECEw ED c. Employer's Name/Specific Feld SELF e. Election Sum to Date $ 200.00 f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ D2026 Electric Funds Tran 07/19/2026 $ 100.00 ❑ D2026 Electric Funds Tran 07/26/2026 $ 100.00 ❑ $ 3. Contributor Information ❑ Add '❑ Remove a. Full Name, Mailing Address & Phone ` (include city, state, & zip) b. Job Title/Profession _ d. Comments SALES DIXON HALL 1903 WAVERLY DRIVE MONROE, NC 28112 (704) 254-6437 c. Fnpioyer's Name/Specific Feld' INSURANCE e. Election Sum to Date $ 100.00 f. Prior g. Account Code h. Form of Payment i. In-IGnd Description j. Date (mmldd/yyyy) k. Amount ❑ D2026 Check 07/10/2026 $ 100.00 ❑ $ ❑ $ 4. Total only this Page $ 350.00 5. Total of ALL CRO -1210 Pages (This line must bean line 6 ofDetailed Summary Page CRO -1100) $ 14'730.00 CR04210 NC State Board of Elections April 2007 Amendment Contributions from Individuals Pg 7 of 13 ❑ Yes ® No Use this form to report individual contributions over $50 orcontributions under$50 if form CRO 1205 is not used 1. Committee Full Name and Fund if applicable) 2. ID Number COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, &zip) h: Job Title/Profession d. Comments NOT EMPLOYED MICHAEL HALL 1200 MEMORY LANE MONROE, NC 28112 c Finployer's Name/Specific Feld NOT EMPLOYED c. Flection Sum to Date $ 248.00 L Prior g. Account Cod_ e. k. Form of Payment • i. In-IGnd Description j. Date (mm/ddlyyyy) k. Amount ❑ D2026 Electric Funds Tran 07/10/2026 $ 5.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone - (include city, state, &zip) UNION COUNTY b. Job litle/Profession it. Comments NOT EMPLOYED ROB HAMBY CAMPAIGN FINANCE 1207 KESWICK PL MONROE, NC 28112-5854 OCT 2 R 2026 RECEIVED e. Umployer's Name/Specific'Field NOTEMPLOYED e. Election Sum to Date $ 300.00 E Prior g. Account Code h. Form of Payment i. In-IGod Description j. Date (mm/dd/yyyy) k. Amount ❑ D2026 Electric Funds Tran 10/13/2026 $ 300.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ,❑ Remove a. FLIT Name, Mailing Address & Phone (include city, state, & zip) b. JobTille/Profession d. Comments NOT EMPLOYED JOYCE HAMMOND 901 SANLEE RD MONROE, NC 28110 (704) 2894834 c. Employer's Name/Specific Field NOT EMPLOYED e. Election Sum to Date $ 60.00 L Prior g. Account Code h. Form of Payment i. In-IGnd Description j. Date (mm/dd/yyyy) k. Amount 0 D2026 Cash 10/16/2026 $ 60.00 ❑ $ ❑ $ 4. Total only this Page $ 365.00 5. Total of ALL CRO -1210 Pages $ 14,730.00 (This fine must bean Rne 6 ofDetaifed Summary Page CRO -1100) CRO4210 NC State Board of Elections Aprd 2007 Amendment Contributions from Individuals Pg s of 13 ❑ Yes ®xa 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) —72-13D Number COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Contributor Information ❑ Add 10 Remove a. ILII Name, Mailing Address& Phone (include city, state, &zip) b. Job Title/Profession d. Comments NOT EMPLOYED SHARON ISLEY 158 VALLEYCRUISE CIRCLE GARNER, NC 27529 c. Employer's Name/Specific Feld NOT EMPLOYED ci Election Sum to Date $ 100.00 f. Prior g. Account Code - h. Form of Payment - i.In-Kind Description j. Date (mm/dd/yyyy) - k. Amount ❑ D2026 Electric Funds Tran 10/05/2026 $ 100.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add I❑ Remove. a. Full Name, Mailing Address & P�v4 - (include city, state, & zi�NlO NANCE b. Job Title/Professio_n d. Comments ' REALTY OWNER JAMES KERR q qc 318 N.HAYNE ST T 2 R GOLD MONROE, NC 28110 (704) 2424110 RECEIVED c. Employer's Name/SpecifcFeld KERR REALTY e. Election Sum to Date $ 250.00 Prior g. Account Code It. Form of Payment - I. In-IGnd Description - j. Date (mm/dd/yyyy) k. Amount ❑ D2026 Check 09/15/2026 $ 250.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add '❑ Remove a. Full Name,. Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments - NOT EMPLOYED PATRICIA KINDLEY 9108 UNIONVILLE-BRIEF RD MONROE, NC 28110 (704) 7534782 c. Employer's Name/Specific Feld NOT EMPLOYED e. Election Sum to Date $ 50.00 L Prior g. Account Code h: Form of Payment_ i.In-IGnd Description, j. Date,(mm/dd/yyyy). k. Amount ' ❑ D2026 Electric Funds Tran 09/30/2026 $ 50.00 ❑ $ 4. Total only this Page $ 400.00 5. Total of ALL CRO -1210 Pages (This line must be on line.6 gfDewffed Summary Page CRO -7100) $ 14,730.00 CRO -1110 NC State Board of Elections April 2007 Amendment Contributions from Individuals Pg 9 or 13 ❑ yes IN 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. ID Number COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Contributor Information ❑ Add ,❑ Remove a. Full Name, Mailing Address & Phone (include city,.statc, & zip) b. JobTitle/Profession d. Comments NOT EMPLOYED JOYCE KOON 5511 HOLLY HILLS DR WAXHAW, NC 28173 c. Fmployer's Name/Specific Feld NOT EMPLOYED e. Election Sum to Date $ 25.00 G Prior g. Account Code. h. Form of Payment i. Ip-10nd.Description I. Date (mm/dd/yyyy) k. Amount ❑ D2026 Electric Funds Tran 10/10/2026 $ 25.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add T] Remove a. Full Name, Mailing Address&Phone (include city, state, & zip) b. Job Title/Pmfession - it. Comments CUSTOMER SERVICE MADELEINE LEDBETTER 3804 ENCLAVE AVE SHARONVILLE, OR 45241 c. Employer's Name/Specific Feld TRIHEALTH, CINNCINNATTI OR 45206 e. Election Sum to Date $ 5.00 f. Prior g. Account Code h. Farm of Payment i. /n-IGndDescription I. Date (mmldd/yyyy) k. Amount ❑ D2026 Electric Funds Tran 08/14/2026 $ 5.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add I❑ Remove a. Full Name, Mailing Address & Pho (include city, state, &zip) UNION COUNTYATTORNEY TESHA MCBETH 3419 RICHARDS XING OCT 2 R .2026 FORT MILL, SC 29708 RECEIVED b. JobTitle/Profession d. Comments c. Employer's Name/Specific Feld TESHA MCBETH e. Election Sum to Date $ 100.00 E Prior g. Account Code h. Form of Payment i. In-IGnd Description j. Date (mmfddlyyyy) k. Amount ❑ D2026 Electric Funds Tran 09/06/2026 $ 100.00 ❑ $ ❑ $ 4. Total only this Page $ 130.00 5. Total of ALL CRO -1210 Pages (This line must be on line 6 oJDerailed Summary Page CRO -1100) $ 14,730.00 CRO -1210 NC State Board of Elections April 2007 Amendment Contributions from Individuals Pg 10 of 13 ❑ Yes ® No Use this formic, report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee FLIT Name and %nd if applicable) - 2. ID Number COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Contributor Information ❑ Add ;❑ Remove a. Full Name, Mailing AddFess &,Phone (include city, state, & zip) b. Job Title/Profession - d. Comments NOT EMPLOYED BARBARA MCLAUD 222 WOOD LAKE DRIVE MONROE, NC 28110 c. Employer's Name/Specific Field NOT EMPLOYED c. Flection Sum to Date $ 250.00 f. Prior g. Account Code h. Form of Payment .. i. In-IGnd Description j. Date (mm/dd/yyyy) k. Amount ❑ D2026 Electric Funds Tran 09/12/2026 $ 250.00 ❑ $ 3.Contributor rInformation '❑ Add I❑ Remove a. FLIT Name, Mailing Address & Phone_ - (include city, state, &zip) b. Job Title/Profession d. Comments NOT EMPLOYED BARBARA MCLAUDCAMPAIGN FINANCE 222 WOOD LAKE DR MONROE, NC 28110 ocl 2 8 2026 RECEIVED c. Employer's Name/Specific Feld NOT EMPLOYED e. Election Sum to Date $ 250.00 f. Prior g. Account Code h. FormofPayment i.ln-1S'ind Description- j. Date (mm/ddlyyyy) k. Amount ❑ D2026 Electric Funds Tran 09/12/2026 $ 250.00 ❑ $ ❑ $ 3. Contributor Information ;❑ Add ,❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Tine/Profession d. Comments NOT EMPLOYED THOMAS PASS 1026 BROOK VALLEY RUN MONROE, NC 28110 c. Employer's Name/Specific Feld - NOT EMPLOYED e. Election Sum to Date $ 100.00 f.'Prior g. Account Code h. Form -of Payment i.In-l6nd Description j. Date (m mlddlyyyy), -. k. Amount ❑ D2026 Electric Funds Tran 10/15/2026 $ 100.00 ❑ $ 4. Total only this Page $ 600.00 5. Total of ALL CRO -1210 Pages (This Mae must be online 6 ojDetailed Summary Page CRO -1100) $ 14,730.00 CRO -1210 NC State Board of Elections April 2007 Amendment Contributions from Individuals Pg 11 of 13 ❑ Yes ® No Use this fort to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee Full Name and Fund if a icable 2. to Number COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Contributor Information ❑ Add '❑ Remove _ a. Full Name, Mailing Address :& Phone (include city, state, & zip) b. Job Title/Profession d. Comments NOT EMPLOYED CYNTHIA QUINTO 2801 HUNTSMAN LANE MONROE, NC 28110 ' c. Employees Name/Specific Feld NOT EMPLOYED e. Election Sum to Date $ 50.00 f. Prior g. Account Code h..Form of Payment i.In-IGnd-Description j. Date (mm/dd/yyyy) k. Amount ❑ D2026 Electric Funds Tran 10/15/2026 $ 50.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ',❑ Remove a. Full Name, Mailing Address & Phone ;(include city, state, & iip) -ATTORNEY b. Job Title/Profession d. Comments CRISTAL ROBINSON 3700 FOX TRAIL WEDDINGTON, NC 28104 c. Eknployces:Name/Specific Feld, ROBINSON LAW e. Election Sum to Date $ 100.00 C.Prior g. Account Code_ h. Form of Payment I. In-IGnd Description j. Date (mmlddlyyyy) k. Amount ❑ D2026 Electric Funds Tran 08/06/2026 $ 50.00 ❑ D2026 Electric Funds Tran 08/22/2026 $ 50.00 3. Contributor Information ❑ Add j❑ Remove a. Full Name, Mailing Address & Phone (include city, state,&zip) UNION COUNTY b. Job Title/Profession d. Comments NOT EMPLOYED CYNTHIA SINGLETON 2902 HARRINGTON PLACE OCT 2 8 2026 WAXHAW, NC 28173 RECEIVED c. Employer's Name/Specific Field' NOT EMPLOYED e. Election Sum to Date $ 50.00 G Prior g. Account Code h. Form of Payment i. In-IGnd Description j. Date (mm/dd/yyyy) k: Amount ❑ D2026 Electric Funds Tran 10/11/2026 $ 50.00 ❑ $ ❑ $ 4. Total only this Page Is 200.00 5. Total of ALL CRO -1210 Pages (This line must be on line6:ojDetafled Summary Page CRO -1100) $ 14,730.00 CRO -1210 NC State Board of Elections Apra 21117 Amendment Contributions from Individuals Pg 12 or 13 ❑ Yes ® No Use this formto 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. m Number COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Contributor Information ❑ Add j❑ Remove a. Full Name, Mailing. Address & Phone ,. (include city, state, & zip) b. Job Title/Profession d. Comments , NOT EMPLOYED HEIDI SINSLEY 1019 FLEMING LANE MATTHEWS, NC 28104 (920) 5304042 c. Employer's Name/Specific Field NOT EMPLOYED e. Election Sum to.Date $ 15.00 E Prior g. Account Code. h. Farm of Payment i, fu-IGnd Description I. Date (mm/dd/yyyy) k. Amount ❑ D2026 Electric Funds Tran 07/26/2026 $ 5.00 ❑ D2026 Electric Funds Tran 08/26/2026 $ 5.00 ❑ D2026 Electric Funds Tran 09/26/2026 $ 5.00 3. Contributor Information '❑ Add ;❑ Remove a.. Full Name, Mailing Address &Phone .(Includecity, state, & zip) b. Job Trtle/Profession d. Comments NOT EMPLOYED KATHRYN SMITH 1711 WOODEND TRAIL INDIAN TRAIL, NC 28079 c. Employer's Name/Specific Feld NOT EMPLOYED e. Election Sum to Date $ 45.00 E Prior g. Account Code h. Form of Payment i. In -Mad Description j. Date (mm/dd/yyyy) k. Amount. ❑ D2026 Electric Funds Tran - 08/06/2026 $ 25.00 ❑ D2026 Electric Funds Tran 09/09/2026 $ 10.00 ❑ D2026 Electric Funds Tran 10/09/2026 $ 10.00 3. Contributor Information ❑ Add '❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) N COUNTY b. Job Trtle/Profession it. Comments NOT EMPLOYED CORNELIA A THIBODEAU7CCgIv FNO F 1009 OAK HILL DRIVE R 2026 MONROE, NC 28112 QCT 2 (704) 291-2578RECEIVED c. Employer's Name/Specific Field NOT EMPLOYED e. Election Sum to Date $ 50.00 f. Prior g. Account Code h. Form of Payment i. In-IGnd Description j. Date (mm/dd/yyyy) - k. Amount ❑ D2026 Check 08/10/2026 $ 50.00 ❑ $ ❑ $ 4. Total only this Page $ 110.00 S. Total of ALL CRO -1210 Pages (This line must bean Hue 6 of Detailed Summary Page CRD -1100) $ 14,730.00 CRO -1210 NC State Bond of Elections April 2007 Amendment Contributions from Individuals Pg 13 of 13 ❑ Yes ® No Use this fomto report individual contributions over $50 or contributions under$50 ifformCRO 1205 is not used 1. Committee Full Name and Fund ifapplicable) 2. ID Number COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, &zip) b. Job Title/Profession it. Comments DEVELOPMENT GRIFFIN WALTERS 2110 ARDEN DR MONROE, NC 28112 a Fmployer's Name/Specific Feld SELF c. Election Sum to Date $ 100.00 L Prior g. Account Code h. Form of Payment i. In-IGnd Description j. Date (mmlddlyyyy) k. Amount ❑ D2026 Electric Funds Tran 10/15/2026 $ 100.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ;❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession - it. Comments REAL ESTATE WILL WALTERS 2313 TANFIELD DR MATTHEWS, NC 28105 c.-Fmployces Name/Specific Feld SELF e. Section Sum to Date $ 200.00 f. Prior g. Account Code h. Form of Payment i. In-IGnd Description j. Date (mm/dd/yyyy) k. Amount ❑ D2026 Electric Funds Tran 10/15/2026 $ 200.00 ❑ $ 3. Contributor lnforma!'BR,irw cOUNTY ❑ Add ❑ Remove a. Full Name, Mailingt"pAffl"NANCE (include city, state, zip) b. Job Title/Profession d. Comments CONSULTANT MONICA YORK OCT Z R Mb 1100 LUCILLE AVE MONROE,NC 28112 RECEIVED c. Employer's Name/Specific Feld SELF e. flection Sum to Date $ 100.00 f. Prior g. Account Code h. Form of Payment i. In-IGnd Description I. Date (mm/dd/yyyy) k. Amount 13 D2026 Check 10/16/2026 $ 100.00 ❑ $ ❑ $ 4. Total only this Page $ 400.00 F5. Total of ALL CRO -1210 Pages (This line must be on fne 6 ojDetaifed Smnmary Page CRO -7100) $ 14,730.00 CRO -1210 NC State Board of Elections April 2007 Amendment Contributions from Political Party Committees Pg of 1 ❑ Yes ® No Use this form to report contributions from a political party 1. Committee Fall Name and Fund ifapplicable) —ID Number COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Contributor Information ,❑ Add ❑ Remove _ a. Full Name, Mailing Address& Phone (include city, state, & zip) - b. Comments DEMOCRATIC WOMEN OF UNION COUNTY PO BOX 2413 INDIAN TRAIL, NC 28079 (704) 6184116 e. Flection Sum to Date $ 250.00 d. Account Code e. Form of Payment E In-IGnd Description g. Date (mm/dd/yyyy) h. Amount D2026 Check 09/09/2026 $ 250.00 4. Total only this Page $ 250.00 5. Total of ALL CRO -1220 Pages (This line mast be online 7 ofDelailed Summmy Page CRO -1100) $ 250.00 CRO -1220 OVN'N ctloAQ vWANCE a�D�NED NC Sate Board of Elections Apri12007 Amendment Contributions from Other Political Committees Pg I of 1 I0 Yes IN Na Use this form to report contributions from other candidate, referendum or PAC committees 1. Committee Fbil Name and Fund ifapplicable) 2.IDNumber COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Contributor Information ;❑ Add _ I❑ Remove a.: Full Name, Mailing Address .&Phone (include city, state, & zip). _ - ." b. Type of Committee _._ '". d. Comments Candidate ❑ Referendm PAC SWEET UNION PAC PO BOX 528 MONROE, NC 28111 c. Level Registered (Specify)- Federal County: ❑ State ❑ Municipality: 'e. Flection Sum to Date Union $ 5,500.00 f.Acaount Code- g. Form of Payment -" b. In -Kind Description - i. Date (mm/dd/yyyy) ; I. Amount D2026 Check 07/19/2026 $ 2,000.00 D2026 Check 08/10/2026 $ 2,000.00 D2026 Check 10/11/2026 $ 1,500.00 4. Total only this Page $ $5,500.00 5. Total of ALL CRO -1230 Pages (This fine must be on line 8 oJDetailed Summary Page CRO -1700) $ $5,500.00 CRO -1230 UNION COUN?Y CAMPAIGN FINANCE OCT 7 R 2026 RECENED NC State Board of Elections April 2007 Amendment Disbursements Pg I of 1 ❑ Yes ® No Use this fomtto 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. ID Number _ COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Type of Disbursement (Please use separate CRO -1310 forms for each type p(DisbursententJ Operating Expenses Contributions to CandidatestPolitical Committees 0 Coordinated Party Expenditures 4. Payee Information ❑ Add ,❑ Remove a, Full Name, Mailing. Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments JOHN J KIRKPATRICK IV FOR NC HOUSE 55 1400 VIRGINIA AVE MONROE, NC 28112 (910)334-6863 c. Level, Registered (Specify) Federal 13 Comfy: ® State ❑ Municipality: c. Election Sum to Date $ 500.00 f. Account Code g. Form of Payment 1h. Purpose. Code It. Date (mm/dd/yyyy)j.Amount 1k. Required Remarks, D2026 Check I D 1 09/16/2026 $ 500.00 4. Payee Information ❑ Add ',❑ Remove a.FuUNatre,MaiGngAddress &Phone (include city, state,&zip) b. Coordinated Committee Name d.Comments - KENSLEY MCCOY FOR MONROE CITY COUNCIL 2109 WILSON AVE MONROE, NC 28110 (704) 291-0183 c. LevelRegistered (Specify) " El Federal U County: ❑ State ® Municipality: e. Election Sum to Date $ 1,500.00 E Account Code 1g. Form of Payment 1h.Purpose Code ji.Date (mm/dd/yyyy) j. Amount _ k. Required Remarks - D2026 Check D 09/16/2026 $ 1,500.00 Is 5. Total only this Page $ 2,000.00 6. Total of ALL CRO -1310 Pages $ 2,000.00 (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Fapenses) (This line goes in line 131, of Detailed Summary Page CRO -1100 iiContrib to Candidate.VPofideal Comm) (This fine 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 FgpenseFund O* Other * Codes require detailed eanation in required remarks field(k) UNION-COUNTY— CRO-1310 NC Syme Bo dof Elections UNION COUNT CAMPAIGN FINANCE OCT ? R 2026 RECEIVED ,..r.m rni viv rpvruv�a December2UUY OCT 2 8 2026 RECEIVED Amendment Disbursements Pg I of 11 ❑ Yes ® No Use this formto report expenditures ftomthe committee for operating expenses, contributions to candidate/political cormnittees and coordinated party expenditures 1. Committee Full Name and Fund if applicable) 2. ID Number COMMITTEE TO ELECT SURLUTA B ANTHONY d. Comments 3. Type of Disbursement (Please use separale CRO -1310 !bract for each tune o(Disbarsentent.) IM Operating Expenses El Contributionsto Candidates/Political Committees U Coordinated Party Expenditures 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include. city, state,&zip) b. Coordinated Cam mittec Name d.Comments A* - Meda B* - Printing C* - Fundraising D -To Another Candidate $ 55.62 7 ELEVEN 158 N ML KING BLVD MONROE, NC 28110 (980) 425-5563 a Level Registered (Specify) Federal U County: ❑ State ❑ Municipality: e. Election Sum to Date 1j. Amount $ 20.00 f. Account Code Ig. Form of Payment 1h. Purpose Code ji. Date (mm/ddtyyyy) ji. Amount 1k. Required Remarks D2026 Debit Card 0 08/31/2026 $ 20.00 1 GAS FOR SIGN 4. Payee Information ❑ Add i❑ Remove a. Ful[Narne, Mailing Address& Phone (include city, state, & zip) b. Coordinated Committee Name d.Commeats ACT BLUE 366 SUMMER STREET SOMERVILLE, MA 02144 (617) 517-7600 c. Level Registered (Specify) 0Federal U County: ❑ State ❑ Municipality: e. Election Sum to Date $ 55.62 f. Account Code g.Formof Payment h.P_urpose Codc i. Date (mmldd/yyyy)j. Amount k. Required Remarks D2026 Electric Funds Tran C 07/31/2026 $ 7.02 COLLECTING D2026 Electric Funds Tran C 08/31/2026 $ 7.52 MWYft LV1NA11ViNb 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zi) UNION COUNTY b. Coordinated Committee Name d. Comments (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Detailed Summary Page CRO -1100 ifCantrib to Candidates/Political Comm) ACT BLUE C 366 SUMMER STREET SOMERVILLE, MA 02144 OCT 2 B 202E (617) 517-7600 RECEIVED c. Level Registered (Specify) Federal County: ❑ State ❑ Municipality: e. Flection Sum to Date A* - Meda B* - Printing C* - Fundraising D -To Another Candidate $ 55.62 E Account Code g. Form of Payment h. Purpose Code i. Date(mmtddtyyyy) 1j. Amount 1k. Required Remarks D2026 Electric Funds Tran C 09/30/2026 $ 20.17 COLLECTING D2026 Electric Funds Tran I C 10/17/2026 1 $ 20.91 MVNRI S. Total only this Page $ 75.62 6. Total of ALL CRO -1310 Pages $ 14,211.62 (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Detailed Summary Page CRO -1100 ifCantrib to Candidates/Political Comm) (This line goes in line 13c of Detailed Summary Page CRO -1100 if Caordinated Party Frpendimm) 7. Purpose Codes (List detailed expenditure code in (h.) above) A* - Meda 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 Amendment Disbursements Pg 2 of 11 ❑ Yes ® No Use this formto report expenditures from the committee foropemting expenses, contributions to candidate/political committees and coordinated patty expenditures 1. Committee FLIT Name and Fund if applicable) 2. ID Number COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Type of Disbursement (Please use separate CRO -1310 forms for each tune ofDisbursement.) JM Operating Expenses Contnbutionsto Candidates/Political Committees U Coordinated Party Expenditures 4. Payee Information ❑ Add ❑ Remove a. Full Name; Mailing Address &Phone (include city, state, & zip) b. Coordinated Committee Name d.Comments ADAMS OUTDOOR 2299 SCOTT FUTRELL DRIVE CHARLOTTE, NC 28208 (704) 373-1700 c. Level Registered (Specify) Federal County: ❑ State ❑ Municipality: e. Election Sum to Date $ 2,190.00 f. Account Code. g. Form of Payment h. Purpose Code i. Date(mm/dd/yyyy) j.Amount k. Required Remarks D2026 Debit Card A 09/07/2026 IS 2,190.00 BILLBOARD Is I 4. Payee Information ❑ Add ,❑ Remove a. Full Name, Mailing Address&Phone (include city, state,&zip) b. Coordinated Committee Name; d.Comments AMAZON 440 TERRY AVENUE N SEATTLE, WA 98109 (206) 266-1000 c. revel Registered (Specify) 0Federal El County: ❑ State ❑ Municipality: e. Election Sum to Date $ 2,426.53 f.Account Cade g.Form of Payment h.Purpose Code i.Date(mm/dd/yyyy) j.Amount k.Required Remarks D2026 Debit Card 0 08/07/2026 $ 41.59 BUTTON CASES D2026 Debit Card B 08/22/2026 $ 112.00 BUTTONS 4. Payee Information ❑ Add •❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) - b. Coordinated Committee Name d.Comments AMAZON UNION COUNT 440 TERRY AVENUE N CAMPAIGN FINANCE SEATTLE, WA 98109C (206) 266-1000 OCT 2 8 2026 RECEIVED c. Level Registered (Specify) Federal County: ❑ State ❑ Municipality: e. Election Sum to Date $ 2,426.53 L Account Code g. Form of Payment h. Purpose Code - i. Date (mm/dd/yyyy) j. Amount k. Required Remarks D2026 Debit Card B 08/26/2026 $ 382.80 HATS T-SHIRTS D2026 Debit Card O 08/27/2026 $ 1,162.57 HATS, T SHIRTS 5. Total only this Page % $ 3,888.96 6. Total of ALL CRO -1310 Pages $ 14,211.62 (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Erpemes) (This line goes in line 13b of Detailed Summary Page CRO -1100 iiContrib to Candidates/Political Comm) (This line goes in line 13c ojDetailed 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 required remarks field (k) Amendment Disbursements Pg 3 of 11 ❑ Yes ® No Use this fonnto report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated party expenditures L Committee Full Name and Fund if applicable) 2. ID Number COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Type of Disbursement (Please use separate CRO -1310 forms for each tvpe oirDisbursement.) Operating Expenses El Contributionsto Candidates/Political Committees U Coordinated Party Expenditures 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d.Comments AMAZON 440 TERRY AVENUE N SEATTLE, WA 98109 (206) 266-1000 c. Level Registered (Specify) Federal El County: ❑ State ❑ Municipality: e. Election Sum to Date $ 2,426.53 L Account Code g. Form of Payment h. Purpose Code i. Date(mm/ddlyyyy). j. Amount k. Required Remarks. D2026 Debit Card O 08/29/2026 $ 47.49 BANNER POSTS D2026 Debit Card O 08/29/2026 IS 456.22 BANNER HARDWARE 4. Payee Information ❑ Add !❑ Remove a. Full Name, Mailing Address&Phone (include city, state, & zip) b. Coordinated. Committee Name d.Commcnts AMAZON 440 TERRY AVENUE N SEATTLE, WA 98109 (206) 266-1000 c. Level Registered (Specify) Federal U County: ❑ State ❑ Municipality: e. Election Sum to Date $ 2,426.53 L Account Code g. Form of Payment 1h. Purpose Code i. Date(mm/dd/yyyy) Ij. Amount k. Required Remarks D2026 Debit Card O 1 09/02/2026 $ 223.86 1 HATS 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zi) I NIOV4 COUNTY b. Coordinated Committee Name d.Comments AVAS FLOWERS ,\MPAIGN Fit, 300 CORPORATE DR26 STE 2 QC,77 1 2 R 2 MAHWAH, NJ 07430RECENEp (877) 638-3303 c. Level Registered (Specify) Federal Ll County: 13State E3 Municipality: e. Election Sum_ to Date $ 157.41 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount 1k. Required Remarks D2026 Debit Card O 09/02/2026 IS 157.41 1 FLOWERS Is 1 5. Total only this Page $ 884.98 6. Total of ALL CRO -1310 Pages $ 14,211.62 (This One goes in line 13a ofDetafled Summary Page CRO -1100 if Operating Expenses) (This line goes in line 136 ofDelailed Summary Page CRO -1100 if Contrib to CandidaresTo0lical Comm) (This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordina led 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 required remarks field(k) Amendment Disbursements Pg 4 of 11 ❑ Yes ® No Use this formto report expenditures from the committee for operating expenses, contnbutions to candidate/political cotrunittees and coordinated patty expenditures 1. Committee Fall Name and Fund if applicable) 2. ID Number _ COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Type of Disbursement (Please use separate CRO4310forms for each tvneofDisburcement.) _ Operating Expenses Contributions to Candidates/Political Committees Coordinated Party Expenditures 4. Payee Information ❑ Add, I❑ Remove a.Full Name, Mailing Address &.Phone (include city, state, & zi ). b. Coordinated Committee. Name d.Comments BUILD A SIGN 11525A STONEHOLLOW DR SUITE 120 AUSTIN, TX 78758 (800)330-9622 a Level Registered (Specify) Federal County: ❑ State ❑ Municipality: e. Election Sum to. Date $ 99.92 f. Account Code g. Form of Payment 1h. Purpose Code i. Date (mm/dd/yyyy) j. Amount 1k. Required Remarks D2026 Check A 07/10/2026 $ 99.92 MAGNETS $ 4. Payee Information ❑ Add j❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments CIRCLE K 546 ASHDALE CT CONCORD, NC 28027 (704) 788-6961 c. Level Registered (Specify) Federal U County: ❑ State ❑ Municipality: e. Election Sum to Date $ 20.00 f. Account Code g. Form of Payment 1h. Purpose:Codec. Date(mm/dd/yyyy) 1j. Amount k,Required Remarks D2026 Cash O 09/28/2026 $ 20.00 GASOLINE I Is 4. Payee Information ❑ Add j❑ Remove a. Full Name, Mailing Address &Phone (include city, state, &zi ) b. Coordinated Committee Name d. Comments COMMUNITY KITCHEN��ppMpAIGN FINANCE 811 NORTH CHARLOTTE AtlE MONROE, NC 28110OCT 2 R 2026 (240) 606-3319 RECEIVED c. Level Registered (Specify) Federal County: ❑ Sate ❑ Municipality: e. Election Sum to Date $ 500.00 f AeeountCode g. Form of Payment 1h.Purpose Code ji.Date (mm/ddtyyyy). j. Amount 1k.'Required Remarks D2026 Check 10 09/16/2026 $ 500.00 1 FOOD Is 5. Total only this Page $ 619.92 6. Total of ALL CRO -1310 Pages $ 14,211.62 (This line goes in Rne 13a ofDetafted Summary Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Detailed Summary Page CRO -1100 if Conuib to CandidatesiPolitical Comm) (This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Parry Expenditures) 7. Purpose Codes (List detailed expenditure code in (h.) above) A* -,Media B* -Printing C* -Fundraising--' D -To Another Candidate E - Salaries 'P - Equipment G -Political Party H* -Holding Public Office I'<kpenses I - Postage J - Penalties K* - Office Expenses Q* -Donation to Legal Expense Fund O* Other * Codes require detailed explanation in required remarks field (k) Amendment Disbursements Pg 5 of 11 ❑ Yes ® No Use this fotmto report expenditures fromthe conanittee for operating expenses, contributions to candidate/political conanittees and coordinated patty expenditures 1. Committee FLIT Name and Fund if applicable) 2. B) Number COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Type of Disbursement (Please use separate CRO -1310 forms for each tvpe ofDisbtnsententJ Operating Expenses 0 ContriMionsto Candidatcs?olilical Committees U Coordinated Party Expenditures 4. Payee information ❑ Add ❑ Remove a. FultName, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name . d. Comments DOMINOS PIZZA 814 N CHARLOTTE AVE MONROE, NC 28110 (704) 289-3500 a Level.Registered (Specify) 0Federal U County: ❑ State ❑ Municipality: e. Election Sum to. Date $ 44.76 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) 1j. Amount 1k. Required Remarks D2026 Cash O 10/03/2026 I $ 44.76 POST CARD PARTY is 4. Payee Information ❑ Add ;❑ Remove _ a. FuUName, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments DQ GRILL 400 W ROOSEVELT BLVD MONROE, NC 28110 (704) 7764424 c. Level Registered (Specify) Federal U County: ❑ State ❑ Municipality: e. Flection Sum to Date $ 16.52 L Account Code g. Form of Payment h. Purpose Code i. Date(mm/dd/yyyy) 1j. Amount k. Required Remarks D2026 Debit Card O 1 10/15/2026 $ 16.52 FOOD FOR POLL 4. Payee Information ❑ Add ;❑. Remove a.. Full Name, Mailing Address &PhMON 'COUNTY (include city, state,& zi DRIUPRINTING 8000 HASKELL AVE OCT 2 a 2026 VAN NUYS, CA 91406 (888) 8884211 RECEIVED b. Coordinated Committee Name d.Comments c. Level Registered (Specify) 0Federal County: ❑ Sate ❑ Municipality: e. Election Sum to Date $ 103.62 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) 1j. Amount Ik. Required Remarks D2026 Debit Card A 08/25/2026 1 $ 103.62 PRINTED MATERIAL Is 5. Total only this Page $ 164.90 6. Total of ALL CRO -1310 Pages $ 14,211.62 (This line goer in line 13a ofDelailed Summary Page CRO -1100 if Operating Expenses) (This line goes in line 136 ofDelailed Summary Page CRO -1100 ifContrib to Candidates/Poli ical 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 1I* -Holding Public Office. Expenses I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* Other * Codes require detailed explanation in required remarks field(k) Amendment Disbursements Pg 6 of 11 1 ❑ 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 ifapplicable) 2. ID Number COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Type of Disbursement (Please use separate CRO-1310form for each tvneofDishursement.) Operating Expenses 0 Contnbmionsto 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 KNIFE AND FORK RESTAURANT 1201 WEST ROOSEVELT BLVD MONROE, NC 28110 (704) 289-5139 c. Level Registered (Specify) Federal 0 County: ❑ Sate ❑ Municipality: e. Flection Sum to Date $ 23.53 L Account Code g. Form of Payment h.: Purpose Code i. Date(mm/dd/yyyy) Ii. Amount k. Required Remarks D2026 Debit Card O 09/28/2026 IS 23.53 1 CAMPAIGN MEETING 4. Payee Information ❑ Add I❑ Remove _ a. Full Name, Mailing. Address & Phone 'b. (include city, state,:&zi ) Coordinated Committee Name d.Comments MAKESTICKERS 18621 81ST AVE TINLEY PARK, IL 60487 (800) 347-2744 c. Level Registered (Specify) Federal County: ❑ Sate ❑ Municipality: e. Flection Sum to Date $ 112.18 L Account Code g.Formof Payment h.Purpose Code i. Date(mm/dd/yyyy)j. Amount Ik. Required Remarks D2026 Debit Card B 1 09/10/2026 $ 112.18 1 STICKERS 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d.Comments MOES ORIGINAL BBQCAMPAIGN FINANCE 1007 W ROOSEVELT BLVD MONROE,NC 28110 OCT 2 $ 2026 (704) 218-2993 RECEIVED c. Level Registered (Specify) Federal 11 County: 11 Sate ❑ Municipality: e. Election Sum to Date $ 38.43 f. Account Code g. Form of Payment h. PurposeCode i. Date(mm/dd/yyyy) j. Amount Ik. Required Remarks D2026 Debit Card O 09/22/2026 $ 38.43 GASOLINE Is 5. Total only this Page $ 174.14 6. Total ofALLCRO-1310 Pages $ 14,211.62 (This Rne goer in line 13a of Detailed Summary Page CRO -1100 ifOperating Expenses) (This line goes in line 131, ofDelailed Summary Page CRO -1100 if Canlrib to Candidates/Political Comm) (This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Erpendilures) 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 required remarks field (k) Amendment Disbursements Pg 7 of 11 ❑ Yes ®Na Use this form to report expenditures from the conanittee for operating expenses, contributions to candidate/political committees and coordinated party expenditures 1. Committee Full Name and Fund if applicable) 2. ID Number COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Type of Disbursement (Please use separate CRO -1310 forms for each lupe ofDisbursemeut.) Operating Expenses Contntanions 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 dComments OFFICE DEPOT/OFFICE MAX 1030 WEST ROOSEVELT BLVD MONROE, NC 28110-2816 (704) 226-9977 a Level Registered (Specify) 0 Federal 0 County: ❑ State ❑ Municipality: e. Election Sum to Date $ 3,596.78 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) I. Amount Is. Required Remarks D2026 I Cash O 1 07/11/2026 $ 14A0 I POCKET FILE D2026 Check B 07/14/2026 $ 420.81 1 PRINTED MATERIALS 4. Payee Information ❑ Add !❑ Remove a. Ful Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments OFFICE DEPOT/OFFICE MAX 1030 WEST ROOSEVELT BLVD MONROE, NC 28110-2816 (704) 226-9977 c. Level Registered (Specify) 0Federal U County: ❑ State ❑ Municipality: e. Election Sum to Date $ 3,596.78 L Account Code g.Formof Payment h.Purpose Code i. Date (mm/dd/yyyy) j. Amount 1k. Required Remarks D2026 Check B 07/26/2026 $ 76.86 FLIERS IN SPANISH D2026 Check K 08/17/2026 $ 80.29 OFFICE SUPPLIES 4. Payee Information ❑ Add ,❑ Remove a. Full Name, Mailing Address&Phone (include city, state, & zi ) b. Coordinated Comm ittee Name d. -Comments OFFICE DEPOT/OFFICE MAX UNION 1030 WEST ROOSEVELT BLRIbMPAIGN FINANCE MONROE, NC 28110-2816El (704) 226-9977 OCT 2 8 1026 RECEIVED c. Level Registered (Specify) Federal County: ❑ State ❑ Municipality: e. Election Sum to Date $ 3,596.78 f. Account Code g. Form of Payment 1h. Purpose Code It. Date (mm/dd/yyyy) 1j. Amount 1k. Required Remarks D2026 Check I B 08/19/2026 $ 80.20 PRINTED MATERIALS D2026 Check I B 1 08/27/2026 $ 505.12 BANNERS, FLIERS S. Total only this Page $ 1,177.68 6. Total of ALL CRO -1310 Pages $ 14,21 1.62 (This line goes in line Ma ofDetafled Summary Page CRO -1100 if Operating Erpenses) (This line goes in line 13b ofDefailed Summary Page CRO -1100 ifContrfb to CandidauavPofi ical Comm) (This line goes in line Me ofDetailed Summary Page CRO -1100 if Coordinated Parry Expenditures) 7. Purpose Codes (List detailed expendituru 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 Fxpense blind O* Other * Codes require detailed explanation in required remarks field(k) Amendment Disbursements Pg 8 of 11 ❑ Yes ® No Use this fomtto report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated party expenditures 1. Committee Full Name and Fund ifa icable 2. ID Number COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Type of Disbursement (Please use separate CRO -1310 forme for each tune ofDisbursemeut.) Operating Expenses 0 Contributions to Candidates/Political Committees El Coordinated Party Expenditures 4. Payee Information ❑ Add ;❑ Remove a.Full Name,Mailing.Address.&Phone (include city, state, &zi) b. Coordinated Committee Name d. Comments OFFICE DEPOT/OFFICE MAX 1030 WEST ROOSEVELT BLVD MONROE, NC 28110-2816 (704) 226-9977 c. Level Registered (Specify) , Federal 0 County: ❑ State ❑ Municipality e. Election Sum to: Date $ 3,596.78 L Account Code g. Form of Payment 1h. Purpose Code i. Date (m m/dd/yyyy) I. Am on n k. Required Remarks D2026 Debit Card B 09/16/2026 $ 1,409.10 COPIES, FLIERS D2026 Debit Card 1BF 1 09/22/2026 $ 845.46 FOLDERS, BROCHURES 4. Payee information ❑ Add ❑ Remove a. Full Name, Mailing, Address &Phone -' (include city, state, & zip) b. Coordinated Committee Name d. Comments OFFICE DEPOT/OFFICE MAX 1030 WEST ROOSEVELT BLVD MONROE, NC 28110-2816 (704) 226-9977 c. Level Registered (Specify) Federal 0 County: ❑ State ❑ Municipality: e. flection Sum to Date $ 3,596.78 f. Account Code 1g.Form of Payment h. Purpose Code. ji. Date(mm/dd/yyyy) j. Amount k. Required Remarks D2026 Debit Card B 09/25/2026 $ 164.54 BANNERS 4. Payee Information ❑ Add I❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) -rAl INV b. Coordinated Committee Name d. Comments SHELL OIL COMPANYU IGN FINANCE 600 WEST ROOSEVELT CAMPA MONROE, NC 28110 OC� R 226 (704) 282-8225 RECEIVED c. Level Registered (Specify) Federal Cowty: ❑ State ❑ Municipality: e. Election Sum to Date $ 34.15 f.Accouut Code, g. Form of Paymentb.Purpose Code It. Date (mm/dd/yyyy),j. Amount 1k. Required Remarks D2026 Debit Card O 1 10/15/2026 1 $ 34.15 SNACKS FOR POLLS Is 5. Total only this Page $ 2,453.25 6. Total of ALL CRO -1310 Pages $ 14,211.62 (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Fapenses) (This line goes in line 13b ofDetaded Summary Page CRO -1100 ifComrib to Candidatec/Pofi ical Comm) (This line goes in line 13c of Detailed Summary Page CRO -1100 ifCoordinated Parry F.rpendimrer) 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 requiredremarksfield(k)._ Amendment Disbursements Pg 9 of 11 ❑ Yes ®No Use this form to report expenditures fromthe corrmilttee for operating expenses, contributions to candidate/political coinnittees and coordinated party emenditures 1. Committee Full Name and Fund if a ica6le 2. ID Number COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Type of Dis bursement (Please use separate CRO -1310 forms for each true oirDisbursemeni ) IN Operating Expenses 0 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 SIGNS NOW 2522 OLD CHARLOTTE HWY MONROE, NC 28110 (704) 225-8200 a Level Registered (Specify) Federal U County: ❑ State ❑ Municipality: e. Election Sum to Date. $ 2,321.81 L Account Code Ig. Form of Payment h. Purpose Code Ii. Date(mm/dd/yyyy) TtAmount Ik. Required Remarks D2026 Check B 09/17/2026 $ 2,321.81 1 SIGNS, BANNERS 4. Payee Information ❑ Add '❑ Remove a. FaUName, Mailing Address & Phone (include city, state, &zi) b. Coordinated Committee Name d. Comments STAR HATS AND EMBROIDERY 9160 DEERING AVE CHATSWORTH,CA 91311 (818) 949-2097 c. Level Registered (Specify) Federal U County: ❑ State ❑ Mtmicipality: e. Election Sum to Date $ 84.51 LAccount Code g. Form of Payment Ih. Purpose Code ji.. Date (mm/dd/yyyy) Ii. Amount k. Required Remarks. D2026 Debit Card B 10/12/2026 1 $ 84.51 HATS 4. Payee Information ❑ Add �❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments VISTAPRINT CAMPAIGN FINANCE 95 HAYDEN AVE LEXINGTON, MA 02421 OCT 2 R 1026 (866) 2074955 RECEIVED c Level Registered (Specify) Ll Federal County: ❑ state ❑ Municipality: e. Election Sum to Date $ 274.75 f.Account Code g. Form of Payment h.Purpose Code LDate (mm/dd/yyyy) j.Amounf Ik.RequircdRemnarks D2026 Debit Card B 08/26/2026 $ 274.75 LABELS $ S. Total only this Page $ 2,681.07 6. Total of ALL CRO -1310 Pages $ 14,211.62 (This fine goes in line Iia ofDelnOed Summary Page CRO -1700 ifOperating Expenses) (Thu line goer in line 138 of Detailed Summary Page CRO -1100 ifContrib to Candidates/Po60cal Comm) (This line goes in line 13 ofDetailed Summary Page CR04I00 if Coordinated Party Expenditures) 7. Purpose Codes (List detailed expenditure code in (h.) above) A* - Media B* -Printing C* - Fnndraising D- To Another Candidate E- Salaries P<Fquipment G -Political Party H* - HoldingPublicOfficeExpenses I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* Other * Codes require detailed explanation in required remarks field (k) Amendment Disbursements Pg 10 of 11 ❑ Yes ® No Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated Dartv emenditures 1. Committee Full Name and Fund ifapplicable) 2. ID Number COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Type of Disbursement (Please use separate CRO -1310 fonns for each tune ofDivbursement.) Operating Expenses Contributions to CandidatestPolitical Committees U Coordinated Party Expenditures 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address&Phone - (include city, state, & zi ) b. Coordinated _Committee Name d.Comments _ WILLIE STATON, DJ 329 BROAD ST CONCORD, NC 28025 (704) 6154239 e. LevelRegistered(Specify) Federal U County: ❑ State ❑ Municipality: e. Election Sum to Date 1 $ 200.00 1— L Account Code g. Form of Payment h. Purpose Code i. Date (mmldd/yyyy) j. Amount. k. Required Remarks D2026 Check C 08/06/2026 I $ 200.00 DJ FOR EVENT Is 4. Payee Information ❑ Add ;❑ Remove _ a. Full Name,Mailing Address &Phone (include city, state, &.zip) b. Coordinated Committee Name d.Comments YARD SIGNS PLUS 2801 INFINITE LOOP RICHMOND, TX 77469 (877)958-1499 c.Level Registered (Specify) Federal El County: ❑ State ❑ Municipality: e. Election Sum to Date $ 1,861.08 LAccount Code g.Form of Payment h.Purpose Code_ i.Date(mmldd/yyyy) j.Amount k. Required Remarks D2026 Debit Card B 09/17/2026 1 $ 570.44 YARD SIGNS D2026 Check B 09/23/2026 IS 800.50 SIGNS 4. Payee Information ❑ Add j❑ Remove a..Full Name,Mailing Address &Phone (include cit , state, & zi) UNION Col jNlj:)4 b. Coordinated -Committee Name d.Comments _ YARD SIGNS PLUS AIGN FINANCE 2801 INFINITE LOOPc. RICHMOND, TX 77469 OCTC 2 R 2026 (877) 958-1499RECEIVEp Level Registered (Specify) Federal 13 County: [3State [IMunicipality: e. Election Sum to;Date $ 1,861.08 L; Account Code Ig. Form orPaymenhh.Purpose Code ji.Date(mmiddlyyyy) 1j. Amount 1k. Required Remarks D2026 Debit Card B 10/11/2026 IS 490.14 YARD SIGNS Is 5. Total only this Page $ 2,061.08 6. Total of ALL CRO -1310 Pages $ 14,211.62 (This line goes in line 13a of Detailed Summary Page CRO -7700 if Operating Expenses) (This Rne goes in line 131, ofDemiled Summary Page CRO -1100 iiConMb to Candidates roR6cal Comm) (This line goes in line 13c of Detailed Summary Page CRO -7100 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 Patty H* -Holding Public Office _Fxpenses I - Postage J - Penalties K* - Office Ekpenses Q* -Donation to Legal Eipense Fund O* Other * Codes require detailed explanation in required remarks field(k) Amendment Disbursements Pg 11 of 11 ❑ Yes ® No Use this fomtto report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated Dattv emenditures 1. Committee Full Name and Flrnd if applicable) 2. ID Number COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Type of Disbursement (Please use separate CRO -1310 forms for each tvpe of Disbursement ) Operating Expenses Contributions to Candidates/Political Committees Coordinated Party Expenditures 4. Payee Information ❑ Add '❑ Remove a.FUIIName, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments ZOOM EXPRESS 1114 SKYWAY DR MONROE, NC 28110 (704) 289-1736 e. Level Registered (Specify) U Federal Cotmty: ❑ State ❑ Municipality: e. Election Sum to Date $ 30.02 f. Accou nt Code g. Form of Payment 1h. PurposeCode i.Date.(mm/ddlyyyy)1.Amount 1k. Required Remarks D2026 Check O 09/27/2026 $ 30.02 GASOLINE 5. Total only this Page $ 30.02 6. Total of ALL CRO -1310 Pages $ 14,211.62 (ibis line goes in One 13a ofDetailed Summary Page CRO -1100 if0pemtingEzpenses) (This fine goes in fine 13b ofDetailed Summary Page CRO -1100 if Con rib to Candidates/PaliOeal Comm) (This line goes In fine 13c ofDetaifed Summary Page CRO -1100 if Coordinated Party Expenditures) 7. Ptu'Mse Codes (List detailed expenditure code in (h.) above) A* -Media B* - Printing C* - Fltndraising D- To Another Candidate E- Salaries F' -Equipment G - Political Party H* - HoldingPublicOffice.Expenses I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense blind O* Other * Codes require detailed explanation in required remarks field (k) NC State Board of COUNTY December 2009 CAMPAIGN FINANCE OCT 2 R 2026 RECEIVED Refunds/Reimbursements From the Committee Pg i of Use this fotmto report refunds/reimbursements- including enntnhntingc .r t...,.,..r t.. ft.., Amendment 1 ❑ Yes ® No ., ----- -- _ I. Committee ILII Name and Fand if applicable) 2. ID Number COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Payee Information ❑ Add ❑ Remove a. hail Name, Mailing Address & Phone (include. city, state, &zip) d. Type of Committee g. Comments U Candidate PAC ❑ Referendum ❑ Party MICHAEL HALL 1200 MEMORY LANE MONROE, NC 28112 e. Level Registered (Specify) h. Original Receipt Date U FederalCo mty: ❑ State ❑ Municipality: 09/30/2026 i. Original Receipt Amount $ 50.02 b.dob Mtle/Profession It..Pmployer's Name/Specific Field If.PurpuseCode . j. Bection Sum to Date NOT EMPLOYED NOT EMPLOYED L $ 248.00 k. Account Code 1. Form of Payment Im. Required Remarks n. Date (mmlddlyyyy) o. Amount D202e check 09/30/2026 $ 50.02 4. Total only this Page I s 50.02 5. Total of ALL CRO -1320 Pages (This fine must be on fine 13 of Detailed Summary Page CRO -7100) $ 50.02 6. Purpose Codes (List detailed disbursement code in (f) above) L- Returned to Contributor M - Overpayment for Service N - Exceeded Contibution taint P*-Reimbutsementofln-IGm O*Other *Codes require detailed explanation in required remarks Held m .Yl. sia. UNION COUNTY CAMPAIGN FINANCE OCT 2 R 2026 RECEIVED July 2007 Amendment In -Kind Contributions Pg 1 of 1 ❑ Yes ® No Use this fort to report non -monetary contributions, donations, grads or services provided to the committee or fund. Use CRO -1215 if hi -Kind Contributions were or will be refunded within 7 days. 1. Committee Fall Name and Fund ifapplicable) 2.IDNumber COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing. Address & Phone (include city, state, & zip) _IM b. Type of Contributor c. Comments _ Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source CARL BOGGS 1501 N CHARLOTTE AVE MONROE, NC 28110 d: Election Sum to Date $ 10,300.00 e. Description f. Date(mm/dd/yyyy) g. Fair Market Amount FACILITY RENTAL AT MONROE AIRPORT 10/15/2026 $ 3,500.00 4. Total only this Page $ 3,500.00 5. Total of ALL CRO -1510 Pages (Thisifrremust he on line 17 ofDeralled Summary Page CRO -1100) $ 3,500.00 (.804510 NU orate Board of Elections December 2007 UNION COUNTY CAMPAIGN FINANCE or,T 2 R 2026 RECEIVED Amendment Contributions to be Reimbursed Pg t of I Yes ® No Use this form to report Contributions under $1,000 which will be refunded within 7 days. Refunds must be disclosed on the Refunds/Reimbursements Form(CRO-1320). 1. Committee FLIT Name 12. to Number COMMITTEE TO ELECT SURLUTA B ANTHONY 3. Contributor Information ❑ Add ❑ Remove Poll Name & Mailing Address of the PayeeFull the original vendor Name & Mailing Address of the Reimbursee the nersonainwhom the cam n check is written MICHAEL HALL 1200 MEMORY LANE MONROE, NC 28112 JbDat,(mm/dd/yyyy) COMMITTEE TO ELECT SURLUTA B ANTHONY 1307 VIRGINIA AVE MONROE, NC 28112 a. Contribution Description e.Credit Card Y/N 15. Amount REIMBURSE FOR GASOLINE PURCHASE 09/30/2026 1 N $ 50.02 3. Contributor Information ❑ Add ❑ Remove Full Name & Mailing Address of the Payee the original vendor Full Name & Mailing Address of the Reimbursee the verson to whom the campaign check is written MICHAEL HALL 1200 MEMORY LANE MONROE, NC 28112 COMMITTEE TO ELECT SURLUTA B ANTHONY 1307 VIRGINIA AVE MONROE, NC 28112 a. Contribution Description 1b. Date (mm/dd/yyyy) c. Credit Card Y/N Id. Amount PAYMENT TO SET UP A WEBSITE 10/17/2026 N $ 243.00 4. Total only this Page $ 293.02 5. Total of ALL CRO -1215a Pages _ (This fine goes in fine 28 of Detailed Summary Page CRO -1100) $ 293.02 CRO -1215 NC State Board ofElections December 2007 UNION COUNTY CAMPAIGN FINANCE, OC.T 2 R 2026 RECEIVED