Tyson,Patrick_2026-Third Qtr Full ReportDisclosure Report Cover Amendment
❑Yea ®Na
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 up date information.
1. Committee Information - -
-- -
a, Full Name -
. ......:...__._...:........:........:.............................:............ ....:......:.
-
..........._.................................:........ ...................._...............:.:...::...:.........................................................e.
......::............
ID Number. .
COMMITTEE TO ELECT PATRICK TYSON
UNI-01M8UN-C-001
b.Mailing Address (include City; State and Zip Code) _ ..
.... ................................._._......-------......_............................__.__..._.._.._::............................._......--'----._........_...:.......s:::....................._....____.._....................._........_-
d: Date Filed - -
5316 GRIFFITH ROAD
MONROE, NC 28110
10/21/2026
e. Phone Number' `
2W Report Year
3. Period Star[ Date (mmlddlyy)
4 Period E33d Date (mmldd y�.j
5. Treasurer Full Name
2026
07/01/2026
10/17/2026
GREG FORNSHELL
6,T221eofCoinmrttee(CheckOne) -: ,,,,,,9T211eofBeport
.. ..... .. .......
.. (checkonlyorte.t)s.oftaportfiananacnfogar�);.,.,,
.... •.
®Candidate Campaiga Party
lfunicipal... -'.
StatelCounq• ,•.. _'
....,....
Iteferendnm
❑Joint Fmdraiser❑PAC
❑
Orgzaimtioaal
❑ Or_eaaizatioaal
............................... .......................... _..
❑ Or-axssizational
❑ Referendum ❑ Legal Expense_ Fund
❑
❑
Thirty-five day
Pre-pnmar}•
Quarterly
❑ Fsrt
❑ Pre-refereadum
❑ Final
7 Tvpe df Fund (j(opplmabk sl-kotis}:. ..
❑ "Booster Fund"
❑
Pre-election
❑ Second
❑ Supplemental Final
❑ Building Fond
❑
Pre-nnoff
❑ Third
❑ Annual
❑ Presidential Election Year Candidate. Fuad
semi, newl
❑ Fourth
❑ Special
❑ NC Public Campaip Financia Fund
❑
Mid Year
semi -somal
❑
Year End
❑ MLd Year
10., SPerial Repert Name
❑ Other:
❑
❑
Final
Special
❑ Year End
❑ Final
8 Numbe"e of Fundraisers this Report :G..:...i
..........._.................................
0
❑ SP, -,I
3. Account Information
".. _
3. Account Information'. -- -
.............................. ......... ....... _ -
m Financial luststution FultName
a, Financial lustitution FulIName
.........
AMERICAN BANK
............:..-............................................................. ......................... .......... :....... ........
b. Purpose -
.....................:..........__.`_._...........................................___..___..
c Account Code
--
b. Psmpoze - : -" -,.- '
__...................
e. Account. Code'
-
FUND MANAGEMENT
01
__._
,
d.Periud:Begin Balance %_'
....................................................................................
d.: Period Begin Balance
....................................................................
S
2,249.13
S
CERTIFICATION ; -
•, ,
I certify that the Committee orFtmd 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-disclo s ed
funds. I further certify that this report is complete, true and correct and that I have been trained by the NC State Board
Dlgitally signed by Greg
Greg Fornshell Fornshell
Date: 2026.10.2314:0228-04'00' 10/23/2026
PrintedNama of Signer
Signature of Appointed Trea.-user Date
FOR USE ONLY
Daee Received., -•.. -
s' _� �,
rr. . m
., ' .DelivervMethiid`
Employee,,
,
r❑' Normal l%lail.
t❑ RegisteredMad.
.DatePostmazLed: _
.Employee• '
1❑ Hand Delivered'-
Date Scanned.%
_
ectronicallyFile.
Employee:" , •:, : - : ,_.,, , d,
.Date DataEnteied:
Employee- ❑- Signer has riot received '
mandatorytiairiin
Please Note: This form cannot be used to amend committee infotmation such as the committee address, treasurer,
assistant treasurer, custodian of books information, or account information.
You must amend the Statement of
Organization CRO -2100A- to make committee changes.
L21U-1000 NC State Board of Elections December 2007
Detailed Summary
Use this fotfn to summarize all disclosure rennrfinv fnnns and to total
Amendment
❑ Yea ® No
1_Committee Fnll Name (and Fend if applicable) _ _]21
............. .............�..._.-_..........
COMMITTEE TO ELECT PATRICK TYSON
Tyke of Repor! _
2026 Third Quaner
3. ID Number
UNI-0IM8UN-C-001
Start of Election Cycle: January 1, 2023
Total this
Reporting Period
Total this
Election Cycle
4) Cash on Hand at Start
I S
2,299.13
S
0.00
RECEIPTS
-,
.
5) Aggregated Contributions from Individuals
(4RO-1205)
S
0.00
S
1,981.40
6) Contributions from Individuals
(CRO -1210)
S
0.00
S
35,133.98
7) Contributions from Political Party Committees
(CRO -1220)
S
0.00
S
0.00
8) Contributions from Other Political Committees
(CRO -1230)
S
0.00
S
2,000.00
9) Loan Proceeds
(CRO -1410)
S
0.00
S
0.00
0) Refunds/Reimbursements to the Committee
(CRO -1240)
S
0.00
S
0.00
I) Other Receipt Sources
-
Ila) Interest on Bank Accounts
(CR0.1250)
S
0.00
S
0.00
llb) Contributions from Not -For -Profit Organizations
(C20.1250)
S
0.00
S
0.00
llc) Outside Sources of Income
(CRO -12S0)
S
0.00
S
0.00
lld)LegalExpenseFund - Other Sources
(CRP -1270)
S
0.00
S
0.00
lle) Exempt Purchase Price Sales
(CRO -1265)
S
0.00
S
0.00
^_) TOTAL RECEIPTS (Add lines 5, 6, 7, 8,9,10,1 lal lb,l IcIId and Ile)
S
0.00
S
39,115.38
EXPENDITURES
3) Disbursements
13a) Operating Expenditures
(CRO -1310)
S
0.00
S
30,887.30
13b) Contributions to Candidates/Political Committees
(CRO -1310)
S
0.00
S
0.00
13 c) Coordinated Party Expenditures
(CR0.1310)
S
0.00
S
0.00
4) Aggregated Non -Media Expenditures
(CRO -1315)
S
7.50
S
270.25
5) Loan Repayments
(CRO -1420)
S
0.00
S
0.00
6) Refunds/Reimbursements from the Committee
(CRO -1320)
S
0.00
S
2,535.17
7) In -Bind Contributions
(Cmm o)
S
0.00
S
3,131.03
8) TOTAL EATENDIIURES (.add lines 13a,13b,13c,14,IJ, 16 and 17)
S
7.50
S
36 823.75
9) Cash on Hand at End (Add lines 4 and 12 together, then subtract lire 18)
S
2,291.63
S
2,291.63
ADDMONAL ]INFORMATION
0) Non -Monetary Gifts Given to Other Committees
(CRO -1330)
S
0.00
1) Outstanding Loans (incl. ones from other campaigns)
(CRO -1430)
S
0.00
2) Debts and Obligations owed by the Committee
(CRO -1610)
S
0.00
3) Debts and Obligations owed to the Committee
(020.1620)
S
0.00
Account Transfers Within the Committee
(CRO -1720)
S
0.00
5) Administrative Support
(010-1710)
S
0.00
S
0.00
6) Forgiven Loans
(C20-1440)
S
0.00
S
0.00
'1) 48 -Hour Notice Reports Sum
......._....................................................._..,__-__-..........................................................................
8) Contributions to be Refunded
(CRO -2220)
...... ..................... .
(CRO -1215)
S
S
0.00
0.00
S
S
0.00
0.00
CAU -11 UU N(; State board ofElsHons A gust 2008
Amendment
Aggregated Non -Media Expenditures Page i of 1 ❑Yes ® 10
Optional form.used to report NC Nan -Media Expenditures of $50 or less.
I 'Cummittei:RU- sianie (arid Funditatiltltcable)
.....x ...X.:.�':.«
COMMITTEE TO ELECT PATRICK TYSON
'.
UNI-O1M8UN-C-001,
3. Payee Infotmadnit , _ - - ..:
". _ •..... _ a- _ -
"
m. Amend
b.:Aecaunt Code
c.Form of Pagment
dPor . Code
e. DA- (mm/ddlyjr y)=_. t, Amount '.
R nired'Remacka
Aa
❑ Ee ove
01
Electric Funds Tran
O
07/31/2026
S 2.50
SERVICE CHARGE
Add
❑ Remove
Ol
Electric Funds Tran
O
08/31/2026
S 2.50
SERVICE CHARGE
Add
❑ Remove
01
Electric Funds Tran
O
09/30/2026
S 2.50
SERVICE CHARGE
4. Total onlytSs,Page -
5 Iso
S. Total of ALL CRO -1315 Pages'
_(1.7ds&e nmrt hein Eno 19' ofDemited Sunuaaly Page CRO -1100)_
- '' .S 7.50
ohi N D'S@ BfIPS. �'Ist'1aie:W :CX �1tIFCe CO�E n'1 r _FS)70Ve . �
.. .'. u`,.rt =fir`: x„m>
B* - Printin C* =° vixdr, siu" , ,` D - To Another Candidate
E - Salaries F E ui mient :' a . G - Political P
*�- ,Holdin 'Public =' Ca. enses "
J - Penalties K*—'Qffi a E" 'eases --Q
O* - Other
Q* - Donations to Legal Expense Fund
* Codes require detailed explanation in re aired remarks field
CRO -1315 NC State Board of Elections - Decemh?c 2009