Petterson,Heidi_2026-Amended Third QtrDisclosure Report Cover I
A}m�endment
1� Yes ❑ No
Use this form for general report and committee information, must be signed and submitted along with other detailed forms.
Do not use this form to undate informatinn"
1. Committee Information
a. Full Name
c.,ID Number
Ca wt✓v► i¢.��,� ft) 1e. Wdi el+, -eV &vi
C JM N 0
b. Mailing Address (include City, State and Zip Code)
it. Date Filed' "-
3125 C v.0 moo ,'ve
1017-11 z . �
/i ^ V—O .e /� C r7 g l 1 D
e. Phone Number
p,
yvl Vl 1" (� 6i
V '
Ifs&2S 5353
2.rReport YeArl
31 Period Start Datemm/dd/
4. Period End Date mm/dd/
15. Treasure Full Name
202
d2 01 1 2025
(0/17 / 26
5UL?aAWSM
6.T eof Comtmttee (Check One)
aCandidate Campaign ❑ Party
❑ PAC ❑ Referendum
❑ Independent Expenditure ❑ Joint Fundraiser
❑ Legal Expense Fund
9_Typerof Report (`check
Municipal
only one type of report
State/County
from orte catekb) )
lReferendurn
❑ Organizational
❑ Thirty-five day
❑ Pre-primary
❑' Pre-election
❑ Pre-mnoff
Semi-annual
❑ Mid Year
❑ Organizational
Quarterly
❑ First
❑ Second
® Third
❑ Fourth
Semi-annual
❑ Organizational
❑ Pre -referendum
❑ Final
❑ Supplemental Final
❑ Annual
❑ Special
Z'Typeof Fund. (if applicoble.,check one)'
❑ Booster Fund
❑ Building Fund
❑ Other:
❑ Year End
❑ Final
❑ Special
❑ Mid Year
❑ Year End
❑ Final
❑ Special
10. Special Report Name
81_Number of Fundraisers this Report
-
O
11. Account Information
11. Account Information m. -
a. FinancialInstitution Full Name -
a.. Financial.Institution Full Name
*Vi 1r5 �- C 1T 1-xxjK S 6 mvl
N COUNTY
u.APAIGN
b. Purpose `,...
-
c: AccountCode.
-
b. Pur - .
c: Account Code
Cavw� � 9�M11
ncT 29 N26
d. Period Begin Balance
g
d. Period Begin Balance
REC EI\lEE)
$ 0,01,
$
C_E_RTIFICATION
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 tate Board of Elections.
Printed Name of Signer Signature of Appointed Treasurer v Date
FOR OFFICE USE ONLY n
Date Received: 1 cr)�� q f2 Employee: Delivery Method
❑ Normal Mail
Date Postmarked: Employee: ❑ Registered Mail ,
®' Hand Delivered
Date Scanned: Employee: ❑ Electronically Filed
Date Data Entered: Employee: r3 Signer has not received
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 Organization (CRO-2100A-E)to make committee changes.
CR04000 NC State Board of Elections August 2008
Detailed Summary ®_Yemen[
❑_ No
Use this form to summarize all disclosure rennrtinv fnrms and to tntal mnnetnr infnrmntinn '
1: CoD tutee` Full Name (and Fu if a licable)
-
2:, Type of Report
3. ID Number
Ct
,fire_, nc l e� 1 P
I
'Mttv�� RiY
C NN O (o
Start of Election Cycle: January 1, 2022 -
Total this
Reporting Period
Total this
Election Cycle
4) Cash on Hand at Start
$ O
$
RECEIPTS :.
5) Aggregated Contributions from Individuals (CRO -1205)
$ 1(40- 0.5
$
6) Contributions from Individuals (CRO -1210)
$ 1317. (O3
$
7) Contributions from Political Party Committees (CRO -1220)
$ 2.650-00
$
8) Contributions from Other Political Committees (CRO -1230)
$ 500.00
$
9) Loan Proceeds (CRO -1410)
$
$
10) Refunds/Reimbursements to the Committee (CRO -1240)
$
$
11) Other Receipt Sources
lla) Interest on Bank Accounts (CRO -1250)
UNION CONCE
$
llb) Contributions from Not -For -Profit Organizations (CRO -125t;
$
Ile) Outside Sources of Income (CRO -1250)
$QCT I
$
11d) Legal Expense Fund -Other Sources (CRO -1220)
$RECEN El)
$
Ile) Exempt Purchase Price Sales (CRO -1265)
$
$
12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,1 la,1lb,llc,l ld and Ile)
$ ZOZO , (a 8
$
EXPENDITURES
13) Disbursements
"--
13a) Operating Expenditures (CRO -1310)
$
$
13b) Contributions to Candidates/Political Con es (CRO -1310)
$
$
13c) Coordinated Party Expenditu %\ON G d�Npl1C (0310)
14) Aggregated Non -Media Expendi P , O� (C6 RO.131S)
15) Loan Repayments OC ` (CRO -1420)
L
16) Refunds/Reimbursements from the Co�Lp(j�a (CRO.13zo)
$
$
$
$
$
$
$
$
17) In-lUnd Contributions (CRO -1510)
$ (y, 00
$
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, l5, 16 and 17)
$ q '12. Di
$
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18
$ 4 g ,65 a
$
ADDITIONALTNFORMATION
20) Non -Monetary Gifts Given to Other Committees (CRO -1330)
$
21) Outstanding Loans (incl. ones from other campaigns) (CRO -1430)
$
22) Debts and Obligations owed by the Committee (CRO -1610)
$
-'
23) Debts and Obligations owed to the Committee (CRO -1620)
$
24) Account Transfers Within the Committee (CRO -1720)
$
5) Administrative Support (CRO -1710)
$
$
26) Forgiven Loans (CRO -1440)
$
$
27) 48 -Hour Notice Reports Sum (CRO -2220)
28) Contributions to be Refunded (CRO -1215)
$
$
$
$
G'RO-1100 NC State Board of Elections August 2008