Anderson,Gary_2021-YearEndRECEIVED
Arne..a...ont
Disclosure Report Cover� E3Yea IN No
Use this form for general report and conunittee information, m .91gWU submitted along with other detailed forms.
Do not use this form to uodate information.
1. Committee Information Union Co.
808TO OT EleCtivil"
. Full Na
c. ID Number
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b. Mailing .Address Include City, State and Zip Code)
d. Date Filed
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2. Report Year
3. Peri Start ate untold Y) 4. PerinA End
to (mm/ddlyy)
Treasurer Full Nam
15.
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1 0 r2
6. of Conunittee Check e)
9. Type o Repo
(check
only one type of ep
n from one category)
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
❑ Pte -runoff
❑ Second
❑ Third
❑ Supplemental Final
❑ Annual
7. Type of Fund (if aPPL. able, check one)
❑ Booster fund
Semi-annual
❑ Fourth
❑ Special
❑ Building Punt
Mid Year
Semi-annual
Year End
WFinal
❑ Mid Year
10. Special Report Name
❑ Other:
❑ Special
❑ }'ear End
❑ firm
S. Number of Fundraisers this Report
❑ Spc: ial
11. Account Information
11. Account Information
a. Financial Institution Full Name
a. Financial Institution Full Name
tl
b. Purpose
c. Account Code
h. Purpose
i�AR 21 N22
c. Account Code
C4041rtJ_}�—
4
V/
RECEIVED
d. Period Begin Balance
a, Period Begin Balance
/Lea
9
I
$
CERTIFICATION
I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B & 2213-22M of Chapter l b
of the NC General Statutes and that no funds are romnungled with prohibited or other non -disclosed funds. I further certify that thi,
report omplete, true an correct d that I have been trained the
NC State Board of EI ctions.
Lo
Pri ted Name of Signer Signature of Treasurer to
FOR OFFI U E ONLY
y
Date Received: aC/ Employee:
Delivery Method
❑ Normal Mail
Date Postmarked: Employee:
egistered Mail
Hand Delivered
Date Scanned: Employee:
Electronically Filed
Date Data Entered: Employee:
[3 Signer has not received
mandatory tramm
Please Note: This form cannot be used to amend committee information such as the committee address, treasurer,
assistant treasurer, custodian of books information, or account information.
You must amend the Statement of Organization (CRO-2100A-E)to make committee changes.
CRO -1000 NC State Board of Elections August 2008
ndment
Detailed Summary Yes ❑ No
Use this form to summarize all disclosure renortinv forms and to total mnnetnry information
1. Committee Full Name (and Fund if applicable)
2. Type of Report
13. ID Number
Start o ection Cycle: January 1, .26)gTotall
this)
Re rtin Period
Total this
Election Cycle
4) Cash on Hand at Start
$
S
RECEIPTS
5) Aggregated Contributions from Individuals (CR04205)
6) Contributions from Individuals (CRO -1210)
7) Contributions from Political Party Committees (CRO -1220)
S
5
$
$
$
$
8) Contributions from Other Political Committees (CRO -1230)
9) Loan Proceeds (CRO -2410)
10) Refunds/Reimbursements to the Committee (CRO -1240)
11) Other Receipt Sources
Ila) Interest on Bank Accounts (CRO -12.50)
lib) Contributions from Not -For -Profit Organizations (CRO -1250)
1lc) Outside Sources of Income (CR0.1250)
11d) Legal Expense Fund - Other Sources (CR04270'
Ile) Exempt Purchase Price Sales (CRO -1265)
$
$
$
$
$
S
$
$
S 2
$
$
- —
$
$
S
12)TOTAL RECEIPTS (Add lines 5, 6,7, 8, 9,10,1 la, l lb.l lcl Id and l le)
$
EXPENDITURES
13) Disbursements
13a) Operating Expenditures (CRO -1310)
13b) Contributions to Candidates/Political Committees (CRO -1310)
13c) Coordinated Party Expenditures (CRO -1310)
14) Aggregated Non -Media Expenditures (CRO -1315)
15) Loan Repayments (CRO -1420)
16) Refunds/Reimbursements from the Committee (CRO -1320)
$
$
$
$
$
$
$
$
$
$
$
$
17) In -Kind Contributions (CRO -1510)
$
$
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)
$
$
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18
$ p� t
$
ADDITIONAL INFORMATION
0) Non -Monetary Gifts Given to Other Committees (CRO -193(11
1) Outstanding Loans (incl. ones from other campaigns) (CRO -1430)
2) Debts and Obligations owed by the Committee (CRO -1610)
3) Debts and Obligations owed to the Committee (CRO -1620)
4) Account Transfers Within the Committee (CRO.1720)
5) Administrative Support (CR04710)
L76) Forgiven Loans (C'RO-1440)
) 48 -Hoar Notice Reports Sum (CRO -2220)
) Contributions to be Refunded (CRO -1215)
S
$
$
$
$
$
$
$
$
$
$
$
$
CRO -1100 NC State Board of Elections August 2008