Cathey,Eddie_2019-midyearDisclosure Report Cover Amendment
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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 information.
1. Committee Information
a. Full Name
c.ID Number
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= 'r_ �r-ul7e J`ov Jh1-011l-'
6 -lm GL 1,91
. Mailing Address (include City, State and Zip Code)
d. Date Filed
/V ?—P// 2—
e. Phone Number
Toy- 7G y 75'3
2. Report Year
3. Period Start Date mmtddt
4. Period End Date umtddt
5. Treasurer Full Name
6. T e of Committee Check One
9. a of Report (check only one type of report 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
❑ Preelection
❑ Pre -runoff
Semi-annual
❑ Second
❑ Third
❑ Fourth
❑ Supplemental Final
❑ Annual
❑ Special
7. Typeof Fund (if applicable, check one)
❑ Booster Fund
❑ Building Fund
❑ Mid Year
Semi-annual
❑ Year End
0' Mid Year
ill. Special Report Name
❑ Other:
❑ Final
❑ Special
❑ Year End
❑ Final
113 Special
8. Number of Fundraisers this Report
Q
11. Account Information
11. Account Information
a. Financial Institution Full Name
a. Financial Insulation Full Name
Ft✓ .IVCt�iona� _ a?a
G3C(ZK90M[9
. Purpose
c. Account Code
b. Purpose
c. Ai out Cu e
For a// eamloatgrr
/
19 2019
d. Period Begin Balance
e-yeN5e
d.P
$
$
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.
Printed Name of Signer signature of Appointed Treasurer Date
OR OFFICE USE ONLY
Date Received: % 9 / Employee: Delivery Method
❑ Normal Mail
Registered Mail
Date Postmarked: Employee:
Hand Delivered
Date Scanned: I Employee: Electronically Filed
❑ Signer has not received
Date Data Entered: Employee: mandato tramin
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
Detailed Summary Amen
YesmEl'-N.
Use tWS form to Summarize all disclosure reoortinLy forms and to total monetary information
1. Committee Full (and Fund if applicable)
2. Type of Report
3. H) Number
Name
Z_Ydle ���//�� �> 5`e'_1�
/
20/9 Semi �i�//�ta!
to✓rrruPJ�
Start of Election Cycle: January 1,
Total this
Reporting Period
Total this
Election Cycle
4) Cash on Hand at Start
1 $ 70 72 , 75-
$
3-5Y,-3-7
RECEIPTS
5) Aggregated Contributions from Individuals
6) Contributions from Individuals
7) Contributions from Political Party Committees
8) Contributions from Other Political Committees
9) Loan Proceeds
10) Refunds/Reimbursements to the Committee
11) Other Receipt Sources
lla) Interest on Bank Accounts
11b) Contributions from Not -Por -Profit Organizations
Ile) Outside Sources of Income
1ld) Legal Expense Fund -Other Sources
lle) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1210)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CRO -1240)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1270)
(CRO -1265)
$ 0
$ 5_90, 00
$ 0
$
S/ 3 i�5- to
$ 0
$ 0
$ 0
$ i S76
$ -p
$ "a zno, O n-
$ D
$ O
$ Q
$ 0
$ ®
$ O
$
$
$
$ O
$ O
$
12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,1 Is, I1b,llc,lId and Ile)
$
0
$ SS 7 q7,
EXPENDITURES
13) Disbursements
13a) Operating Expenditures
13b) Contributions to Candidates/Political Committees
13c) Coordinated Party Expenditures
14) Aggregated Non -Media Expenditures
15) Loan Repayments
16) Refunds/Reimbursements from the Committee
17) In -Kind Contributions
(CRO -1310)
(CRO -1310)
(CRO -1310)
(CRO -1315)
(CRO -1420)
(CRO -1320)
(CR0.1510)
$ O
$
$ Sp D "00
$ OU 00
$ 0
$
$ 0
$
$
$ DO
$ Q
$
$ O
$ 9�
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)
$
0
$
q OZ
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18
$
5 7Z . J
$
2-, 7.S
ADDITIONAL INFORMATION
0) Non -Monetary Gifts Given to Other Committees
1) Outstanding Loans (incl. ones from other campaigns)
22) Debts and Obligations owed by the Committee
3) Debts and Obligations owed to the Committee
4) Account Transfers Within the Committee
25) Administrative Support
6) Forgiven LoansQ���Q��D
7) 48 -Hour Notice Reports S
(CRO -1330)
(CRO -1430)
(CRO -1610)
(CRO -.1620)
(CRO -1720)
(CRO -1710)
(CRO -1440)
(CRO -2220)
$ 0
-
$ 0
$ 0
$ fj
$ (j
$ 0
$
O
$ 0
$
$ 0
$
0
8) Contributions to be Refund d
(CRO -1215)
$
D
$
CRO -1100 Union Co. rleclr<r Bo dof Elections August 2008
Disbursements
Amendment
Pg of ❑ Yes Ej No
Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political
committees and coordinated nartv exnenditures
1. Committee Full Name (and Fund if applicable)
2. IID Number
/
��ili C,C�I f/et /-o✓ s/,�ri1"?-
toJ`IYIU �G'
3. Type of Disbursement (Please use separate CRO -1310 forms for each type ofDlsbi rsetnent. )
Operating Expenses Contributions to Candidates/Podncal Committees Coordinated Party Expenditures
4. Payee Information 0 Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Coordinated Committee Name
d. Continents
_
S on Y �Y616 h /_
P'0. I30X -+- /✓
2-9111
9So-7a7--97P7$
c. Level Registered (Specify)
Fedeml County:
❑ State ❑ Municipality:
e. Election Sam to Date
�oo,00
. Account Code
g. Form of Payment
h. Purpose Code
1. Date (mmlddlyyyy)
J. Amount
L Requlred Remarks
/
CLl c
J�
03 or Zoi 9
$
$
4. Payee Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Coordinated Committee Name
d. Comments
� 2 t2� n
Ll\1LS�L5� V
J U L 191019
c. Level Registered (Specify)
Lj Federal 11 County:
❑ State ❑ Municipality:
e. EI
Gaon Sum to Da
Y._� lection
$
. Account Code
g. Form of Payment
1h. Purpose Code
11. Date (nuWdd/yyyy)
1j. Amount
1k. Required Remarks
$
$
4. Payee Information ❑Add Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Coordhmted Committee Name
d. Comments
c. Level Registered (Specify)
Ej Federal Lj County:
❑ State ❑ Municipality:
e. Election Sum to Date
$
. Account Code
g. Form of Payment
jh.PurposeCode
i. Date (rmddd/yyyy)
J. Amomt
k. Required Remarks
Is
Is
5. Total only this Page
$
6. Total of ALL CRO -1310 Pages
(This line goes in line 13a of Detailed Smnnrary Page CRO -1100 if Operating Expenses)
(This line goes in line 131, of Detailed Summary Page CRO -1100 if Contrib to Candidates/Political Cmnnr)
(This line goes its line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures)
$ S�z2Dzq
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 re vire detailed exulanation in required remarks field k
CRO -1310 NC State Board of Elections December 2009