Cathey,Eddie_2022-48Hour-MayAmendment
48 -Hour Notice Page I of I ❑ Yes ® No
Use this form to report all contributions of $1,000 or more.
Notice must be filed within 48 hours of receipt of contribution. The 48 -Hour reporting period begins the day after the last day of the I °
Quarter -Plus report period and ends the day of the Primary Election and begins the day after the last day of the 3rd Quarter -Plus report period
and ends the day of the General Election. All 48 Hour In -Kind Contributions must be recorded on CRO -1510 and attached.
This notice may be faxed in order to meet the 48 hour deadline.
1. Committee Information
a. Full Name
c. ID Number
Eddie Cathey for Sheriff
6jmupg
b. Mailing Address (include City, State and Zip Code)
d. Report Date
3909 Halcyon Lane '� .,E
05/10/2022
Monroe, NC 28112
e. Phone Number
MAY
10 2022
704-764-7439
2. Contribution Information
2. Contribution Information
a. Full Name, Mailing Address & Phone
® Add
a. Full Name, Mailing Address & Phone
❑ Add
(include city, state, and zip)
❑ Remove
(include city, state, and zip)
❑ Remove
Paul G. Lucas
8928 Bonds Grove Church Road
Waxhaw, NC 28173
704-609-3574
b. Type of Contributor
b. Type of Contributor
® Individual (fchecked must speck b1 and b3)
❑ Individual (f checked. must specify b2 and b3)
❑ Political Party
❑ Political Parry
❑ Other Political Committee (f checked must speck bl)
❑ Other Political Committee (f checked, must specify bl)
❑ Not -for -Profit (f checked mast specify b4)
❑ Not -for -Profit flfchecked, must specify b4)
Other Source:
❑ Other Source:
bl. Type of Committee
bl. Type of Committee
❑ Federal ❑ County: x
❑ Federal ❑ County:
State ❑ Municipality:
❑ State Ej Municipality: _
b2. Job Tide/Professton
b1. Federal ID Number
W. Job Title/Profession
b4l. Federal ID Number
Retired
b3. Employer's Name/Specific Field
c. Form of Payment
W. Employer's Name/Specific Field
c. Form of Payment
check
it. Date (mm/dd/yyyy)
r. Amount
it. Date (mmlddlyyyy)
f.Amount
05/05/2022
S 2000.00
$
e. Account Code
g. Election Sum to Date
e. Account Code
g. Election Sum to Date
I
S 2000.00
S
3. Total Contributions THIS Page (sum all the 2f entries on this page)
S 2000.00
4. Total Contributions ALL Pages (if multl page, only list on page 1)
$ 2000.00
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. 1 further certify that this
report is complete, true, correct and that I have been trained by the NC
State Board of Elections. The contributions were received no
more than 48 hours prior to this notice being filed. 1 understand that
all contributions including those reported on this notice must
also be reported on the next scheduled campaign disclosure report.
Linda T. Broome�v
05/10/2022
Printed Name of Signer Signature of Appointed Treasurer
Date