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Greene,Sandra_2022-Org-reportAmendment Disclosure Report Cover ❑ Yea ❑ 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 update information. 1. Committee Information . Full Name c. ID Number dcat,� . Malting Address prelude City, State and Zip Code) d. Date FBed ,301\ Gcca.A -gym 2A `�\aoaa e. Number C6 \ ` 4 G 2 &0 �- as 2. Re rt Year 3. Period Start Date mora 4. Period End Date mol 5. Treasurer o�� o5laoaa of X05 a08a ct�eer� h1es ' Committee Check One)_9. eCandidate of Report (check only one a of report from one cate o ) gof Campaign ❑ Party Municipal Statatcounty Referendum ❑ PAC ❑ Referendum ❑ Organisational Organisational ❑ Organizational ❑ Independent Expenditure ❑ Joint Fundraiser ❑ Thirty-five day Quarterly ❑ Pre -referendum ❑ legal Expense Fund ❑ Pre-primary ❑ Fust ❑ Final ❑ Pre-election ❑ Pro-mnoff Semi-annual ❑ Second ❑ Third ❑ Fourth ❑ Supplemental Final ❑ Annual ❑ Special 7. Type of Fund (if applicable• check am) ❑ Booster Fund ❑ Building Fund ❑ Mid Year Semi-annual ❑ Year End ❑ Mid Year 10. Special Report Name ❑ Other: ❑ Final ❑ Special ❑ Year End ❑ f nal ❑ Special 8. of Fundraisers this Report _Number 11. Account Information J 11. Account Information . Financial Institution Full Name a. Financial Institution Full Name I INION vt5'S .Purpose e. Account Code b. Parposp`AMPAIGN c. Amount Cade GZE 2 �1cc�p �11 • JAN 10 20 d. Period Begin Balance d. Period Begin Balance $ RECEIVED s CERTIFICATION I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B & 2213-22M 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. f*&5tna&— [LUA.— I. 1PilYlff,Vl to aoaa- Printed Name of Signer Si afore of A in[ed Treasu Date FOR OFFICE USE ONLY Date Received: lbaha — Employee: Delivery Method ❑ Normal Mail Date Postmarked: Employee: Registered Mail Hand Delivered Date Scanned: Employee: Electronically Filed ❑ Signer has not received Date Data Entered: Employee: 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-210OA-E) to make committee changes. CRO -1000 NC State Board of Elections August 2008 Amendment Detailed Summary 0 res ❑ No Tice this fnrm to summarize all disrinsnre rennrtino fnrmc and to total monelary infnrmatinn 1. Committee Full N= (and Fund if a ca a 2. o e rt 3. ID N S c e b 0S Start of Election Cycle: January 1, &a Total this ReportingPeriod Total this Election Cycle 4) Cash on Hand at Start $ $ RECEIPTS 5) Aggregated Contributions from Individuals (CRO -1205) 6) Contributions from Individuals (CR0.1210) 7) Contributions from Political Party Committees (CRO -1220) 8) Contributions from Other Political Committees (CRO -1230) 9) Loan Proceeds (CRO -1410) 10) Refunds/Reimbursements to the Committee (CRO -1240) 1) Other Receipt Sources 11a) Interest on Bank Accounts (CRO -1250) 11b) Contributions from Not -For -Profit Organizations (CRO -1250) Ile) Outside Sources of Income (CRO -1250) lld) Legal Expense Fuad - Other Sources (CRO -1270) lie) Exempt Purchase Price Sales (CRO -1265) $ $ $ I (b $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8,9, 10,1 1 a.I I b, I 1 c. I 1 d and 1 I e $ Q ,C) $ EXPENDITURES 13) Disbursements 13a) Operating Expenditures (CRO -13/0) 13b) Contributions to Candidates/Political Committees (CRO -1310) 13c) Coordinated Party Expenditures (CRO -1310) 4) 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) $ $ $ $ $ $ $ ti $ $ $ $ $ $ 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. $ $ ADMIONAL INFORMATION 0) Non -Monetary Gifts Given to Other Committees (CRO -1330) 1) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) 2) Debts and Obligations owed by the Committee (CRO -1610) . ,�j4NX-. ) Debts and Obligations owed to the Comp)lf e(I lNPN((GR0-1620) )Account Transfers Within the Committee _ „� (CRO -1720) 5) Administrative Support � (CRO -1710) 6) Forgiven Loans QE�0-1440) 7) 48 -Hour Notice Reports Sum I� (CRO -2220) $ $ $ $ $ $ $ $ $ $ $ 8) Contributions to be Refunded (CR0.1215) $ $ CRO -1100 NC State Board of Elections August LWN —I Contributions from Individuals Pg _L of [Amendment ❑ Yes ❑ No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used Name (and r Zc1drG G yen e 2A I d tion - Remove a. Full Name, \latling Address & Phone b. Joh Tille/Profession d. Cbnunonl, (inelade rir`, alale, & ��p)1�/_ ' �U ,�'t Q (( Q_, 1 •T-�-[���. of i_Clc,he_s U CPS Employer's Namet(Specific Field e. Election .Sum to Date $ I00-(%� . Prior g. Account Code Is. Form of Payment I. In -Kind Description j. Date Immlddl)}ryy) k Amount ❑ A. VIS C) X1717 M ❑ 5 1. Contributor Information Add ❑ Remove a. Pull Nanw. Nlailinp Addre.. & I'hunc b. Job Title/Profemion it. Comments include cit, ,tat,, S ripe S �c e es,e �•w1 ,,I r^ ' ` - o,5� . c. Employer's Name/Specific Field �S e. Election Sum to Date $ _ o-oo . Prior g. Account Code h. Form of Payment I. In -Kind Description j. Date (mialcid/yyyy) k Amount ❑ 2 2 Ze1cu S D o 0 ❑ $ ❑ $ 3. Contributor Information ❑ Add' ', a. full \dune. \tailing Address & Phone h. Jab Title/Profession it. Comments (include city, slate, & zip) UNION cOt- CqtvgPAIGNFI c. Employer's Name/Specific Field J AN 10 222 e. Election Sum to Date ter-, VF$ . Prior g. Account Code If. nrm of Payment I. In -Kind Description i. Date (mmldd/yyyy) Is. Amount ❑ $ ❑ $ ❑ $ 4. Total only this Page $ ►rj p 5. Total of ALL CRO -1210 Pages $ (This Use masthe on mn line h of Detailed SumoPage CRO -1100) OW -1210 NC State Board ut Elections April 2007