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Hall, Jason_2021-PreElectionReportUNION COUNTY CAMPAIGN FINANCEI Amendment Disclosure Report Cover ❑ Yes No Use this form for general report and committee information, must be sigr@CjncQs6br M along with other detailed forms. DO not use 11111 tbnn to update information I.Committee Information c. ID Number t.111-lik" WA-X+4W J'A�,PN rU M> b. Mailing Address (include City, State and Zip Code) d. Date Filed /00 WA -X Ht -AW P y1 (/'Nl r 1,20 (e WAAtt*Wt NC- aFi-73 e.Phone Number G -70 2. Report Year 3. Period Start Date (mm/ddty),) 4. Period End Date 5. Treasurer Full Name (mmlddtvvl r7-o,;Ll 0q i /0//F f F 6.Type of Committee Check One) 9. Type of Report check only one tppe of report om one tate Candidate Campaign ❑ Party Municipal State/Count Referendum ❑ PAC ❑ Referendum ❑ Organizational ❑ Organizational ❑ Organizational Independent E] Expenditure E] Joint Fundraiser Thirty-five da ❑y Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ Pre-primary ❑ First ❑ Final 7. Of Fund (iJapplicable; ❑ "Booster Fund" Pre-election ❑ Second ❑ Supplemental Final ❑ Building Fund ❑ Pre -runoff ❑ Third ❑ Annual Semi-annual ❑ Fourth ❑ special ❑ Mid Year Semi-annual ❑ Other_ ❑ Year End ❑ Mid Year 10. Special Repo ❑ Final ❑ Special ❑ Year End ❑ Final ❑ Special 8. Number of Fundraisers this Report 11. Account Information 11. Account Information a. Financial Institution Full Name a. Financial Institution Full Name b. Purpose c. Account Code It. Purpose c. Account Code e4lPk1,1W µrix w,yj Pya?I ve 9!1[ d. Period Begin Balance d. Period Begin Balance z� fJ - n��� /�Rf $ CERTIFICATION 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 prohi d or o er non- inclose funds. 1 further certify that this report is complete, true and correct and that I have been trained by the N T�AurEI,F%L�S�WSIGI at Boa le ons- 0 Printed Name of Signer ignature f o ed Treasurer Date FOR OFFICE USE ONLY Delivery Method Date Received: Employee: i9 ❑ Normal Mail Date Postmarked: Employee: El 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 -2100A -E to make committee changes. CRO -1000 NC State Board of Elections August 2008 UNIONN COUNTY— CAMPAIGN FINANCE Detailed Summary q�j 2 2021 Use this form to summarize all disclosure reoortina forms and to total monetary rma ton. Amendment ❑ Ice )< No CRO -1100 NC State Board of Flections August 2008 ommittee Full Name and Fund if applicable) w"MW �AsQ�1 Mit' 12. Type of Re 13. ID Number Start of Election Cycle: January 1 Total this Reportina Period Total this Election Cycle 4) Cash on Hand at Start $ 60 143.00 S) 6) 7) 8) 9) 10) 11) Aggregated Contributions from Individuals Contributions from Individuals Contributions from Political Party Committees Contributions from Other Political Committees Loan Proceeds Refunds/Reimbursements To the Committee Other Receipt Sources I la) Interest on Bank Accounts l lb) Contributions from Not -for -Profit Organizations I lc) Outside Sources of Income lld) Legal Expense Fund — Other Sources 11 e) Exempt Purchase Price Sales (CRO -1105) (CRO -1110) (CRO -1120) (CRO -1130) (CRO -1410) (CRO -1240) (CRO -1250) (CRO -1150) (CRO -1150) (CRO -1270) (CRO -1265) $ $ $ _Z' S 0 $ 17SI, $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 12) 13) 14) 15) 16) 17) TOTAL RECEIPTS (Add lines 5.6,78,9,10,Ila. I/b,Ile. IldandIle) Disbursements 13a) Operating Expenditures (CRO -1310) 13b) Contributions to Candidates/Political Committees (CRO -1310) 13c) Coordinated Party Expenditures (CRO -1310) Aggregated Non -Media Expenditures (CRO -1315) Loan Repayments (CRO -1410) Refunds/Reimbursements From the Committee (CRO -1310) In -Kind Contributions (CRO -1510) q9 00 17L ,0 $ ']33t o; $ 7G , 0*�r $ $ $ $ $ $ $ $ $ $ $ $ 34, 0� 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13e, N. 15. 16 and 17) $ ,t9 jr $ 1-709- 11 19) Cash on Hand at End (Add lines 4and 11 together, then subtract line 18) $ 06, 20) 21) 22) 23) 24) 25) 26) 27) 28) Non -Monetary Gifts Chen to Other Committees Outstanding Loans (incl. ones from other campaigns) Debts and Obligations owed By the Committee Debts and Obligations owed To the Committee Account Transfers Within the Committee Administrative Support Forgiven Loans 48 -Hour Notice Reports Sum Contributions to be Refunded (CRO -1330) (CRO -1430) (CRO -1610) (CRO -1620) (CRO -1720) (CRO -1710) (CRO -1440) (CRO -2110) (CRO -1115) $ $ $ $ $ $ $ $ $ $ $ $ $ CRO -1100 NC State Board of Flections August 2008 ent Contributions from Individuals Pg --I—of E] Amendment NO Use this form to rcprnt individual contributions over $50 or contributions under $50 if forth CRO 1205 is not used 1. mmittee Full Name and Fund if apphcablo 3. Contributor Information ❑ Add ❑ Remove , a. Full Name, )tailing .Address & Phone (include city, state, & zip)f b. job 'I-ide/Profession d. Comments RECEIVE MA'r Lya6 MA L7014X Po BOX /e�- /5- wi 144w, Ne ,X17 3 c. Employer's Name/Specific Field e. Election Sum to Date $ si0, 60 E Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ x C 01 $ Aw 0° ❑ s 3, COnfri U or Information" ' ❑ Add ❑ Remo a. Full Name, Alailing Address & Phone (include city, state, & zip) h. Job Title/Profession d. ('ommenN i7 F -Y6-4/71 , 1v V �4J Me GAJ t�___�1L � �� l ' � ha / �,f x • Lw /, NL x(-73 (/"IrJt I" a„ZY c. Employer's Name/Specific Field Q e�ivr7�O1�v�� 5dLu�u ,�/S NfhCS S'/�.5"/l e. Election Sum to Date $ ep',r', °° E Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ thyx / -�— 0 0 a03/ $ oS. , 0 0 ❑ $ 3. Contributor Information a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments c. Employer's Name/Specific Field e. Election Sum to Date f. Prior g. Account Code It. Form of Payment i. In -Kind Descriptiou j. Date (mm/dd/yyyy) k. Amount ❑ $ ❑ $ =,4. Toon this Page $ a Total of ALL CRO -1210 Pages $ %at�, �� (This line must be on line b o/ Detailed Summary Page CRO -1(00) CRO -1111/ NC State Board of Elections April 2007 ;E C ++ Amendment Digbursements Pg 1 of ❑- Yes ur Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political committees and coordinated para e\pendituies. No 1. Commi N ` rj-kL,?-A l 1. 3. T e of Disbursement Please use separate CRO 1310 0 t ryrcraune 1 ymnae. ❑ (mi0,L wn, i,, t andWute, IAofocel (bmmittees Coordinated Party Expenditures 4. Payee Information _ ). a. lull Nanrc. Nlailing Address & Phone It. Coordinated Committee Name d. Comments CAMPAIGN OCT 2 5 202 include city, state, & zip) F►PTf rPeo F -c' K4r1v5f^// ry d � V0- poo4 c. level Registered (Specify) ❑ Federal 1:1 Comfy: ECEIV e. Election Sum to Date N4 3�>A- State Municipality: $ 47 ov Ns'XOL*/"vj Iv it '-Y-/ � 3 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/ddtyyyy) j. Amount k Required Remarks HVVX / CAS t� p /%3fXXI $ 4. Payee Informs a. Full Name, )failing Address & Phone It. Coordinated Committee Name d. Comments include city, state.& zip) V lid $66-8�3(07�3 C. Level Registered (Specify) ❑ Federal ❑ County: State Municipality: e. Election Sum to Date $��- E Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks 1 C4$f c� „ olc 05 S Information MaassRe a. Full Name, Nlailing Address & Phone b. Coordinated Committee Name d. Comments include city, state. & zip) :!►I&NS /vOw M(,t•r fl��f N� c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State [g Municipality: e. Election Sum to Date E Account Code g. Form of Payment IS. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks +*X LV&s44,70-3� � Am(i1tErN St6NS $ onW=601 $ .0 57 6. Mill of AL ` ("Chis line goes in line 13a of Detailed Surea/mry Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Demiled Summary Page CRO -1100 if Contrib to Candideae.vPolitical Comm) S /133. 0 s (This line goes in line 13c of De sidled Summary Page CRO -1100 if Coordinated Party Expenditures) WPur ose Codes' a in h. above 65 A* - Media B* - Printing C* - Fundraising D - To Another Candidate E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses 1 - Postage J - Penalties K* -Office Expenses Q* - Donation to Legal Expense Fund O* - Other * Codes require detailed ex arlfs field k CRO -1310 NC State Hoard of Flections December 2009 CE IC