Horn, Craig_2021-35DayReportDisclosure Report Cover o ` Pj 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
a ID Number
!-1 O RN Lr M 14oie"
E J m 3 PSC
. Mailing Address (include City, State and zip Code)
d. Date Filed
9 1r�-1 �1
Sgo4 31UCb\-rd FII 11 Lrf
e. Phone Number
VJe C1 ! r1 q fi013 , I-1 C Z E' 10 4
O
-70y-A4y-`'7t o
2. Report Year
3. Period Start Date 0. PeriFad Date (mmiddryy)
5. Treasurer Full Name
L`7p bt. ozI dpotl l
ofl
IZI
AUi,'
DW[e At Crn 1' 14DR/J
6. Type of Committee (Check One)
Candidate Campaign ❑Party
of
(check
only one type of report
Statelco ty
from one category)
Referendum❑
oidpal
PAC ❑ Refereadum
iional❑
Organizational
❑ Organizational
❑ Independent Expenditure ❑ Joint RmdraiserThirty-five
day
[109
Quarterly
❑ Prereferendum❑
Legal Expense Fund
Pre-pnmaty
❑ Fust
❑ Final
Preclectioo
❑ Pre-nmoff
Semi-annual
❑ Second
❑ Third
❑ Fourth
❑ Supplemental Final
❑ Annual
❑ Special
7. Type of Fund (ifopplieaW cheek one)
❑ Booster Fund
❑ Building Fund
❑ Mid Year
Semi-annual
❑ Year End
❑ Mid Year
10.Name
—
❑ Other:
❑ Final
❑ special
❑ Year End
❑ Final
8. Number of fundraisers "Report
- 0-
10 Special
11. Account Information
11. Account Information
. Financial Insulation Fob Name
a. Financial Institution Fall Name
S&L,4-k SYR TE (60. nmV,
. Purpose
e. Account Code
b. Purpose
c Account Code
it. Period Begin Balance
d. Period Begin Balance
$ fo. C,
$
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 and of Elections.
t� Crary HA
Printed arae of Signer SigatuWorApAntd
Treasurer Date
FOR OFFICE USE ONLY
Date Received: a Employee:
Delivery Method
49 ❑ Normal Mail
Date Postmarked: Employee:
Registered Mail
Hand Delivered
Date Scanned: Employee:
Electronically Filed
Date Data Entered: Employee:
er
❑ Smandatory °tro inineived
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 -21 OOA-E) to snake committee changes.
CRO -1000 NC State Board of Elections August 2008
Detailed Sulumary p t No
1 ise this form to summarize all disclosure renortinv forme and to total monetary information
1. Committee Full Nam (and Fund if applicable)
2. Type of Report3.
35—Da R p
ID Number
EJAI 3bf� --
Start of Election Cycle: January 1,
Reporting
Total this
Period
Total this
Election Cycle
4) Cash on Hand at Start
$
$
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
Ila) Interest on Bank Accounts
116) Contributions from Not -For -Profit Organizations
11c) Outside Sources of Income
1Id) Legal Expense Fund -Other Sources
l le) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1210)
(CRO -1220)
(CRO -7230)
(CRO -7470)
(CRO -1240)
(CRO.1250)$
(CRO -1250)
(CRO -1250)
(CRO -7270)
(CRO -1265)
$ 3 i 5c), CC
$
(5o. 0 U
$
$
$
$
$ d $D, or-)
$
$
$
$
$
$
$
$
$
$
$
$
$$
12) TOTAL RECEIPTS (Add lines 5,6,7,8,9,10,1 laj lb,1 lc,l Id and I le
$
3got. oo
$
4 00.Op
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 -7310)
(CRO -7370)
(CRO -7310)
(CRO -1315)
(CRO -1420)
(CRO -1320)
(CRO -1510)
$
l j ci 1 .5 3
$
4 �. 3
$
$
$
$
$
$
$
$
$
$
$
$
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)
$
Ci 1 , �j
$
4 1 3
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18
$
1 (r o 8 . 4 1
$
1 b4?. •i-7
ADDITIONAL INFORMATION
20) Non -Monetary Gifts Given to Other Committees
1) Outstanding Loans (incl. ones from other campaigns)
2) Debts and Obligations owed by the Committee
3) Debts and Obligations owed to the Committee
24) Account Transfers Within the Committee
5) Administrative Support
6) Forgiven Loans
7) 48 -Hour Notice Reports Sum
8) Contributions to be Refunded
(CRO -7330)
(CRO -1430)
(CRO -1610)
(CRO -1620)
(CRO -7720)
(CRO -7710)
(CRO -1440)
(CRO -2220)
(CRO -1215)
$
$
$
$
$
$ $
$ $
$ $
I $ $
CRO -1100 NC State Board of Elections August 2008
Amendment C!(
Disbursements Pg I or I ❑ Yes C! No
Use this form to report expenditures from the committee for operating expenses, contributions to candidate/poli ical
committees and coordinated party expenditures
1. Committee Full Name (and Fund if applicable)
Nosed 1-i rnYjyoQ,
ID ®her
Ciro
3. Type of Disbursement (Please use separate CRO -1.310 forms for each type of Disbursement)
Operating Expenses ❑ Contributions to Candidatcs/Political Committees ❑ Coordinated Party Expenditures
4. Payee Information ❑ Add 0 Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Coordinated Committee Name
d. Comments
r5 15 Yt rhQ 5 Te'Q g
31 ti Q �� 6 S T •
m011YO�i NC �.81��
c. Level Registered (Specify)
Ped,,d co®ry:
❑stow Maaidpow.
emsams,afoDat
--
s
. Mmmau Code
L Fare of Paymed/
JILPorposeCade
IL Date (ndddt"")
1j. Anaaat
1k. Required Remarks
C,e-&kt3
CII/31/Z621
$ 13aq,11a-
-3 13 ns
A
CV e -e -K
B
13 2o21
$ M7, tl
51gn 5
4. Payee Information Ll Add Ll Remove
. Full Name, Mailing Address & Phome
(include city, state, & zip)
b. Coordinated Committee Name
d. Comments
c. Level Registered (Specify)
❑ Federal 11 County-
ountyState ❑ Municipality:
State
e. Election Sum to Dat
. Account Code
g. Form of Payment
h. Purpose Code
L Daft (sma/ddlyyyy)
J. Amount
L Retptted Remarks
a
$
4. Payee Information ❑ Add ❑ Remove
a. FLIT Name, Mailing Address & Phone
(include city, slfte, & sip)
b. Coordinated Committee Name
d. Comments
-
--- --
a L. A RegiNed (Speeify)
Federal County.
❑ State ❑ Municipality
aRWlion S®to Dat
. Account Cede
`. Form of Payment
h. Propose Cade
L Dat (mm/dd/yyyy)
ij.Amoud
JIL RapeGd Remarks
I
is
Is
1
5. Total only this Page $
6. Total of ALL CRO -1310 Pages
(This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Fapenses) $ �j 5� .
(This line goes in line 13b of Detailed Summary Page CRO -1100 if Contrib m Candidates/Political Comm) ` �' 7 .�
(This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures)
7. Purpose Codes (List detailed expenditure code in (b.) above)
A* - Media Be - 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 require detailed explanation in reactired remarks field
CRO -1310 NC State Board of Elections December 2009
Amendment
Contributions from Individuals Pg / of —5— ❑ Yea 'TzLNa
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
1. Cottee Full Name (and Fund K appNcable) 12.
NrRt,t 14
ID Number
EJm 3BC
3. Contributor Information ❑ Add ❑ Remove
. Full Name, Mailing Address & Phone
(include city, state, & zip)
o, C V 0. \s `' D C n
��og B41t�it.� Ntt� �a
►..lur4 2Sfloti
7c'4 Rvq-`i4A0
b. Job 71tle/P rasion .
rRTI—
d. Comments
c. Employer's NamdSperlac Field
ltteMbCr1 /1(diF
(,:,ercr&1 � TDA
e.Ekeliunstm.teDde
$ S6, ot)
f.Prior
❑
g. Account Code
m�
h. Form of Payment
- ��s�
L In -Kind Description
J. Date (mm/ddf"n)
t Amount
d8 Io4lza21
$ 54).00
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
. Full Name, Mailing Address & Phone
(include city, state, & zip)
j1&rokd J, Zruba ke r
1313Scarboro ST
(a S hebor o f 14C, a -) r�-0 3
330a1-46is3
b. Job Tlt1e feadun d. Comments
e. Employer's Nim ilpedtle FW
�obak<< �, ASsde e.Election Suits toDaft
$ /�po0,ao
Ptlw
g. Aeootmt Cade
b. tun FoofPsym ed
L hi -land Description
Dale (eaalMdlyyyy)
L Amount❑
m
- c
$ �, foo , ov
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
. Fuer Name, Mailing Address & Phone
(include city, state, & zip)
b. Job 11de/Protession
1 mac. —= 4v v-
-
d. Comments
1nHn W Turcat•1G
G k Gi
l�3 Gnaw r
rn A D O O r-+, /Y) 5 3R 110
350-21Z-5BT5
e. Employer's NamdBpedae Field
Drv151o^)
e. Election sum to Date
$ d3b,oU
r.Prior
g. Acoeout Code
h. Farm dPaymmt
L Its -Kind Description
'. Date (immOddlyyyy)
M Amount
❑
$
❑
$
4. Total only this Page
$ 3 00 .00
5. Total of ALL CRO -1210 Pages
(TMs lite mod be on Ilse 6 of Ddm7o(Summary Page CRO -1100)
$
CRO -1210 NC State Board of Elections April 2tH)7
ent
ndm
Contributions from Individuals Pg of 5 ❑Am s
_j2_ -p] No
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
1. Committee Full Name awel Fused iflicable — –7
"Vvq u 4 m o om
2 ID Number
I EJ In 3
3. Contributor Information Add ❑ Remove
Full Name, Mailing Address & Phone
(include city, do* & zip)
b. JobZt"
, - --
d. Commends
``
N orM to h C o nth
ge55 iJwi nyel 'WouYn e
G1\a lie-�}CI rl t_. 3 aILIo
-7c)&(-556-ef551-
c ampMyer's NamdsredHe FW
Uni eG
o.Ekcdm s® to Dote
$ 1,0ot).ob
.Prior
11)Y)
g. Aecomt Code
h. Fm of Payment
L In Kod Description
'. Doh (®Iddlyyyy)
k Amount
$
/i
fm
Cke,C9
cy(/d7 2ez1
❑
$
❑
$
3. Contributor Information ❑Add ❑ Remove
. Full Name, Mailing Address & Phone
(include city, sfttq & zip)
/,� n e-
13 gay Provldercc Rao'/
G 2- $1 07
-tbK-
b. Job TltielProfession
A
d. Comments
e. Employees Nmmdspedtie Field
Au/irrn5
a Election s®b Dab
.Prior
g. Acc mt Code
h. Faun of Payment
L Dn-®md Description
J. loft (meWddlyyyy)
i Amount
13
m A
Gheak
68'jv-'?
Izaz
$ o-0
❑
$
❑
$
3. Contributor Information 13 Add 131temove
. Full Name, Mailing Address & Phone
(include city, state, & zip)
M e- 1 D-.5 5 A lit&" n) n
293o Rtsixi Son 1.tne1,
INec9cltnj*6rw) AC- 21,
-(b3c-:o- 14361
b. Job TitldProtaeion
!-IomeMa k�-r
d. Comments
t Employer's Name/Spedfic Field
/�%
pie1f�Cma%/2
a�eNa,Son to loft
$ 5b,00
. Pdw
g. Account Cade
h Form etPayment
L Io-Xhd Doutdom
J. Doh (mm/ddlyyyy)
k Amount
❑
mA
Ile
�/ xzI
$ 30, ao
❑
$
❑
$
4. Total only this Page
$ l p0. c, e.)
5. Total of ALL CRO -1210 Pages
(This line must be on fine 6 of Detailed Summary Page CRO -1100)
$
CRO -1210 NC State Board of Elections April 2007
Arnentinme
Contributions from Individuals Pg -.3-or S ElYes at 43/No
Use this form to report individual contributions over $50 or contributions under $50 if formCRO 1205 is not used
1. Committee Fall Name and Fund If a le)
Horn q rnA 11 Or
2. ID Number
I Ej
3. Contributor Information ❑ Add ❑ Remove
. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job TiddPeofeEl"
L4 vu� Ddr , 1h S Q
d. Comments
T,rdt v n n ► n �
r}a3o RtSrraS 5-�n t_u
we�c�It.Stofy/ 1JC '2-9104Awr.con,
-2 t' L"750-- 14 3 t
G Employer's fvmdspedt►e Freta
1�lotrme5
4 t2 en
e.Eleeaoas®roDate
$ 5n, cu,
. Prior
❑
g. Account Code
it ` ra
It. Form of Payment
" f,c , —
i. In -Kind Description
'. Date (mm/dd/yyyy)
DR It 162)
L Amonot
$ 3D °'
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
. Full Name, Mailing Address & Pbone
dndwk city, state, & rip)
�JQ 'r DQY Q 5 f n Int r
/000 �1ert'td9e 19GKS
flue ci l t�'ht NI iJe ZglOV
04 -fit( 1— 4 a 4-1
L Jab 7rtidProfesdon
d. Comments
v tTF
ed
Meyers eyers NamdSpedlied
f C 'ra l �oSeRr�
e.Eleem.smn to Date
$ /oo , oo
. Prior
❑
g. Account Code
L Form of payment
i. ho Klud Drxt(paoo
J. Date (mm/dd/yyyy)
�,T��i zoz�
L Amount
oo l+
G ra
$
❑
$
❑
$
. Contributor Information OAdd E3 Remove
. Full Name, Mailing Address & Phone
(include city, state, & zip)
Jantcc �ro��T
�'3 � jiUccfdnAs�N �
L Jeb 7111dPeofession
& Comments
mlayo t-
c. Employer's Name/Specific Fldd
txl�rh o� � �n
s>9eedsoSmtoDab
$ lot, o6
r.Prior
❑
g. Account Code
m
L Form of Payment
t. Io -K ad Dewmiptles
Dae (znntddlyyyy)
L Amount
$ /oo 00.
��«I�
04/� ai
4. Total only this Page $ a, p e,0
5. Total of ALL CRO -1210 Pages $
(This line mast 6e online 6 of Detailed Swnmory Page CRO -1100)
CRO -1110 NC State Board of Elections Apra 2007
Am
Contributions from Individuals Pg ,� or p t No
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
1. Committee Full Name (and Fund K appRmbk) _
12. In Number
EJm 3 Bc
3. Contributor Information 13 Add 13 Remove
. Full Name, Mailing Address & Poon
(include city, state, & rip)
b. Job 1HWIRrd ppr�
& comms' oto
Q tG\a ed! ro P ST^ n
�i61 WwQc�tr��t�,J K� a
Z8� y
T45—Ct49-7
c,EmployQ',N.®dspede reed
UntMl6dun ✓v11G
�'
5
aEledmaStan mDate
$ -Sc:., 0C'
f.Prior
& Aeeowd Code
b. Farm etPAy=nA
L LtXlnd Destxipdw
Dam (e/dd/yny)
t Ameot
❑
yh jq
G�.e�k
og 13 2,ti2l
$ o , o U
❑
$
❑
y
3. Contributor Information ❑ Add ❑ Remove
. Full Name, Mailing Address & Phone
(inciade city, awe, & zip)
0. Job lltl rofesdon
Tear- her
d Comments
V%T I'm—ROQ.5Tr
wed�t+g'Fo�
-20y-Sl7-Rrvy
e. Employer's NamdBpedlic VW(sol
Untor�l Ceunf u�i�lc
aElection Sato mDaft
$ 3'0.00
f.Prior
g. Accoad Code
h. Format Payment
1.1> 13sd Deperiplioa
Dam (mmiddlyyyy)
lc Amai d
❑
rA 14
$ 5 C). Z' C.
❑
$
❑
$
3. Contributor Information Add Remove
. Full Name. Mailing Address & Phoned.
(include city, state, & rip)
Ra.1 Esc ti epT
1 o t 5 '3f (4-- No Ilow/1cT
L�Gr
704 �65/- 1.237
n �� j
Comments
e. Employer's Neeor/Specific Field
l SfQrtG
e. Election SummDate
$ 750, p0
. Prior
❑
g. Account Code
h. Form of Payment
L to -land Description
J. Dam (m✓dNyyyy)
It Amount
5 o. 0 (j
m tq
CA 14
❑
s
4. Total only this Page s / )'U'
5. Total of ALL CRO -1210 Pages S
(This line [Hast be on line 6 of Detailed Summary Page CRO -1100)
CRO -1210 NC State Board of Elections Apol 20(17
Contributions from Individuals Pg =1 or S ❑A�Yea Na
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
1. Committee Full Name(and F and if applicable)
2 ID Number
EJm3SC
3. Contributor Information Add ❑ Remove
Full Name, Mailing Address & Phone
(Include city, slate, & rip)Q
b. Job TIB [e m
d Comments
e. Elttrios Sum to nate
J r )
J N J- 1 `�
�13-q Ho �tve r
♦'t• rl�. L\ t N fi 2-'7707
(303-9 31- 3 S�
a Employer's NamwSpedflc Field
J- leeaau D,5 -m%
$
.Prior
❑
g. Account Cade
b. Form of Payment
-
C -AS
L In Kled Dm rlpdm
Ds* (mmldd/yyyy)
t Amount
/nH
-
$ 6o.a�
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
. Full Name, Mailing Address & Phone
(Include city, state, & zip)
L I y Ca 11 t5
trollll cox 2d ,I
e- V
�/UtrQ41►�}olJ, ,`i ZBIG
Dov-�(�-o�aS
b. Job Tide/Profession
ol;sTiw rt-' Lcxchx c '
d. Comment.
c, Employer's Nomr/Spedgc Fkid
LlA VA 6eUY41PJbI,L
s od\s
e.EkctimbtitoData
$ loo, 00
.Prior
g. Account Code
b. Form of Paymt
L Io-Hbrd Dmaipaon
Dsbr (mmhld/yyyy)
t Amount
❑
W R
Ccc
c4 l3 2o7-1
$ 106, od
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Tld&Trakssion
d Cannot, nt.
c. Employer's Name/Specific Field
e. Flection Sum to Date
.Prior
❑
g.Account Code
b.FormsfPsynmt
Lin -Hind DeserhOm
j. Date(mnVdd/yyyy)
IL Amount
$
❑
$
Total only this Page $ 150.0c
5. Total of ALL CRO -1210 Pages $
(This ane carat be m line 6 of Derailed Sunnary Page CRO -1100)
CRO -1210 NC State Bard of Elections April 2007