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Horn,Craig_2021-PreElectionReportDisclosure Report Cover 0 yes t o 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 undate information. 1. Committee Information a. Full Name _ a ID Number Av.rn'i M4 0+ CA M 3 BC Halling Addrem Qnclude Coy, %ft and Zip Code) d. Bad Pnea — S-(o,k glkcblyd H%1\ (o .A51 z1 __L&rie e.PholeNumber you-Bay-R4bv 3. Perled SWt Daft ,). 14- POW 28d D& DR X-1.1 o'l �d)ig yl DW �t Cray }�6rrl 2D'z-1 _Type otcommilbee (check one 9. Type of (check only one type of rrponfrom one category) Candidate Campaign ❑ Part Municipal sftwcm ty Referendum ❑ PAC ❑ Referendum ❑ Organiratioml —_- ❑ organuatiwal ❑ organisational ❑ independent Expenditure ❑ Joint Fundraiser ❑ •thirty-five day Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ Pre-primary, ❑ First ❑ final Pre-election Pro -runoff ❑ Soccnd ❑ Third ❑ Supplemental Final ❑ Annual 7. Type of Fund Of applicable• check one) ❑ Booster Fund Semi-annual ❑ Fourth ❑ Special ❑ Building Fund ❑ Mid Year Semi-annual ❑ Year End ❑ Mid Year 10. Report Name ❑ Other: ❑ Pinal ❑ Special ❑ Year End ❑ Final . Number of Fundraisers Will Report ❑ Special 11. Account Information 11. Account Information Poundal Institution Foil Name a. Financial Institution Full Name 5mw�•-1� S�Qtc Qnk �- - Purpose _. e. Account Code -e bPuLUn e. Account Code 2021d. Period Be& Balance d. Period Be& BNaore$ • Elections t b D $, Ln $ t 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 'th prqbibited or other non -disclosed funds. I further certify that this report is complete, trueandcorrect and that I have been by C State Board ections. C -Tact S Z Pn� d Name of Signer Signature of &4&ndd Treasurer Da OR OFFICE USE ONLY Date Received: �O a Employee: Delivery Method ❑ Normal Mail Date Postmarked: to JQ Registered Mail ' JU Hand Delivered Date Scanned: `� Employee: ❑ Electronically Filed eived Date Data Entered: Employee: ❑ Signer nvaining 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 [Hake committee changes. CRO -1000 NC State Board of Elections August 2008 - Detailed Summary AmetMment3 yes _0019 t Ise this form to summarize all disclosure renortine forms and to total monetary information 1. Committee Full Name (and Fund if applicable) - - �_ 2. Type of Report -- - - - -- — ----- [_Ve-t,u� � rt 3. ID -Number Number _ _. _..----- C 3 b l 3 �)G Start of Election Cycle: Januar} 1, Total his Total thisReportingPeriod Election Cycle 4) Cash on Hand at Start $ C P y -( $ 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 l lb) Contributions from Not -For -Profit Organizations I Ic) Outside Sources of Income (CRO -120) (CRO -1210) (CRO -1220) (CRO -1230) (CRO -1410) (CRO -1240) (CRO -1250) (CRO -1250) (CRO -1250) $ $ a s t) U $ 5 S 15, 0 O $ $ $ $ of 50 • 0 $ $ $ $ $ o $ $ $ 11d) Legal Expense Fund - Other Sources Ile) Exempt Purchase Price Sales (CRO -1270) (CRO -1265) $ $ Unl !f CO. Elections $ 12)TOTAL RECEIPTS (Add lines 5.6.7,8,9,10,1 la,l tb.l lc.l ld and l le) $ I's 00 $ 5ha5. c)Q EXPENDITURES 13) Disbursements 13a) Operating Expenditures 13b) Contributions to Candidates/Political Committees 13c) Coordinated Party Expenditures 14) Aggregated Non -Media Expenditures 15) Loan Repayments t6) Refunds/Reimbursements from the Committee 17) In -Kind Contributions . (CRO -1310) (CRO -1310) (CRO -1310) (CRO -1315) (CRO -1420) (CRO -1320) (CRO -1510) $ C $ N I $ $ $ $ $ $ $ $ $ $ $ $ 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, l5, 16 and 17) $ 5 3 , $ S N S • C1 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18 $ l3 $ -7q . S ADDITIONAL INFORMATION 20) Non -Monetary Gifts Given to Other Committees 1) Outstanding Loans (incl. ones from other campaigns) (CRO -1330) (CRO -1430) $ $ 2) Debts and Obligations owed by the Committee (CRO -1610) $ - -- 3) Debts and Obligations owed to the Committee (CRO -1620) $ µ* 24) Account Transfers Within the Committee (CRO -1720) $ 25) Administrative Support (CRO -1710) $ $ $ $ 6) Forgiven Loans - 27) 48 -Hour Notice Reports Sum 8) Contributions to be Refunded (CRO -1440) (CRO -2220) (CRO -1215) $ $ $ $ CHU-11 ou NC State Board of Elections August 2008 Pg Contributions from Individuals ar 5 ❑Act Cd 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 (md Fund I[ applicable) N ar,1 y iN\ 0.l vf- 2 ID Number E � m' � 3. Contributor Information Add ❑ Remove . Full Name, Mailing Address & Phone (include city, slate, & zip) Jeff Pe'C-CMA. rt y 15ta(-Cw f CT C 1lJCc��ih8ionl, �L z$104 A Job 77adProfession F„ -ST os� d. Commends e Employer'. N,mdspedtle Field 7ektat Aw LihrS eElection Sam toDate $ 0150.�� . Prior ❑ g. AMONA Code b. Form of Payment i. In -Kind Description j. Date (mmtddlyyyy) E Amount $ of $U, v U ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone (include city, state, & zip)-- p - ClsT�t)--de/ 1 aG\f3 �'_ oe, c, 2 -SS �2 6 Cr\wN b. Job 71daMrofeadon Pre sid�c+'it d. Comments e. Employers NomdBpedfleField i,�(Wo•d bedii l9-s5et►Q s s FJediee Sm b Date_� $ a pe , oV ouot Code R� h. Form of Payment i. Ia K andDuh (mm/dd/yyyy) k Amount $ a tO , o b � 7�� ° 04t iKkz1 Lftlorg..A� OCT 2 5 2021 $ Union Co. Elections$ 3. Contriutor Information Acid ❑ Remove . Full Name, Mailing Address & Phone (include city, state, & zip) -1 An, Y\ )k e,Yt a cl( 5 C19 M"\\ m wk-,<ke,Lj aG 2-91-13 b. Job 11tldPrafemton d. Cammmb c. Employer's Name/Specific Field 1111 R t)trias GmilY q,.rnghY\ Pa+eh Hedt�SLo.MDale $ (Op, 0n Lector ❑ b Aeeoant Code n� A b. Fors of Psymri i. In-ELd Dm rW= Dale (mmOdit yyy) b. Amamd Ct 2-Nk a l $ 100 e e b ❑ $ ❑ $ 4. Total only this Page $ 3 50, L) C 5. Total of ALL CRO -1210 Pages (This Gne mutt be on line 6 of Detailed Summary Page CRO- 1100) CRO -1210 NC State Board of Flecuons April 2007 Contributions from Individuals Pg _&Lar 7 ❑A��� �f ,o 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 if applicable) ro 40r, N myr 2. ED Number c, 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone (include city, sate, & sip) b. Job TidefProfession ��4\�r b Ca�sb .Itw\ V% Oar% 3 3a m � L�n��\e � r. �.+,a-�4e,�1 iv c- �—h°4 � Employer's NamdSpccmr Fleur �d�w�l1 Banker e.>l7aeu..s®awa $ 1Do. GO f.Prior El g. AccouW Code )'n A b. FormdPayment L In -Kind Description j. Date (mm/dd/yyyy) q � (yZ 1 E Ammmt $ 10f)r t) (! ` � 1.1041 ❑ S ❑ S 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone (include city, Yale, & sip) E dji e Go o d41 � a1.5.p- Gr�>1bwak PI�w� we l P J l V-'6iUt-1, N c- Z8 I oil b. job TiadProfesdon P�cSAct.1 d. Comments c Employer's NamdSpedRe Fbdd GcOdal Lnxs� tN� () aElecdonSumbrDna $ -)� SG , o c) Prbr k Acmwt Code h.Form of Psymmt L IaKiml DaeetptlonDate (mmlddyyyy) k. Amount 13 r R �mg - -- ';! l $ t 1 $ ;- !; o1 o v ❑ 5 2021 $ ❑ - --tion,, 'MIA $ I 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone (include city, sate, & zip) as.��AA p A v tl'�rc r r a t) O r L 3woe m. �ti Ile r� b. Job Title/Profession (n� 1 lll(i 11(IAt }' 6i ne`r- d. CAnmmb c. Employer's NamdSperiflc Field A a.ElwAsiaSom toDo* f.Prior g. Account Code W Form of Payment L Io-Ebd Dmvlpam J. Dee (mmMdyyyy) k Amount ❑ /YEA c��cK- 7Sfit y1 $ 100,00 ❑ $ ❑ $ 4. Total only this Page $ tt -S n , n (3 5. Total of ALL CRO -1210 Pages (Thu line must be on bne 6 of Detailed Summary Page CRO -1100) $ P-- 'Za Cro CRO -1210 NC State Board of Elections April 2007 Contributions from Individuals Pg � of� p Amendment p N 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 N applicable) Na rn rn tfi} �r 2. ID Number E %m 3 Bc 3. Contributor Information —Add—M Remove . Full Name, Mailing Address & Phone (include City, dam, & ZIP) h job THIVIlrodmdea d. Comments l-Og\ , Op sZtrt� E'er K r 15 h nG. &teNhrj \ c. Employer's NamelSped6c Field A rncf 1 i-0. _ Daft O Ot• 8 0 .Prior ❑ g. Aeeemt Code h. Form alPaymem L InaK ad Dmrripdm J. Date (mmldlyyyy) !o%r, I E Amami $ too, 00 11') Pr G�\cclL ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone (include dly, pate, & zip) k A A -m -r\\ t, A4 --S (s>D t b % I v� t 4 T �,` �!J �dyl I� L �Y$10 � wact l ' b. Job Titie/Proresslon d Comments A 1'I�S1s e. Employer's SpedRe Field Na amd a e. Election Sum m Date $ -,', 60, o L . Pdor g. Accomt Code d Form o(Paymeot L Ia-67ad Dmvipnou J. Date (mmlddfyyyy) E Amount ❑ ADD P�t.�d tcc S6ectS col ��� $ 700.60 ❑ 2021 $ ❑ Elections $ 3. Contril 0 Add El Remove . Full Name, Mailing Address & Flamm (include city, date, & zip) 4�QY�IIr�^'IT►�cW3 -- -- 1 L `i,I U b. Job THWProradm �D �nvG� d. Comments e Employer's Name/SpedBc Field R 1Y�7t'oc d� Is e. Eked= Som to Data too oo F.Prior g. Account Code h. Form of Payment L ba-Elal Description j. Date (mm/ddlyyyy) b. Amount ❑ $ 4. Total only this Page $ p 5. Total of ALL CRO -1210 Pages ", (This line must be on line 6 of Derated Summary Page CRO -1100) $ �' �"� i v CRO -1210 NC State Board of Elections April 2007 Contributions from Individuals Pg — or s ❑A Yet iEi No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee FuH Name (and Fund It applicable) a res a iy%&or 12. W Number f 3 r` � 6 0--- 3. Contributor Information Add Remove . Full Name, Mailing Address & Photic (include city, tate, & zip) .may 3 i\ u� L•� cT ?�IO�J,,ccS� b. Job lltldproteedr d. Ca®ents �� e.cES utc•C' c. Employer's Nam&Spcdtic Field � F ler s e. Election 90®b Date . Prior ❑ g. Account Code h. Form of Payment �Fls EI L bz-Hied Description j. Date (mmiddlyyyy) D�hz u� k Amount $ •o(J m A ❑ $ 3. Contributor Wormation 0 Add QRemove Full Name, Mailing Address & Phone Ouclede city, dam, & zip) fi \ 0 W le- s cox Roqj we 0,��,jr N a�►o� A Job lltldhahsdm Sa 1C—s d. Comments n Employer's NamdSpedec Flew 1 rte\ a EkAbe Sa b Dale Is dao r o . Prlor g. Acco�mtt Code b.. F.o`rm aC Psayymmt L I }Xlad Desescription Deft (®rd{d/yyyy) L Amount mo nt0 11 C-� TR�W�,F=L- -IWMI) oc�/fjuz) $ 2�0 ❑OCT2021 $ 0 Inion CoElections $ 3. Contributor Information AM in Remove . Full Name, 'Mailing Address & Phone (include city, state, & tip) ban�/ r, 1 a-111-5 102A F3rcm l�� t7� b. Job 17adProhmioe d. Comments c. Employer's NamdSpetme Field r►'IGra�Vkj innSnDate a Ie�mta foo, Vo I.Prior ❑ g. Account Code m b. Form or Paymot f_�c-Ck L ie-Hhad Description J. Date (m aWyyyy) E Amami $ ��, Fiat ❑ $ ❑ $ 4. Total only this Page $ 5. Total of ALL CRO -1210 Pages (This /ane must be on Hess 6 of Detailed Summary Page CRO -1100) CRO -1210 NC State Board of Elections April 2007 ndm Contributions from Individuals Fa S or 5 ❑Am s ❑ No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee fidl Name (end Ihmd if applicable) i\o-('ads '4 of 2. M Number- 1 aim S CG 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mail* Address & Phone (include city, state, & sip) b. Job 17adPrdadae d. Casemeub -- tYse r�a�. r e j oh n F -Ta ley '7 ' \ �(�j,,��� 3 1' Fe - 11 N t W\ " (11ooreSJll�ei NG zall`1 . e. empbyer's NumelS[p�adee FMJd d c �.in ro I lis%nt 61Y e m tim s. to Dale $ Ion, oo .Prior ❑ g. Account Code h. Form otPgmmd L ho -Wad Dmiplkn J. Date (mmlddym) k. Amount $ 100, eo m cy c- cti- Oct [b u7,1 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone (include CRY, eds/r & AP) b. Job Tlfle/Protemion d. Commands e. Re plares NsdSpeeMe rb ld a E4clka Sm to Date $ f. Prior g. Accuunt Code h. Form ofPaymeot L In Kind Degiptlem J. Date (mmlddlyyyy) It. Amount Uu 3. Contributor Information d Remove . Full Name, Mailing Address & Phone (include city, state, & zip) b. Job 191ldProlmolon d. Comments e. foyer's NnmeBpadac Fleld e. Election Sum to Date .Prior g.Account Code LFaemdPaymeut L L-1Dnd Dmtriptlon De1e(mm1ddyyyy) k.Amounl ❑ S ❑ $ ❑ $ 4. Total only this Page $ 100. nC 5. Total of ALL CRO -1210 Pages , o5 C) (This fine meat be on fine 6 of Detailed Stuamary Page CRO -1100) $ uZ _( CRO -1210 NC State Board of Elections April 2007 Contributions from Political Party Committees Pg of 97w a t ❑ Na Use this form to report contributions from a political party 1. Committee FuR Name (and fiord i[ appRe") 12. ID Number tJm3 �-'C: POrr, 0 Moor 3. Contributor Information Add E3Rernove s. Poll Name, Mailing Address & Pbone (Indode city, slate. & sip) b. Comments WOrn e-fi S Glob P. o, '60y a 1 hC1%4h-r-o-lv NL 2-86-10( c. Election Sam to Date $ d5c� on d. Account Code m A e. Form of Payment C.l�ack E Ls Sled Da s"oss 1A! (mmIddlyyyy) b. Amount %q t a-Zl $ 7_5 o s 3. Contributor Information ❑ Add E3 Remove IL Full Name, Mailing Address & Phone (Include city, state, & zip) 3r, 0OCinio b. Commmb c. Election sun■ to Date S . Account Code 6 Form of Payment I. In -Kind Description g. Date (mm/ddlyyyy) b. Amount a s a 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Pboue (include City, sbte, & ZIP) a Cemmmb c. Election Sum to Date S .Account Cede e.Fmmot Paynooa Efs•Sled DatrWw g.Date(mm/dd/yyyy) b.Amount $ 4. Total only this Page 5 -z-!5'0. c 0 5. Total of ALL CRO -1220 Pages awls line must be on rine 7 of Detaileed Smnmmy Page CRO -1100) CRO -1220 NC State Board of Elections April 2009 Amendment Disblusements Pg ( ar ❑ Yea C'f N -a Use this form to report expenditures from the committee for operating expenses, contributions to candidatelpolitical committees and coordinated v ex nditures 1. ams a - _o .(-n LI o -r — f�.1 m 3;r f Disbursement (Please use separate CRO -1310 forms for each type of Disbursement) OpemaExpenses t,J Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information ❑ Add 0 Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) -. - FQ t r wd/ Fo Y r✓ - 5 Zoo 5Tt m5) 4l@rris Rd tadl��s • a�,`, r,�� ztso-►� 0. Coordinated Committer Name 1 \ __e_ d. Comments a Level Registered (Specify) E314alcral U tea, ❑ sate [�} I36icipahty a. to &onS® to Daft $ 48s II . Account Cade ryl P g. FormotPaymeui 1h.PorpowtCode S IL Date (mmtddlyyyy) Amort ILRetiolnedResmarbe 4"blT (c k yI $ 485.-71 hard0ct5 $ 4. Payee Information U Add U Remove . Full Name, Mailing Address & Phome (include city, state, & sip)-- Tsa�4or SUgply t D, Q W- RbOj e.V CA r g I v d r C N G 1 o b. Coordinated Container Name d. C mmenb -- eI&M Registered (:ter) 0 Federal U Couoty ❑ state L> mwicipahty. - e. Election Senn to Date $ loci Ascott Code g. Form otPaym id L Purpose Cade L Date (mmlddfyyyy) to I i zi J. Amount $ L Regaieed Remarks r 91,5 -ALS M $ 4. Payee Information Add 11 Remove . Full Name, Mailing Addrme & Phone (include city, state, & alp) b. Coordinated Comaltlee Name d- Comments -- a��� OCT 2 5 2021 Elections a Level Registered (l+�7) Federal County: 13 state [3 Municipality: e.�rs®toDate $ . Account Code g. F h- Purpose Code L Date (mmld&yyyy) Amort IL Required Remarks Is i $ 5. Total only this Page $ 6. Total of ALL CRO -1310 Pages (This fine goes in fine 19a of Detailed Summary Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Detailed Summary Page CRO -1100 if Contrib to Candidates/) olitical Comm) (This Gnu goes in line 13c o Derailed Sum Pa a CRO -1100 i Coordinated P Ex endUwes) / $ n u 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 He - Holding Public Office Expenses I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* Other * Codes require detailed explanation in reg uired remarks flew CRO -1310 N' State Board of Elections December 2009