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Mills,Parker_2021-Year-endDisclosure Report Cover ❑eyes not ❑ 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 uodate information. 1. Committee Information . Full Name -Pa, ricer AA( [Us c. IU dumber Pm -I ao a I . Mailing Address (include City, State and Zip Code) d. Date Filed _ ti � i ►�,�.t��.rr� icG�.��,� 1 Iaolal e. Phone Number 7a{3a9s . Report Year 3.Period Start Date rmddd/ 4. Period End Date (mmtddtyy)_ - 5. Treasurer Full Name a nal la�la I to 3l ai _ CZ(�be%+ �Y1,olav__ 6. of Comma ee Check One) 9. Type of Report (check ons one type of re om one catt�ory) Candidate Campaign ❑ Party ❑ PAC ❑ Referendum ❑ Independent Expenditure ❑ Joint Fundraiser ❑ Legal Expense Fund Municipal ❑ Organizational ❑ Thirty-five day ❑ Pre-primary StatetCounty ❑ Organizational Quarterly ❑ First Referendum ❑ Organizational ❑ Pre -referendum ❑ Final ❑ Pre-election ❑ Pre -runoff Semi-annual ❑ Mid Year ❑ Second ❑ Third ❑ Fourth Semi-annual ❑ Supplemental Final ❑ Annual ❑ Special 7. Type of Fund ((f applicable, check one) ❑ Booster Fund ❑ Building Fund ❑ Other: ❑ Year End ❑ Final ❑ Special ❑ Mid Year Year End ❑ Final O. Special Report Name 8. Number of Fundraisers this Report U ❑ Special 11. Account Information 11. Account Information . Financial Institution Full Name a. Financial institution Full Name fir5+- Cf+iw s b. Purpose c. Account Code Code b. Purpose c. Account Code „�� �Ckc k—C-A`�\tt�tla�'n MO' a — t � UQ� '— d. Period Begin Balance d. Period Begin Balance $ $ 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 thi, report is complete, true and correct and that I have been ted by the NC State Board of Elections. Printed Name of Signer signature of A anted Treasurer Date FOR OFFICE USE ONLY Date Received: 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. CR04000 NC State board of Elections August 2008 Detailed Summar Amendment Y o ves ❑ No Use this form to summarize all disclosure reoortine forms and to total monetary information 1. Committee Full Name (and Fund If applicable) Ile. IV e4 C+ R)�N <<s 2. Type of Report I 3. ID Number Pm -1a L) Start of Election Cycle: January 1, 2_1CAq Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start $ Q $ 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 (CRO -1205) (CROa210) (CRO -1220) (CRO -1230) (CRO -1410) $ $ $ --7Qi5o. pD $ $ $ $ $ $ $ 10) Refunds/Reimbursements to the Committee 11) Other Receipt Sources Ile) Interest on Bank Accounts llb) Contributions from Not -For -Prost Organizations Ile) Outside Sources of Income I Id) Legal Expense Fund - Other Sources Ile) Exempt Purchase Price Sales (CRO -1240) (CRO -1250) (CRO -1250) (CRO -1250) (CRO -1270) (CRO -1265) $ $ $ $ $ $ $ $ $ $ $ $ 12) TOTAL RECEIPTS (Add lines 5. 6, 7, 8, 9, 10,1 I a.l I b, I 1c, I I d and I 101 $ ��. [� $ EXPENDITURES 13) Disbursements 13a) Operating Expenditures (CRO -1310) 13b) Contributions to Candidates/Political Committees (CRO -1310) 13c) Coordinated Party Expenditures (CRO -1310) 14) Aggregated Non -Media Expenditures (CRO -1315) 15) Loan Repayments (CRO -1420) 16) Refunds/Reimbursements from the Committee (CRO -1320) 17) In -Kind Contributions (CRO-ISIo) $ $ $ $ $ $ $ $ $ $ $ $ $ $ 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $ 0 $ 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18 $ ,07 $ ADDITIONAL INFORMATION 0) 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 -1330) (CRO -1430) (CRO -1610) (CR0.1620) (CRO -1720) (CRO -1710) (CRO -1440) (CRO -2220) (CRO.1215) $ $ $ $ $ $ $ $ $ $ $ $ $ CRO -110V NC State Board of Elections August 2008 Amendment Contributions from Individuals Pg L of e.3 ❑ Yes ❑ No Use this form to report individual contributions over $50 or contributions under 550 if form CRO 1205 is not used 1. Committee.Full Name (and Fund jf aPplleable) C®ntrnl l�C. Z41 PaAar r s Z t�►�i -7tQc)a I 3. Contributor Information ❑ Add 0 Remove . Full Name, Moiling Address & Phone (include city, state, & zip) PGAU-4 ' (Yl i l l s 1111 MWt0.rcA LCldkvlc (y��ln ivy NC OWll b. Job Titleff rofession d. Comments A � est � � c. Employer's Name/Specific Field M�\\5 C 0.n' � a Eleetiom Sum to Date C1 $ -_ f. Prior g. Account Code b. Form of Payment i. In -Kind Description - -- - j. Dale (mm/dd/yyyy) k. Amount Ids C.hac, - AQat $ loco -co ❑ 5 ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip)PGWAlt- b. Job Title/Profession d. Comments I . _ Can . , . f U 4C, N'(Z— c. Employer's Name/Specine Field C p' ` - e. Election Sum to Date I. Prior ❑ g. Account Code h. Form of Payment �,hpC,K I. in -Kind Description - j. Date (mm/ddtyyyy) k Amount mv5 << I a 31x 1 $ j eco , CD ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name. Mailing Address & Phone (include city, state, & zip) F al -too fie_ ta,h C.hurGl� tVU/l�= r zV S ��� b. Job Title/Profession d. Comments c. Employer's Name/Specitic Field `I , lj... e.$IeNMn Sum to Date I. Prior g. Account Code h. Form of Payment - I. In -Kind Description -- - Date (mmldd)yyyy) k Amount ❑ I4,14P5� does" ial3 COD, 00 4. Total only this Page s ((-0 OT T 5. Total of ALL CRO -1210 Pages (Thu line must be online 6 of Detailed Summary Page CRO -1100) 5 CKO-1210 NC State Board of Elections April 2007 Amendment Contributions from Individuals Pg nr ❑ 5e, ❑ No Use this form to report individual contributions over S50 or contributions under S50 if form CRO 1205 is not used 1. Committee Full Name (and Fund if applicable) rmk 4) axw WU 1 isYTn 2. ID Number -7a CQ . Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone _(Include city, state, & zip) �CiG4 -D i- Ox*-+ [Via� a� eS' / �• ry� /�� Ct l� N 1. PA 1 s' I b. Job Tide)Professiou d. Comments -- - - eS' cwt" c Employer's Name/Specific Field gHmod,., � Eu C._Tf � e. Election Sum to Date $ I. Prior g. Account Code h. Form of Payment 1. In -Kind Description J. Date (nuddd/yyyy) it. Amount ❑ ISS C� 12��3a1a) $01506) ❑ $ ❑ $ 3. Contributor Information ❑ Add 71 Remove . Full Name, Mailing Address & Phone (include ci y,state,&& zip) b. Job Tide/Profession d. Comments e w ` 'Bk11qO - �VQ nn.o� NC a�ll2— c. Employer's Nrne/Spectfic Field J5oy-4e- ,,�'��� Co e. Election Sam to Date $ . Prior ❑ g. Account Code h. Form of Payment clke� i. In -Kind Description J. Date (m•Jddlyyyy) k Amount 1'40S I 131a $ Io0o.0D ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone (include city, state, & zip) b. Job T)tie/Profession it. Comments _ c Employer's Name(Specific Field e. Election Sum to Dale $ f. Prior ❑ g. Account Code h. Form of Payment i. In-Kiud Description J. Date (mmtddlyyyy) K Amount $ ❑ S ❑ S 4. Total only this Page $ TaI5370 5. Total of ALL CRO -1210 Pages (Thu line must be online 6 of Detailed Summary Page CRO -1I00) $ (,K042i 0 NC State Board of Elections April 2007