Morey, Pedro-2019-Organizational ReportDisclosure Report Cover Oe yes a°` ❑ 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.
L Committee Information
. FullXapae
0 �0� ry1 Vl11 SSIfltiIC
a ID Number
-�
h. Mailing Address (include City, State and Zip Code)
d. Daft Filed
6007 t1E-w tot e-
I ✓U / ` / �l, 07 1
-7/;-b I I
e. Phone Number
2: Re ort Year
3. Period Start Date (nnn/dd/yyl_ 4. Period End Date' uun/aa/ )
5. Treasures Full Name
6. Type of Committee {Check One
9. Type of Report (check only one type of report frmn one category)
®!Candidate Campaign ❑ Party
❑ PAC ❑ Referendum
❑ Independent Expenditure ❑ Joint Fundraiser
❑ Legal Expense Fund
Municipal
State/County
Referendum
02bocanizational
❑ Thirty-five day
❑ Pre-primary
❑ Pre-election
❑ Pre -runoff
Semi-annual
❑ Mid Year
❑ Year End
❑ Final
❑ Special
❑ Organizational
Quarterly
❑ First
❑ Second
❑ Third
❑ Fourth
Semi-annual
❑ Mid Year
❑ Year End
❑ Final
❑ Special
❑ Organizational
❑ Pre -referendum
❑ Final
❑ Supplemental Final
❑ Annual
❑ Special
i. Type of Fund (if applicable. check one)
❑ Bate, Fund
❑ Building Fund
❑ Odmr
10. Special Report Name
8. Number of Fundraisers this Report
11. Account Information
11. Account Information
. Fieurawil Institution Full Name
a. Financial institution Full Name
�3Gwk
b. Purpose
c. Account Code
b. P
c. Account Code
84MVM6
/g-7309'
JUL 26 2019
Union Co. Board of Elections
d. Period Begin Bottom
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 ertify that this
report is c I ttee,'tt a and correct and tthat 1 have been4VPate B of Elections. �1 /
CA/ P V6 - pe
Printed Name of Si ner Si natureof A oint Trea r Date
FOR OFFICE USE ONLY /�
Date Received: % 7 Employee: Delivery Method
❑ Normal Mail
Date Postmarked: Employee: Registered Mail
Hand Delivered
Date Scanned: Employee: Electronically Filed
Date Data Entered:Employee: [3Signer has not received
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.
CK(/-! UUU NC State Board of Elections August 2008
Detailed Summary
aaemmaem
❑Yes ❑ No
Use this form to summarize all disclosure renortine forms and to total monetary information
1. Committee Full Name (and Fund if applicable)
12. Type of Report
13. ID Number
Start of Election Cycle: January 1, Di
Total this
Re orti Period
Total this
Election Cycle
4) Cash on Hand at Start
$
0100
$
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
It) Other Receipt Sources
Ila) Interest on Bank Accounts
11b) Contributions from Not -For -Profit Organizations
11c) Outside Sources of Income
11 d) Legal Expense Fund - Other Sources
lle) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1210)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CRO -1240)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1270)
(CRO.1265)
$
$
$
$
$
$
$
$
$ e D V
$
$
$
$
$
$
$
$
$
$
$
$
$
12) TOTAL RECEIPTS (Add lines 5,6,7,8,9, 10,1 la,1 lb,I lc,I Id and I le)
$
$
EXPENDITURES
13) Disbursements
13a) Operating Expenditures (CRO -7310)
13b) Contributions to Candidates/PoRET"+ey iERD10)
13c) Coordinated Party Expenditures JUL 2 6 201r-1310)
14) Aggregated Non -Media Expenditures (CRO -1375)
15) Loan Repayments UNofl CO. Board of EIBo(f0ngwo)
16) Refunds/Reimbursements from the Committee (CRO -1320)
17) In -Kind Contributions (CRO -7510)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
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
$
/00,00
$
ADDITIONAL INFORMATION
20) Non -Monetary Gifts Given to Other Committees
21) Outstanding Loans (incl. ones from other campaigns)
22) Debts and Obligations owed by the Committee
23) Debts and Obligations owed to the Committee
24) Account Transfers Within the Committee
25) Administrative Support
26) Forgiven Loans
27) 48 -Hour Notice Reports Sum
(CRO -7330)
(CRO -1430)
(CRO -1610)
(CRO -1620)
(CRO -1720)
(CRO -1710)
(CRO -1440)
(CRO -2220)
$
$
$
;
$
$
$
$
$
$
$
$
28) Contributions to be Refunded
(CRO -1215)
$
$
CRO -1100 NC State Board of Elections August 2008
Loan Proceeds Pg —L or
Use this form to report proceeds from a loan and loan endorser's information
loan nroceeds smteinenl mu,i accomnanv each loan that is fi-om an individual
Amendment
❑ Ses ❑ No
1. Committee Full Name (and_ Fund if applicable)_ _
-
Z.1D Number
--
J
Ij as I k
3.Lender Information I❑ Add ❑ Remove
a. Full Name,Mailing Address & Phone
(Include city, state, & zip)
b. Job Title/Profession
d. Comments
l tz. ,i ci
..1l-7. &W* yU�,C &V C-
10[0Employer's
1_`'s%,,tf �I 73L
aStart Pate( Y)
e. Name/Specific Field
9
f. End Date mmld yyyy)
/a &Qy
. Rate
1h. Security, PI ged
i. AccooJuntt Code . Forr/
m,�ofPafyn ent k. Amount
O %
�
(
/ (! (N fT $ /00, 0C)
I. Full N of Lending Institution
m. Loan NNumber
�y7��
C ZJ PKC
19
4I. Endorsers/Makers (Tae1w,ple ohL) ¢wvantee the 6wn.)
. Full Name, Mailing Address & Phone
(include dt
26 2019
Board cf Electlons
b. Job Title/Profession
c. Employer's Name/SpeciHc Field
d. Percentage
e. Amount
%
$
a. Full Name. Mailing Address & Phone
(include cio., state, & zip)
b. Job Thle/Profesdon
c. Employer's Ni me/Speeific Field
d. Percentage
e. Amount
%a
$
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
c. Employer's Name/Spedfic Field
d. Percentage
e. Amount
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
c. Employer's Name/SpedHe Field
d. Percentage
e. Amount
%
$
5. Total of ALL CRO -1410 Pages
(This line must 0e on line 9 of Detailed Sunonan Page CRO -1100)
$ /w
CRO -1410 NC State Hoard of Elections April 2007