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Morey, Pedro_2019-0-Org-reportDisclosure Report Cover SEP 2 7 2019 Amendment --- ❑ Yes l] No Use this form for general report and committee information; PrlOsrbc signed and submitted along with other detailed forms. Do not use this forth to update information. 1. Committee Information a. 1 Name R. rn �R M W5 o c. to Number i-jmgI K . Mailing Address (include City, State and 73p Code) d. Date Piled $pP1 1--ItWOLNE MVC I.'I �J11�w ('10 t '1111"t7) e. Phone Number . Report Year 3. Period Start Date (quithbyyyl 14. Period End Date mmldd/ ) 15. Treasurer Full Name 6. Type of Committee Check One 9, of Re rt (check only one type of re ort from one category) ® Candidate Campaign ❑ Party ❑ PAC ❑ Referendum ❑ Independent Expenditure ❑ Joint Fundmiser ❑ Legal Expense Fund Municipal State/County Referendum EN Organizational ❑ Thirty-five day ❑ Pre-primary ❑ Pre-election ❑ Pre -runoff Semi-annual ❑ Mid Year ❑ Year End ❑ Final ❑ Organizational Quarterly ❑ First ❑ Second ❑ Third ❑ Fourth Semi-annual ❑ Mid Year ❑ Year End [:] Final ❑ Special ❑ Organizational ❑ Pre -referendum ❑ Final ❑ Supplemental Final ❑ Annual ❑ Special 7. pe of Fund (if applicable, cluck one) ❑ Boaster Fund ❑ Building Fund ❑ Oiher: 10. Special Report Name 8. Number of Fundraisers this Report_E3Special 11. Account Information 11. Account Information . Financial Institution Full Name a. Financial Institution Full Name 5/3 NO. b. Purpose c. Account Code b. Purpose a Account Code Clkwm& 4eca*-rr lgl3og it. Period Begin Balance d. Period Begin Balance $ /oa a� $ CERTIFICATION I 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 prohibited or other non -disclosed funds. I further ertify at this report i;complete, true and correct and that I have been train the NC St a BP, rd �f Elections. 2 a 7Iq Printed Name of i her Signature of Appointell AppointTrmulqt Date FOR OFFICE USE ONLY � ��(� Date Received: a I JLL_ Employee: Delivery al Mail � I [3 Normal Mail Date Postmarked: Employee: Registered Mail Hand Delivered Date Scanned: Employee: Electronically Filed Date Data Entered: Employee: ❑ Signer has not received mandatorytrautin 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. UNO.1000 NC State Board of Elections August 2008 Detailed Summary SEP 2 7 2019 Amendment 1 ❑ Yes [ N. Use this form to summarize all disclosure reDortiniz forms ad to total,monetary information 1. mmittee Full Name (and Fund W applicable) o£Re ort .,- _- 3. H) Number 2_ o aA CO M N ► 9SI PgrA, I 1�->'nGiK Start of Election Cycle: January 1, Total this Period Total thisReporting Election Cycle 4) Cash on Hand at Start $ PO , 0 U $ RECEIPTS 5) Aggregated Contributions from Individuals 6) Contributions from Individuals 7) Contributions from Political Party Committees 8) Contributions from Other Political Committees (CRO -1205) (CRO -1210) (CRO -1220) (CRO -1230) $ $ $ $ $ $ $ $ 9) Loan Proceeds (CRO -1410) $ /QD , QV $ 10) Refunds/Reimbursements to the Committee (CRO -1240) $ $ 11) Other Receipt Sources Ila) Interest on Bank Accounts llb) Contributions from Not-For-Prorit Organizations Ile) Outside Sources of Income (CRO -1250) (CRO -1250) (CRO -1250) $ $ $ $ $ $ 11d) Legal Expense Fund - Other Sources Ile) Exempt Purchase Price Sales (CR o 1270) (CRO -1265) $ $ $ $ 12)TOTAL RECEIPTS (Add lines 5.6,7,8,9,10,1 la,l lb,l lc,l Id and l le) $ $ 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 (CR04420) 16) Refunds/Reimbursements from the Committee (CRO -1320) 17) to -Kind Contributions (CRO -1510) $ $ $ $ $ $ $ $ $ $ $ $ $ $ 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 1-7))—$ 7)$ $ 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18 $ I 21 $ ADDITIONAL INFORMATION 20) Non -Monetary Gifts Given to Other Committees 1) 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 5) Administrative Support 6) Forgiven Loans 7) 48 -Hour Notice Reports Sum (CRO -1330) (CRO -1430) (CRO -1610) (CRO -1620) (CRO -1720) (CRO -1710) (CRO -1440) (CRO -2220) $ $ $ $ $ $ $ $ $ $ $ 8) Contributions to be Refimded (CRO -1215) $ $ CRO -1100 NC State Board of Elections August 2008 EDD Amendment Disbursements g r p 2 7 Z n 19 ❑ lYes © No Use this form to report expenditures from th committee for operating penses, contributions to candidate/political committees and coordinated oartv exoendit Bi 1. Committee Full Nam (and Fund If aplliffaW __12. CIX,J A_ ) I)V12U11 r6Z In Number I 1, Tfo1 ;I k 3. Type of Disbursement (Please use separate CRO -1310 forms for each type of Disbursement ratio Ex uses Contributions to Candidates/Political Committees ❑ Comd i..atcd Pan Expenditures 4. Payee Information Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) U6 -M N P'N N 1 a75 w ymtl N�tS { Wmx}+4m , 11117, Da � Js' b. Coordinated Committee Name d. Comment, - c Level Registered (Specify) [3 Federal County: ❑ State GMunicipality: clixuasimiloDol . Account Code S. Form of Payment JIL Purpose Code L Date (mmtildlyyyy) J. Amount it. Regdred Remarks 197,;OS 6WCO& K}g1glIq$ $ 4. Payee Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone (Include city, state, &- zip) b. Coordinated Committee Name it. Comments c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Stun to Date $ . Account Cade S.Form of Payment h.Purpose Code L Date (mmtdd/yyyy) J.Amount $ IL Required Retmrb $ 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name it. Comments c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Date $ . Account Code it. Form of Payment JIL Purpose Code IL fate (mm/dd/yyyy) . Amount $ Ir. Required Remarks $ 5. Total only this Page $ S5.19 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) (This line goes in line 131, of Detailed Summary Page CRO -1100 if Contrib to Candidates/Political Comm) (This line goes in line lac of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures) /� $ S5 7� �rIJJJ` 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 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 required remarks field k CRO -1310 NC State Bond of Elections December 2009 Outstanding Loans SEP 2 7 2019 Union Co. Llec.Jons g l Amendment of ❑ Yes ® No Use this form to report any outstanding loans received during a previous reporting period and until the loan is paid in full. luesinalinittee Full Name and Fand if applicable) 2. ID Number fibw)4 rn T -Ory 5IK " lender Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments 8007 �uHd w e- de/V6 a start Dale (mm/ad/rrrr) c. Employer's Name/Specific Field 7b6 J / /mm/dd/yyyy) f. End Date ( . Rate JIL Security Pledged Ii. Original Loan Amount J. Remaining Loan Balance It. Full Name of Lending Institution 1. Loan Number 3. Lender Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (Include city, state, & zip) b. Job Title/Profession d. Continents e. Start Date (nun/dd/yyyy) c. Employer's NametSpecif c Field L End Date (mm/dd/yyyy) u. Rate 1h. Security Pledged 11.Original Loan Amount J. Remaining Loan Balance k. Full Name of Lending Institution 1. Loan Number 3. Lender Information ❑ Add ❑ Remove • . Fall Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments e. Start Date (mmtddlyyyy) c. Employer's Name/Specific Field f. End Date (mm/dd/yyyy) . Rate JIL Security Pledged i. Original Loan Amount J. Remaining Loan Balance $ $ Full Name of Lending Institution 1. Loan Number 4. Total only this Page $ 100-4190 5. Total of ALL CRO -1430 Pages (Thu line must be on line 21 of Detailed Summary Page CRO -1100). - $ CK64430 NC state Board of Elections December 2007