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Morey, Pedro_2019-1-Pre-election-amendedDisclosure Report Cover 0 Yes ` 29 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. I. Committee Information T. F /ame 6r -AW c. ID Number LT► n 61k . Matting Address (Include City, State and TJp Code) d. Date Filed 001 A 917j /0 e. Phone Number 2. Report Year 3. Period Start Date d 14. Period End Date mtrwd) S. Treasurer Full Name as/0 v 6. T of Committee Check One 9. Type of Report (check only one lype of repot from one category) Ig Candidate Campaign ❑ Party Municipal State/County Referendum ❑ PAC ❑ Referendum ❑ Organizational ❑ Organizational ❑ Organizational ❑ Independent Expenditure ❑ Joint Fundraiser ❑ Thirty-five day Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ Pre-primary ❑ First ❑ Final lbpre-election ❑ Prc-runoff Semi-annual ❑ Second ❑ Third ❑ Fourth ❑ Supplemental Final ❑ Annual ❑ Special 7. of Fund (iifappla able, dteek one) ❑ Booster Fund ❑ Budding Ffimd ❑ Mid Year Semi-annual ❑ Year End ❑ Mid Year 10. Special Report Name ❑ Other. ❑ Final ❑ Special ❑ Year End ❑ Final ❑ Special S. Number -d Fundraisers this Report 11. Account Information 11. Account Information . Financial Institution Full Name a. Financial Institution Full Name ,513 AWK RECEIVED . Purpose c. Account Code b. Purpose c. Account Code Naffi& AMRW /973o9OCT -2 6 2013 Union Co. Board of Elections d. Pe 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 & 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 certify that this report is plete, true and correct and that I have been trained the NC Sta[Boa Elections. �• o � 6n ad Printed Name o Si mer Signature of Appointq0trricasurer r I Date FOR OFFICE USE ONLY Date Received: Employee: Delivery Method ❑ Normal Mail Date Postmarked: Employee: Date Scanned: Employee: [3 Registered Mail ❑ Hand Delivered ❑ Electronically Filed Date Data Entered: Employee: ❑ Signer 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-210oA-E) to make committee changes. CRO -1000 NC State Board of Elections August 2008 Detailed Summar Amendment y O Yes ❑ No Use this form to summarize all disclosure renorlinit forms and to total monetary information 1. qq)jm#tee Full Name(and Fund if applicable) 2. Type of Re rt Number Start of Election Cycle: January 1, AAJ 4, Total this Re rtin 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 llb) Contributions from Not -For -Profit Organizations IIc) Outside Sources of Income 11d) Legal Expense Fund - Other Sources Ile) 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) $ $ $ 02 $ 0 $ $ $ $ $ io D r L90 $ .Z 062 $ $ $ $ $ $ $ $ $ $ $ $ 12)TOTAL RECEIPTS (Add lines 5, 6, 7, 8,9,10,1 to, l lb,l lc,l ld and l le) 7 /3/7, U2 $ / /'.P 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 (CR04315) 15) Loan Repayments (CRO -1420) 16)Refunds/Reimbursements from the Committee (CRO -1320) 17) In -Kind Contributions (CRO -1510) $ $ $ $ $ $ $ f dd. L //I, d "j, $ //0J ,3 - $ $ $ $ $ $ 11 P 2 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $ // l $ /= , ' 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18 $ / 11 .6, V $ ( L/ .(,i / 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 ov�e� toth0 Q4fli WED j CI V 4) Account Transfers WitbinMe Committee 5) Administrative Support NOV-02 2019 6) Forgiven Loans(CRO-1440) __ __-_ _ Unwn Co. Board of Elections 7) 48 -Hour Notice Reports Sum (CRO -1330) (CRO -1430) (CRO -1610) (CRO -1620) (CRO -1710) (CRO -1710) (CRO -2220) $ _ $ $ $ $ $ $ $ $ $ $ 8) Contributions to be Refunded (CRO -1215) $ $ CRO -1100 NC State Board of Elections August 2008 Amendment Contributions from Individuals Pg _ of _ tytrYes ❑ 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 if applicable) 2. ID Number f� �. D �R N ti1ISS1D az _ � vvl 11L 3. Contributor Information Ll Add Remove . Full Name, Mailing Address & Phone (include city, state, zip) b. Job Title/Profession d. Comments 1 �& c. Employer's Name/Specific Field e. Election Sum to Date $ . Prior it. Account Code It. Form of Payment 1. Io -Kind Description '. Date (mmlddtyyyy) it. Amount ❑ 14736 ('CISH SY 1D//w$ !/7.0 11i $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone (includecity, b. Job Title/Profession d. Comments RrURVEt ,&.,,zip) .tstate, DA/ YfrsiG�"1Jtif`t /2.001 &4r,AT,t_r57_ &" "'r.7K(�7l'817 3 c. Employer's Name(Specille Field e. Election Sum to Date $ . Prior g. Account Code h. Form of Payment 1. In -Kind Description J. Date (mm/dd/yyyy) L Amount ❑ 19 14 $ lop. OV ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Renxne a. Full Name. Mailing Address & Phone (include city, state, & zip) It. Joh Title/Profession d. Continents RECEIVEDc. Nov 0 2 2019 i E'er. - Employer's Name/Specific Field e. Election Sum to Date $ f.Prior g. Accmm -. Form of Payment i. In -Kind Description J. Date (mm/dd/yyyy) it. Amount ❑ $ ❑ $ ❑ $ 4. Total only this Page $ 217,0-) 5. Total of ALL CRO -1210 Pages (This line must be online 6 of Detailed Summary Page CRO -1100) $ a? `/ , • D1 CRO -1210 NC State Board of Elections April 2007 Amendment Loan Proceeds Pg of Wes ❑ ��� Use this form to report proceeds from a loan and loan endorser's information loan oroeeeds statement must acconuranv each loan Thal is frnot nn individual 1. Committee Name and Fund if a licable 2. ID Number �F7�ull �W I[. Q2 IN/'N !7l -/BIZ ---- . Lender Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone (include de city, state, & zip) b. Job Title/Profession d. Comments n rrlW6 /!`/Y'. R In6W - M0� SCPI 1v5 -,0G1w'dn o* G�jf'/t' Widgrn e. Start Date (mmtddlyyyy) c. Employer's Name/Specific Field f. End Dau mmlaaryyrr) e. Rate JIL Security Pledged t. Account Code Form offPayment i, Aramtat OA _ _ _ _ . /k/` 'g7,7V3 V7 $ /1v , I. Full Name of Lending Insamtion Im Loan Number 4.l:nduner,/Makers (The people whoguarantee the Imn.) u. Pull Name, Mailing Address & Phone (include city, state, &zip) b. Job Title/Profession --.-___—_— c. Employer's Name/Speciac Field — d. Percentage e. Amount :�. Full Name, Mailing Address & Phone (include city, sta b. Job Title/Protession c. Employer's NametSpeciac Field MEIVED NOV 0 2 2019 Union Co. Board at Ecctions d. Percentage & Amount % $ . Full Name, Mailing Address & Phone (include city, state, & zip) b. Job TldelProfession c. Employer's Name/Specific Field d. Percentage e. Amount . Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession c. Employer's Name/Specifle Field d. Percentage e. Amount %c $ 5. Total of ALL CRO -1410 Pages (77tis lino must be on line 9 of Derailed Summary Page CRO,11001 $ lOO' 00 CRO -1410 NC State Board of Elections April 2007 Amendment Disbursements Pit / of _ ❑ Yes W. Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated oartv exDenditures ttee Full Name (and Fund i�f applicable) 2. ID Number -- 3. Type of Disbursement (Please use separate CRO -1310 forms for each type o-frDisbursement.) t) 2r:on, E.0 e1liC\ Colllrin1111o115 t0Camdldei Ca/P"lIt'lli� ClO111111ittCeS E C.... to awd darty Expenditure, 4. Payee Information Add Remove a. Full Name, Mailing Address & Phone (include city, sstate, & zip) 1 `t ISO• '� r a7S oV�(-t1Y J l 0 457 CJ►� 1 �2A, b. Coordinated Committee Name d. Comments c. Level Registered (Specify) ounty: Federal 0 C ❑ State E municipality: e. Election Sumto Date $ 513 . . Account Code 1g.FormofPayment Ih.PurposeCode i. Date ( dd/yyyy) j. mount 1k. Required Remarks a8 1 C&W as . s3 4. Payee Information 0 Add 0 Remove . Full Name, Mailing Address & Phone (incluud►ee cciity, slate, & zip) It. Coordinated Committee Name d. Comments - 'f /, c. Level Registered (Specify) Lj Federal 0 County: ❑ State Municipality: e. Election Sam to Date $ 33. . Account Code g. Form of Payment h. Purpose Code L Da (mud d/yyyy) j. Amomt k. Required Remarks f ?3D tolog Is ,33. 4. Payee Information LJ Add U Remove a. Full Name,Mailing Address & Phone (include city, slate,,, & zziiper/) It. Coordinated Committee Name it. Comments _ ,� ' '/r`�" OCT 2 g P019 Union Co. Board of Elections c. Level Registered (Specify) 13Federal County: ❑ State Municipality: c Meetion Sumto Date $ h (� ev . Account Codeg. -1wr Form of Payment h. Purpose Code L Date d yyy) /oal,oi J. Amount Ic Required Remarks $ 15 -no. - $ 5. Total only this Page g77 7-5 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summary Page CRO -1100 if operating Expensed (This line goes in line 13b of Detailed Summary Page CRO -1100 if Comtrib to Candidates/Political Comm) (This line goes in line 13e o Detailed Summary Page CRO -1100 i Coordinated Party Expenditures) $ 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 reuire detailed extilanation in re uired remarks field it CRO-1310 NC State Board of Elections December 2009 Amendment Disbursements Pg I of 2 I ❑ Yee __Pmo Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political committees and coordinated Darty exuenditures 1.494manittee Full Name (and Fund if applicable) � 4al, 2. ID Number ILams/C 3. Type of Disbursement (Please use separate CRO -1310 forms for each type of Disbursement.) ❑ Ojmanne U CuntribLaMoS to Candidates/Political Conuni[tees U Coordinated Party Expenditure, 4. Payee Information 0 Add 0 Remove a. Full Name, Mailing Address & Phone include city,state, & zip) b. Coordinated Committee Name d. Comments –cl `' 3 LAOZ c. Level Registered (Specify) Federal County: ❑ State ❑ Municipality: e. Election Sum to Date $ g-Oo - . Account Code 1g.KornsofPsymetat 1h.PurposeCode ji. Date yyyy) . Amount k. Regal Remarks /91?0,91D 1 Ylldl/jIs/ / f7/ 1 0 1 IN11011 Is NIV gae 4. Payee Information El Add LJ Remove . Full Name, Mailing Address & Phone (include city, state, & zip) It. Coordinated Committee Name d. Comments c. Level Registered (Specify) Federal CYCo tyry: ❑ State ❑ Municipality: a Election Sum to Date $ . Account Code g. Form of Payment h. Purpose Code i. Date (mmdddlyyyy) J. Amount k. Required Remarks $ 4. Payee Information 0 Add Remove . Full Name, Mailing Address & Phone (include citLOCE I b. Coordinated Committee Name - _-- - d. Comment, - — - �p O rtLO�n OCT J Union Co. Board of Elections c. Level Registered (Specify) Lj FederalCounty: E3State [3Municipality: e. Election Sum to Date $ L Acton Code g. Form of Payment 1h. Purpose Code Ji. Date (mm/ddfyyyy) J. Amount Is. Requited Remarks $ 5. Total only this Page $ 6. Total of ALL CRO -1310 Pages (lids line goes in line 13a of Detailed Summary Page CRO-/ 100 if Operating Expenses) (This line goes in line lab of Detailed Summary Page CRO -1100 if Contrib to Candidates/Political Comm) (This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures) O $ O 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 a Codes re uire detailed explanation in required remarks field (k) CRO -1310 I I = i_ De,,, . :\mendment In -Kind Contributions Pg _ of _ ❑ ,,., ❑ Use this form to report non -monetary contributions, donations, goods or services provided to the committee or Iii nd. Use CRO -1215 if In -Kind Contributions were or will be refunded within 7 days. 1. Committee Full Name (and Fund if applicable 2. ID Number �D rod Cor>,1�flsS�D,�l - ly fi sly 3. Contributor Informa 'on Add Remove . Full Name, Mailing Address & Phone (in Jude city, state, & zip) b. Type of Contributor c. Comments Individual Candidate 13 Party ❑ PAC ❑ Referendum ❑ Other Receipt Source 2 /W ywcf /yrf� �s ����tywr,..� 1 gfif� ( r 7 • J„ -1,,,e'- , (Ale ( O r�7 d. Election Sum to Date $ . Description f. Date ( drily y) g. Fair Market Amount $ m oy i $ $ 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone (include city, state, & zip) b. Type of Contributor c. Comments Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source It. Election Sum to Date $ . Description f. Date (n Wddlyyyy) g• Fair Market Amount 3. Contributor Information ❑ Add ❑ Remove . Full Name, Mailing Address & Phone (Include city, state, & zip) b. Type of Contributor c. Comments U Individual [3Candidate ❑ Party [3 PAC ❑ Referendum ❑ Other Receipt Source RECEIVED OCT 2 8 2019 It. Election Stem to Date $ e. Description 1. Date (mWdd/yyyy) g. Fair Market Amount $ 4. Total only this Page b117, C' 5. Total of ALL CRO -1510 Pages (This Rne must be on tine 17 of Detailed Summary PageCRO.1100) $ CRO -1510 NC State Board of Elections December 2007 NORTH CAROLINA STATE BOARD OF ELECTIONS Loan Proceeds Statement This Statement is used to report detailed information about a new loan and is required to accompany the Loan Proceeds Form in the report for which the loan is initially disclosed. If the loan is from an individual, the lender's signature is required on this form. This Statement is to be filed with the Election Board where the committee's reports are fried. I, 460 /Z. , acknowledge that all of the information (Person lending money to com ittee) provided is complete, true, and accurate. I further understand I may not forgive a loan thaas an outstanding balance to any source. / /1i�� / ///.) lI RECEIVED Signature of Trdasur of Committee NOV 0 2 2019 Bortl of Elections CRO -6100 Loan Proceeds Statement • Name of committee to receive loan: o • Person or committee to make loan: iit) 2. Mcz, • Date of loan to committee: • me of lending institution and account number (source): • Amount of loan: /I Isle? • Description (if in-kind loan): • Names of all parties responsible for payment of loan (guarantors): • Period of loan: • Rate of interest of loan: 0ro • Security pledged for loan: I, 460 /Z. , acknowledge that all of the information (Person lending money to com ittee) provided is complete, true, and accurate. I further understand I may not forgive a loan thaas an outstanding balance to any source. / /1i�� / ///.) lI RECEIVED Signature of Trdasur of Committee NOV 0 2 2019 Bortl of Elections CRO -6100 Loan Proceeds Statement