Morey, Pedro_2019-Year-endDisclosure Report Cover 1-3 Yes 03
Amendment 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.
1. Committee Information
. F ame
c. ID Number
ebw o- T-na- coo
13MGI K
. Mailing Address (include City, State and Vp Code)
d. Date Filed
WgX t t1'1Y1 , r D8 r72>
e. Phone Number
"M� INC t
aS-ut)-5 I
2. Report Year
3. Period Start Date umtdd) ) 4. Period nd Date(mmlddt )
15. Treasurer Full Name
/a 3/
01
PO)fk-) r4 WAlq
. Type of Committee Check One
9. Type of Report
(check only one type of report from one category)
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
❑ Pre-election
❑ Pre -runoff
Serrd-annual
❑ Second
❑ Third
❑ Fourth
❑ Supplemental Final
❑ Annual
❑ Special
7. Type of Fund (iiapplicaNe, check one)
❑ Booster Fund
❑ Building Fund
❑ Mid Year
Semi-annual
Year End
❑ Mid Year
10. Special Report Name
❑ Other.
Q Fina)
❑ Special
❑ Year End
❑ Final
❑ Special
8. Number of Fundraisers this Report
�-
11. Account Information
11. Account Information
. FinancialtudionFull Name
a. Financial Institution Full Name
3 &A
UNION COUNTY
. Purpose
c. Account Code
b.
c. Account Code
CfR`%C & PoeAwr
18730$
JAN 2 9 2020
d. Period Begin Balance
d. Period Begin Balance
RECEIVED
$ -1-t-CERTIFICATION
$ Qu ,6
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 common . nokd with prohibited
or other non -disclosed funds. I further certify that this
report is complete, true and correct and that I have been i y theS t Board of Elections. 1
pm V NOW-, � r lag a�
Printed Nameof Slime Sienawrc(,fA
inted Tresurrr Date
FOR OFFICE USE ONLY
Delivery Method
gkoDate
Received: Employee:
❑ Normal Mail
Date Postmarked: Employee:
❑ Registered Mail
❑ Hand Delivered
Date Scanned: Employee:
❑ Electronically Filed
Date Data Entered: Employee:
❑ Signer has not received
mandatory trainin
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
}' ❑Yes ❑ No
Use this form to summarize all disclosure reoonine forms and to total monetary information
1. mmitfee Fail Name (and Fund if applicable)
12. Type of Report
3. II) Number
kvo?. N�7 ��� (',ummIs51
PW- k02
fir-
JM51X
Start of Election Cycle: January 1, .2o Ib
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
11s) Interest on Bank Accounts
11b) Contributions from Not -For -Profit Organizations
Ile) Outside Sources of Income
ltd) Legal Expense Fund - Other Sources
Ile) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1110)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CRO -1240)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1270)
(CRO -1265)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
12) TOTAL RECEIPTS (Add lines 5,6,7,8,9,10,1 laj lb,l lc,l Id and l IcA
TW) L
S
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 -1310)
17) In -Kind Contributions (CRO -1510)
$ �L , �(7
$
$
$
1 $
$
$
$
$ 0, G
$
$
$
$
$
18) TOTAL EXPENDITURES (Add fines 13a, 13b, 13c, 14, 15, 16 and 17)
$
( , ip
$
19) Cash on Hand at End (Add fines 4 and 12 together, then subtract line 18
$
f?0 O
$
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 Witbif!Jp"98WY
25) AdministrativeSuppot+AWNGN FINANCE
26) Forgiven Loans JAN 2 9 2020
27) 48 -Hour Notice Reports Sum
(CRO -1330)
(CRO -1430)
(CRO -1610)
(CRO -1620)
(CRO -1710)
(CRO -1710)
(CRO -1440)
(CRO -2220)
$
$
$
$
$
$
$
$ 3 I
$
$
$
28) Contributions to be Re
(CRO -1215)
$
$
CRO -1100 NC State Board of Elections August 2008
Amendment
Disbursements Pg _ of ❑ Yes ❑ No
Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political
committees and coordinated oartv expenditures
1. Committee Full Name (and Fmd if applicable)
PCVQ,O RAGW T-tv crnr-(�wolucck
ID Number
12.
.1jrn51
Type of Disbursement (Please use separate CRO -1310 forms for each type of Disbursement. )
EFOperating Expenses ❑ Contributions to Candidates/Political Committees Coordinated Party Expenditures
4. Payee Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
include city, state, &zip)
3%3 egNl< -- _
Po &J(
DA 10 t "r �1W�
b. Coordinated Committee Name
d. Comments
c. Level Registered (Specify)
Federal ❑ County:
❑ State ❑ Municipality:
e. Election Sum to Date
. Acco®t Code
g. Form of Payment
11L Purpose Code
i, [late d/yyyy)
io (a
i. Amount
'10t)
k Required Remarks
PAMY z�
7
&wr QowgrI
I (D
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:
[3 State State ❑ Municipality:
e. Election Sum to Date
. Account Code
g. Form of Payment
h. Purpose Code
t. Date (mm/dd/yyyy)
1j. Amount
Its. Required Remarks
Is
1
4. Payee Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state,
CAMPAIGN FINANCE
JAN 2 9 2020
RECEIVED
b. Coordinated Committee Name
d. Comments
c. Level Registered (Specify)
Federal ❑ County:
❑ State ❑ Municipality:
e. Election Sum to Date
$
1. \ ccount Code
g. Form of Payment
h. Purpose Code
i. Date (mm/dd/yyyy)
j. Amount
Is -
k Required Remarks
5. Total only this Page
$
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 13b of Detailed Summary Page CRO -1100 if Cont•ib to Candidates/Political Comm)
(This line coes in line 13c o Detailed Summary Page CRO -1100 if 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 require detailed explanation in re aired remarks field k
CRO -1310 NC State Board of Elections December 2009
Loan Repayments
Use this form to report payments on an existing loan.
k,, rmdment
Pg _ of ❑ Yes_ No
1. Committee Full Name (and Fund if applicable)
11
ok:) h -xc- rov ('�n117)I�SIDNt7Z-Lim
2. ID Number
S 1k
3. Lender Information L3 Add ❑ RemoNe
. Full Name, flailing Address & Phone
(include city, state, & zip)
r*tw 1z. mol(
$001 br
IW Na ,q M �j
He�
WWHl O` ^N�`( ('
b. Comments
c. Original Loan Dale
a. Original Loan Amount
$
. Remaining Loan Balance
L Avco®t Code
g. Form of Payment
1h. Date (mm/dd/yyyy)
L Repayment Amount
$ 4-2Qo, Du
1030
N
/0 15 /
$ o. 199
$ /00,00
19730
J�IvNCtllRlp(��(
i°//SlaoiG
$ 1062. OU
3. Lender Information ❑ Add ❑ Remove
. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Comments
c. Original Loan Date
d. Original Loan Amount
e. Remaining Loan Balance
L Account Code
1g.ForanofPayment
h. Date (mm/dd/yyyy)
1. Repayment Amount
b
$
$
3. Lender Information' ❑ Add ❑ Remove
a. Full Name. Mailing Address & Phone
(include city, state, & zip)
b. Comm. ni.
UNIUN COUNTY
CAMPAIGN FINANCE
JAN 2 9 2020
RECEIVED
c. original Loan Date
d. Original Loan Amount
$
e. Remaining Loan Balance
f. Account Code
1g.FormofPayment
1h. Date (wdddlyyyy)
I. Repayment Amount
5
$
4. Total only this Page
$
5. Total of ALL CRO -1420 Pages
(This line must he on line 15 of Derailed Summary Page CRO -1100)
$
CRO -1420 NC Stmt Eomd of Elections December 2007
vo'l NORTH CAROLINA
STATE BOARD OF ELECTIONS
Forgiven Loan Statement
This form is used to report a loan that has been forgiven by the lender. The lender's signature is required
on this form and it must accompany the next filed report.
This Statement is to be filed with the Election Board where the committee's reports are filed.
Name of Lender: • rrNW Q moet-
Committee receiving loan:
pwY1�1oRx (�ix169MMIC; 10Hoz.
Date of loan: / 0 /o f %avi
Amount of original loan:
/,20C).00
*Amount of loan to be forgiven:
/?, 3
I, fLW I( w-/ , do not wish to be reimbursed for the amount
of the loan indicatedAbove* and will consider the amount loaned a contribution to the
committee.
I understand and confirm no other parties are responsible for payment of this loan. I
may not forgive a loan for which there is an outstanding balance owed to any source.
tA/l i�/ V.
Signature of
Signature of Comm
Treasurer CAMPAIGN FINANCE
JAN 2 9 2020
RECEIVED
CRO -6100 Forgiven Loan Statement