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Morrison-Hansley,Kim_2021-Org-reportDisclosure Report Cover pYes°t ❑ 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 . Full Naate e. ID Mbar 1 E le -4b. MaWng Address(include City, State and Zip Code) d. Date Filled01�3, ' L0.f o t4) R� cy' 1@ 1 IV a l e. Phone Number ,l• 1 im m e , Vv C aB i l -a -10ti- 14 �i9s.3 2. R rt Year 3. Period Start Date (aoz4. Period End Date t®r S. Treasurer Full Name Q0�1 IIa1 la�l��al t3 6. Type of Committee (Check One) 9. Type of Report (check only one type of report from one category) ❑ Candidate Campaign ❑ Pany Municipal State/Couaty Referendum ❑ PAC ❑ Referendum Organizational ❑ Organizational ❑ Organizational ❑ Independent Expenditure ❑ Joint Fundraiser ❑ Thirty-five day Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ Pre-primary ❑ Fust ❑ Final ❑ Pre-election ❑ Pre -runoff ❑ Second ❑ Third ❑ Supplemental Final ❑ Annual 7. Type Of Fund (lfapplicable, check one) ❑ Booster Fund Semi-annual ❑ Fourth ❑ Special ❑ Building Fund ❑ Mid Year Semi-annual ❑ Year End ❑ Mid Year 10. Special Report Name ❑ Other. ❑ Final ❑ Special ❑ Year End ❑ Final S. Number of Fundraisers this Report ❑ Special 11. Account Information 11. Account Information a. Financial institution Full Name a. Financial institution Full Name F%r5t b. Purpose c. Account Code b. Purpose, .�LMpy, 1, -. e. Account Code Qa^Q0l a(V, y -M 1-1 DEC 1b 202`: 1 0 d. Period Begin Bala - d. Period Begin Balance $ RECEIVED $ CERTIFICATION 1 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 complete, true and correct and that I have been trained by the NC State Board of Elections. �oril� la Iv Printed Name o i er Signature of Appointed Treasurer ate FOR OFFICE USE ONLY Delivery Method Date Received: d• / Employee: ❑ Normal Mail Date Postmarked: Employee: C1 Registered Mail ❑\ Hand Delivered ❑ Electronically Filed Date Scanned: � a Employee: E3 Signer has not received Date Data Entered: Employee; mandatory tranun 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 Amendment Detailed Summary ❑ yea q No Tice Chic fnrm to cnmmari7e all dicrinsure. renortinp forms and to total monetary information 1. Committee Full Name an Fund K applicable) e of Report 3. ID Number Cie C+ k ''tbQ f l J Nfrisc - Ha try ©rLjAw,za�,cv a9 Start of Election Cycle: January 1, O1 Tota[ this Reporting 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 11c) Outside Sources of Income l ld) 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) $ $ $ $ $ $ $ $ $ $ $ $ $ 5 $ $ $ $ $ $ $ $ 12) TOTAL RECEIPTS (Add lines 5,6,7,8,9,10,1 laj lb,l Ic,l ld and I 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 (CRO -1420) 16) Refunds/Reimbursements from the Committee (CRO -1320) 17) In -Kind Contributions (CRO -1510) $ $ $ $ $ CPAIGN FINAN'. $ $ $ $ RECENLU $ $ 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 I S $ $ 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 q) 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) $ $ $ $ $ $ $ $ g $ 8) Contributions to be Refunded (CRO -1215) $ s CRO -1100 NC State Board of Elections August 2008