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Pierce,Rodney_2021-Org-ReportAmendment Disclosure Report Cover 0 Yes Of No Use this form for general report and committee information. nmst he signed and submitted along with other detailed fors. Do not use this form to update inti enation. 1. Committee information • . Full Name c. I D [umber E Aec+ �O0 `e104Y 04 C,01AILA It. Mailing Address (include Uity, State and Zip Code) d. Date Filed rISo3�o�tvc %"Afc-lN MA /4117 aosi M A4�5y\ t`1P- fjc a$103 e. Phone Number 704-491- of . Report Year 3. Period Start Date (mnVdd/y)l 3. Period End Date (mm/dd)yy) 5. Treasurer Full Name a0a 1 /.09/.70.2-1 !2/17/a0.21 � JAww�,e L. Et,kl4li 2S - Type of Committee (Check One) 9. Type of Report (check on/v one type of report from one categonl ) Candidate Campaign ❑ Part, Municipal State/Couniv Referendum PAC ❑ Rclercndum ❑ Organizational [4 Organizational ❑ Organizational ❑ Independent Expenditure ❑ Joint Fundraiser ❑ Thirty-five day Quarterly I() . ,DkJ ❑ Pre -referendum ❑ 1 e,_al Expen.e Fund ❑Pre-primary' ❑ Fnt Q�_y,+,ut1 ❑Final ❑ Pre-election ❑ Pre -runoff ❑ Second ❑ Third ❑ Supplemental Final ❑ Annual 7. Type of Fund (if applicable, check ane) ❑ Boos ter Fund Semi-annual ❑ Fourth ❑ Special ❑ Building Fund ❑ Mid Year Scmi-annual ❑ Year End ❑ Mid Year 10. Special Report Name ❑ Other: ❑ Final ❑ Special ❑ Year End ❑ Final . Number of Fundraisers this Report ❑ Special 11. Account Information 11. Account Information a. Financial Institution Full Name a. Financial Institution Full Name Figs+ C:IN} r.e^:s �ietn� b. Purpose c. Account Code Jr. Purpnl pAIGN FINAN(; c, Account Code C MV&a n cAcck'%� 'i- DEC 1 7 2021 d. Period Begin Balance it. 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 complete. true and correct and that 1 have been trained by thelate Board of Elec ions. 'T{ Vy N.it I„ • LA.lo ill IIS Ol 7/--)'V 1' - r Printed Name ul Signer Si nature of A uinted Treasurer I... FOR OFFICE USE ONLY / ' Date Received: /, ., i Employee: Deliverl_Method I 1 r ❑ Normal Mail ❑ Registered Mail Date Postmarked: Employee: Hand Delivered Date Scanned: Employee: Electronically Filed Date Data Entered: Employee: 0 Signer has not received mandatory train 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 -21 OOA-E) to make committee changes. CRO -1000 NC State Board of Elections August 2008 Amendment Detailed Summary ❑ lesNn 1 Icy'hi< L,nn to dicrinauv rennrtinv tnrmc and to inml mnnetary inforrnatlnn 1. Committee Full Name (and Fund if applicable) 12. Type of Report ^ oZ! - b. 3. ID Number GS MQ 3-? Start of Election Cycle: January 1, OLS Total [his Reporting Period Total this Flection 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 111 Other Receipt Sources Ila) Interest on Bank Accounts llb) Contributions from Not -For -Profit Organizations llc) Outside Sources of Income l Id) Legal Expense Fund -Other Sources 1le) Exempt Purchase Price Sales (CRO -1205) (CRO -1210) (CRO4220) (CRO -1230) (CRO -1410) (CRO -1240) (CRO -1250) (CRO -1250) (CRO -1250) (CRO -1270) (CRO -1265) $ $ $ $ $ $ $ $ $ I ' I $ $ $ $ $ $ $ $ $ $ $ $ $ 12)TOTAL RECEIPTS (Add lines 5,6,7,8,9,10,1 la,l lb.l lc,l Id and $ S I5 IS 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) $ $ $ $ $ $$ $ $ $ $ $ SS $ 18) TOTAL EXPENDITURES (Add lines 13a, 13b. 13c, 14, l5, 16 and 17) $ GI S s $ S� 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18 $ 3co S ADDITIONAL INFORMATION 0) Non -Monetary Gifts Given to Other Committees (CRO -1330) I) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) 2) Debts and Obligations owed by the Committee (CRO -1610) 23) Debts and Obligations owed to the (ldhilgi eEOUNTY(CROa620) CAMPAIGN FINANCE 24) Account Transfers Within the Committee (CRO -1720) 25) Administrative Support DEC 17 2021 (CRO -1710) 26, Forgiven Loans RECEIVE( 0-1440) 271 48 -Hour Notice Reports Sum ( 0-2220) 28) Contributions to be Refunded (CRO -1215) $ $ 75J $ $ $ $ $ $ $ $ $ $ $ CRO -1100 NC State Bean/ of Elections August 2000 Loan Proceeds Pg Use this form to report proceeds from a loan and loan endorser's information A loan Drocceds statement must accomnanv each loan that is from an individual Amendment or � _ ❑ 1'es 1. Committee Full Name (and Fund if applicable) 2. to Number F � ecA C,\e-(1, A coin C17S Me 3-9 . Lender Information ❑ Add ❑ Remove . Full Name.Mailing Address & Phone (include city, shale, & zip) b. Job Title/Profession l' �%� t�C1C\\j'11Ll�yt d. Comments tIAP-- fWL Q IeK'L 'T.'5-03 S03 C AIC-, a�c1A Rd ' 1V\AM1sti41�\G NC. "1710 3 JJ e. Stan Date lmta/dd/yyyy) /.Z/09,4`20.21 c• Employers NamNeBperifir Field ,SA kiayert. C'4 " C1 I. End Date lm ddd/yyty) 1et1311.2 . Rate 0 `'r h. Security Pledged Nome. i. Account Code nJ/A Form of Payment j" ?� Il(�d it. Amount . Full Name of Lending Institution m Loan Number N/A 1- . Endorsers/Makers llfte people u hn guarantee the loan.) . Full Name, )tailing Address & Phone (include city, state, & zip) It. Job Title/Profession A)C rn Ag I s+lu4k c. Employer's Name/Specific Field SJ A.k Qy N Rc� rley kjA p, ane n903 O\Nva d. Percentage /vto % e. Amount $ M P�LShJi \\ e N L 2 3 )0 3 a. Full Name, Mailing Address & Phone b. Job Title/Profession c. Employer's Name/Specific Field (include city, stale, & zip) d. Percentage e. Amount a. Full Name, Mailing Address & Phone b. Job Title/Profession c. Employer's Name/Specific Field (include city, state,& zip) UNION COUNTY CAMPAIGN FINANCE OEC17 2021 1. d. Percentage `t c. Anonmt $ n. full �:mu. Vailiu A/l ltu im Imtr , io. ,torr. &-ztp b. Job Title/Profession c. Employer's Name/Specific 1'it Id d. Percentage c. Amount 5. Total of ALL CRO -1410 Pages (This line matt be on fine 9 ojDetailed Summary Page C'RO-1100) $1 SS CRO -1410 NC Stale Roord of Flections Apri12007 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 filed. • Name of committee to receive loan: E/BC% Kojy" PiQfCe. Oe" 04 au<L+ • Person or committee to make loan: RO (I ne, UL • Date of loan to committee: / Z LOd' �oi OS- T • Name of lending institution (source): /✓'1A • Amount of loan: 4 • Description (if in-kind loan): &144 • Names of all parties responsible for payment of loan (guarantors): Ito I itxL9— Period of loan: a Men S • Rate of interest of loan: d 20 • Security pledged for loan: /UOP4 I, RdilAf:1 AF8 P;CCCA _ acknowledge that all of the information (Pemo lending money to committee) provided is complete, true, and accurate. I further understand I may not forgive a loan that has an outstanding balance to any source. -- IN /a IJrJ/o?OL 1 Si ature of Lender pgIGN FINANCE ate77Signed ,( Fir- in I Inature of Treasurer of Committate Signed DECEIVED CRO -6100 Loan Proceeds Slatemenl Amendment Loan Proceeds Pg a of Qi _ ❑ ,es No Use this form to report proceeds from a loan and loan endorser's information A loan oroceeds statement mist acmmnanv aorh ho„ that ;, c.,..., .,..:.,a:.,:a....� I. Committee Full Narita (and Fttnd if app 'cable) 2. M N;Eer ttd I Leer Information ❑ Add Remove . Full Name, Nailing Address & Phone b. Job Title/Professio1n— d. Comments (include city, state, & zip) _,Y�t l• N Mat],tSA ft k �Ogvt y F� PtEi'C.,C, J e. Start Date nrr J 1 ' 1 0.3 Olive �fl-�'✓tG i'S �d ' (nun/dd/YYYY) � Employer's NanwJSpecific Field MAa.SVw1\k NC asio 3 54Ahl. NC, f. End Date (mmfddlyyyy) .20Aa, .RateEhe�Pledged i. Account Code . Form ofPayment k. Amount D >ne h1IA cheek $ 300 Full Namfitutlon m Loan Number N e� (The people who guarantee the loan.) . FuR Name, Nailing Address & Phone It. Joh Title/Profession c. Employer's Name/Specific Field (include city, state, & zip) / IC M A.8 i S+R� .4k S Y v Rc)(4 I,e,y kK V\ e,fCp 171903 0\1va Rd. 2310 3 d. Percentage e. Amount wv qr s 30c . Full Name, Nailing Address & Phone b. Jab Title/Profession c. Employer's Name/Specific Field (include.nity; state, & tip) ;,;AIPAIGN FIP!:=� dC t OEC 17 2021 RECEIVED d. Percentage e. Amount $ . Full Name. Mailing Address & Phone b. Job Title/Profession n Employer's Name/Specific Field (include city, state, & zip) it. Percentage e. Amount t7a $ . Full Name, Nailing Address & Phone b. Job Title/Profession c. Employer's Name/Specific Field (include city, state, & zip) d. Percentage e. Amount Total of ALL CRO -1410 Pages r.(..,. $ line must be on One 9 of Detailed Summary Page CRO.1100) 1 CRO-IJIO NC Slate Board of Elections ,April >DO - 7 V ^OT E NORTH CAROLINA 70 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 filed. • Name of committee to receive loan: Eled+ fioj„eti Pierce. �elRk 04 Cou L+ • Person or committee to make loan: RadAP iLk • Date of loan to committee: • Name of lending institution (source): t✓IA • Amount of loan: 30 • Description (if in-kind loan): N�%J • Names of all parties responsible for payment of loan (guarantors): • Period of loan: /07 /)lln4S • Rate of interest of loan: 610 • pledged for loan: /U04 "S�ec/urity rj I, d(SNPs/ U P;CrcA_ acknowledge that all of the information (Pemoh lending money to committee) provided is complete, true, and accurate. I further understand I may not forgive a loan that has an outstanding balance to any source. Si ature of Lender Tri aaN� ate Signed I nature of Treasurer of committeCE ate Signed CRO -6100 Loan Proceeds Statement In -Kind Contributions Amendment Pg � of � ❑Y���CCC m es �Nn Use this forto report non -monetary contributions, donations. goods or services provided to the committee or fund. 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 Elec,� _�oAhp_ Q-%t4xk C\eRk, o� L -s, 3� 3. Contributor Information Ad Remove a. Full Name. )failing Address & Phone h. 'type of Contributor c. Comments (include city, slate, & zip) ❑ Indi, iduUl YfOC h,e� �Lp PICr,CR� �Candidat, 1 5_03 011 VCltikvs(.h PaPartyrr❑ PAC 9 I'A AP3%1st 1 -1? 10 3 ❑ Referendum d. Election Sum to Dale ❑ Other Receipt Source $ / J . Description L Date (mm/dd/yyyy) g. Fair Market Amount 1.4,16 f .9021 10 ll Zt card I � riA, $ a 47 UA llt fa oEILO2.1 $ . Contributor Information El Add 0 Remove . Full Name, \failing Address & Phone to. Type of Contributor c. Comments (include city, state. &zip) ❑ Individual ❑ Candidate UNION COUNTY ❑ Party ,AMPAIGN FINANCE ❑ PAC n[ �1 'JCC 1 !7 L021 [3 Referendum ❑ Other Receipt Source d. Election Sum to Date $ e. Descript�y EC EIVED -i1 V L (m Dale mlddlyy-vy) g. Fair Markel Amount $ S 3. Contributor Information Add 0 Remove a. Full Name, Mailing Address & Phone h. Type of Contrihutor c. Comments (include city. state, & zip) ❑ Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum d. Election Sum to Date ❑ Other Receipt Source $ . Description L Date (num'dd/yyyy) g. Fair Market Amount S 4. Total only this Page { y s S 5. Total of ALL CRO -1510 Pages $ S { (This Rae must be on line 17 of Derailed .Summar• Page CRO -1100) CRO -1510 NC S1atc Huard of Flection+ December 2007 Amemtmeut Outstanding Loans Pg --L of ❑ Yes ;X No Use this form to report any outstanding loans received during a previous reporting period and until the loan is paid in full. 1. Committee Full Name (and Fund if applicable) 2. to Number I Q L� To�Ytt? ecce CF, C'S Ih 3 . Lender Information ❑ Add Remove . Full Name, Mailing Address & Phone (include city, state. & zip) b. Job Title/Profession NG %$Na -Irf.. "� d. Comments Ucktmj - r� � '75•o3 O 119 L T> AA1 CG`A KM • n\t►vshtN\\1L NL A-8103 9bq O?41- ot$il e. start Date Inar✓aalyrrYl /,� 00'/0 021 c. Employer's Name/Specific Field Sk.�le cC NL L End Dale (nuWdd/yyyyI /,71311.�01Z . Rateh. Security Pledged i. Original Loan Amount '. Remaining Loan Balance D AJOME, Is 1,wi $ 1 k. Full Name of Lending Institution I. Loan Number N/A I- 3. Lender information Add Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession 1 NC mAbI S�'u ie d. Cmnments ' lxwtj 4t, QiacG� t� �� 7J T D 3 0, -1 V*- �0#Adr% Ff] m4aswok- A1C. -N103 rl 91 - 0 ql5 J e. Start Date ImMdd/YYYYI 1100101101-1 c. Employer's Name/Specific Field S >rE NL L End Date Inudddlyyyy) l.2 31/.20d A g. Rale Security Pledged I. Original Loan Amount j. Remaining Loan Balance 1 1b. A -c is 300 $ 3oo k. Full Name of Lending Institution AJIA 1. Loan Number A 3. Lender Information ❑ Add 0 Remove a. Full Name. Mailing Address & Phone b. Job Tille/Profession d. Comments (include city, stale, &zi UNION C&g lIY r'.AMPAION FINANCE e. start Date (mmldd/yyyy) c. Employer's Name/Specific Field 0EC17 2021 IJ l• RECEIVED f. End Dale Imm/dd/yyyy) g. Rate Security Pledged I. Original Loan Amount j. Remaining Loan Balance 1h. k. Full Name of Lending Institution 1. Loan Number 4. Total only this Page I SS 5. Total of ALL CRO -1430 Pages �/ t (r (This lint must be on line 21 of Detailed Summary Page CRO -1100) I I J " CRO -1430 NC Slay, B,,,dof 8lirlluns December 2007