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Richards, Mark_2021-Pre-ElectionReportAmendment Disclosure Report Cover I ❑ ves ® No Use this forth 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. Comma formation a. Full Name c. ID Number Mark A Richards I I+f CC" -4" i TT4£ -rV Afxcr ICH Ati b. Mailing Address (include City, State and Zip Code) d. Date Filed 6129 Creft Circle 07-12-2021 Indian Trail, NC 28079 e. Phone Number 303-204-8949 2. Report Year 3. Period Start Date (mm/dd/yy) 4. Period End Date 5. Treasurer Full Name mm/dd/ Mark A Richards 2021 07/12/2021 10182012 6. Type of Committee Check One 9. Type of Report check only one tyDe of re rt om one cat o ,/ ® Candidate Campaign ❑ Party Municipal State/County Referendum ❑ Organizational ❑ Organizational ❑ Organizational ❑ PAC ❑ Referendum Independent ❑ Joint Fundraiser ❑ Expenditure ❑ Thirty-five day Quarterly ❑ Pre -referendum Legal Expense Fund ❑ Pre-primary ® Preelection ❑ First ❑ Second ❑ Final ❑ Supplemental Final 7. Type of Fund (ifopplienble, check oneJ - ❑ "13a)ster Fund" ❑ Building Fund ❑ Pre -runoff ❑ Third ❑ Annual Semi-annual ❑ Fourth ❑ Special ❑ Mid Year Semi-annual ❑ other: ❑ Year End ❑ Mid Year 10. Special Report Name ❑ Final ❑ Special ❑ Year End ❑ Final ❑ Special 8. Number of Fundraisers this Report Nu 11. Account Information 11. Account Information a. Financial Institution Full Name a. Financial Institution Full Name Truist Bank Truist Bank b. Purpose c. Account Code b. Pur GO U:: c. Account Code i 0 C T 19 2021 it. Period Begin Balance it. Period Begin Balance $ 0 $ 0 RECEIVED 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 no inclosed funds. I further certify that this report is complete, true and correct and that I have been trained by the NC St. a of tions Mark A Richards & 10/18/2021 Printed Name of Signer Signature of Appointed Treasurer Date FOR OFFICE USE ONLY Deliver' Method Date Received: O a Employee:44F ❑ Normal Mail Registered Mail Date Postmarked: Employee: Hand Delivered Date Scanned:�� a Employee: Electronically Filed ❑ Signer has not received mandatory training Date Data Entered: Employee: 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. CRO -1000 NC State Board of Elections August 2008 Detailed Summar Andment Summary me ❑ Yes ❑ No Use this form to summarize all disclosure re orcin forms and to total ivionetary information 1. Committee FullName (and Fund if applicable) _____F2. Tt-r cc-44o%-me:-rD Etic-- hlAa,, 2tc4t4eo5 Type of Report I cc£cno-) 3.1D Number Start of Election Cycle: January 1, ZpZdQ Reporting Total this Period Total this Election ('vele 4) Cash on Hand at Start $ t7 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 (CRO -1205) (CRO -1210) (CRO -1220) (CRO.1230) (CRO -1410) (CRO -1140) $ $ I X37 (o3 $ $ $ $ $ $ $ $ $ 1) Other Receipt Sources I la) Interest on Bank Accounts 11 b) Contributions from Not -For -Profit Organizations (CRO -1250) (CRO -1250) $ $ $ $ l lc) Outside Sources of Income 11d) Legal Expense Fund - Other Sources Ile) Exempt Purchase Price Sales — (CRO -1150) (CRO -1270) (CRO -1265) $ $ $ $ $ $ 12)TOTAL RECEIPTS(Add lines 5,6,7,8,9,10,1 NJ lb,l lc,lld and l le) $ 12516 $ EXPENDITURES 13) Disbursements 13a) Operating Expenditures (CRO -1310) 13b) Contributions to Candidates/Political Committees (CRO -1310) $ $ $ $ 13c) Coordinated Party Expenditures 14) Aggregated Non -Media Expenditures 15) Loan Repayments 16) Refunds/Reimbursements from the Committee 17) In -Rind Contributions (CRO -1310) (CRO -1315) (CRO -1420) (CRO -1320) (CRO -1510) $ $ $ $ $ $ $ $ $ (t yj7 , la �j $ 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $ 7713 -7, 1.0,3 $ 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18 $ $ ADDITIONAL INFORMATION 0) Non -Monetary Gifts Given to Other Committees (CRO -13.00) 1) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) 2) Debts and Obligations owed by the Committee "'Cl (cxa1610) 23) Debts and Obligations oNved to the Committee:N F I (CRO -1620) 24) Account Transfers Within the Committee :jCT 19 20200-1720) 5) Administrative Support no) $ $ $ $ $ $ $ $ $ 6) Forgiven Loans RE6EPE( 7) 48 -Hour Notice Reports Sum 8) Contributions to be Refunded - 440) (CRO -2220) (CRO -1215) $ $ 1 $ $ CRO -1l uo NC State Board of Elections August 2008 Amendment Contributions from Individuals Pg of L [:Yes ® No Use this form to report individual contributions over $50 of contributions under $50 it loan CRO 1205 is not used I Committee Full Name, (and Fund if pphcable) i H£ COV 0,11 TT_f -t-r) F_r-scr ]li-) �k 12rCu l9a ��� 2. ID Number 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, slate, & zip) fIt I4tQ1L R" (0124 Clt'sr-T C'r!L b. Job Title/Profession d. Comments c. Employer's Name/Specific Field G SL�Hr e. Election Sum to Date I. Prior ❑ g. Account Code It, Form of Payment i. In -Kind Description j. Date (mmlddlyyyy) 07- IZ'2�21 k Amount $ So" ❑ V6VA - sr 15,. t6A.) 8-rU-2cew $ 33,36 ❑ vista 5;v yzi-xzt $ 4(�7, 73 3. Contributor Information ❑ Acid ❑ Remove a. Full Name, Mailing Address & Phone (include city, slate, & zip) j4fl'fi e A PIC" 14421)5 4pf2q C&icrCfact_,e J K)DI IA )i -t-1 (41Lj AX- V!Qw&_P b. Job l ine/1'rofession d. Comments c. Employer's Name/Spect is Field e. Election Sum to Date Is 516S. Zai' C.Prior ❑ g. Account Code h. Form of Payment %5A i. In -Kind Description 5t6NS j. Date (mmlddlyyyy) o?14zerj k Amount $ y1o.77 ❑ VISA _-�7TACC5 o4/Z,1ZZt $ 59(70 ❑ vKN 5�vsS Ib(nl zoal $ ilRt 32- 3. Contributor Information ❑ Add ❑ Remove a. Full Name, \failing Address & Phone (include cit), state, & zip) pn _ r 1`lVZW� t=1 Y�'�- l-t�k120S _ ��A --y�yy', JN)I141J� "IIu+I'—I k)G o'a"�/ b. Job Title/Profession or,�T-cn d. Comments c. Employer's Name/Specific Field e. Election Sum to Date $ qZ, %70 I. Prior ❑ g. Account Code h. Form of Payment UISt'V I. In -Kind Description J. Date (nun/dd/yyyy) k Amount �13 17eZ4 $ ❑ $ ❑ $ 4. Total only this Page_ _ $fi--3-7- 5. Total of ALL . 042 .0 Pages (This line must be on line 6 of Detailed Summary Page CRO -1100) $ �3 CRO -1210 NC Swic B,,jrd of F1tatwn, April 2007 Amendment In -Kind Contributions Pg or I q Yes 13 Use this form to 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 da s. 1. Committee Full Name (and Fund if applicable) 2. ID Number I It B [,tlrn ;i<« Z' f 4 -r ll)talzr_ A r/ 02 JS 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) MAty- I4 (Ztet rvtevs b. 7) pe of Contributor [3Individual ® Candidate ❑ Pay c. Comments lv l 29 COW rr C i 2 1 �j't —y� )L 7 OW y r�-V�s t (j � ❑ PAC ❑ Referendum [3 Other Receipt Source it. Election Sum to Date $ 5O ! I 1� 10 e. Description f. Date (mrdddlyyyy) g. Fair Market Amount $ S OC7 C r oil iz.lzoz ( £S r s 16 0 09),4 lzom $ 33,3k' SI(oA75 Crq1Zi,ZoZi $ 7107,79' 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, slate, & zip) b. Type of Contributor ❑ Individual ❑, Candidate ❑ Party c. Comments - ilk'- �Ic Lf142J5 TN l� t t4 0 I—aA 1 1 C�� ❑ PAC ❑ Referendum ❑ Other Receipt Source it. Election Som to Date $ Z// e. Description _ _ t. Date (mmlddlyyyy) g. Fair Market Amount co,j�jgz l 1 .t $ ti (0-77 5l IKt�ZJ C0Z7)zC-i $ r 70 �71-q1L-v6 to �VI)ZC7Z-) $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) ,/1 - K.F'r /� ,f� 01 11'2 tCq Al2_'i%i Lai Z(? 00r -r (30P Fq u L r y � b. Type of Contributor ❑ Individual Candidate Party ❑ PAC ❑ Referendum ❑ Other Receipt Source c. Comments it. Election Sum to Date $ q r- e. Description UNION COUNT`! S (-A 40r 1PAIG�N FWT` - — — f. Date(mmlddtyyyy) g. Fair Markel Amount ' 0G $ 2i. ro 10113)2,71 R $ 4. Total only this Page 1 $ l 1 37 , L 3 5. Total of ALL CRO -1510 Pages (This tine must he on line 17 of Detailed Summary Page CRO -1100) $ I i 13-7.63 CRO -1510 NC State Board of Elections December 2007