Rushing,Stony_2018-1st-QtrAmendment �
Disclosure Report Cover ❑ Yea ®_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
a. Full Name
c. ID Number
Stony Rushing for County Commissioner
d]M21.7
R: Mailing Address (include City, State and. Zip. Cede)
d. Date Filed -.
PO Box 1415
RECEIVED
4/30/2018
Monroe, NC 28111
p
APR 3 0 2018
e. Phone Number
980-722-3787
Union Co. Board of Elections
2. Report Year
3. Period Start Date tmmlddlyy)
PeriodEndDate.
S. Treasurer Full Name
(mm/dd/yy) -.
Stony Rushing
2018
1/01/18
04/21/18
6. Type of Committee (Check One)
9. Type of Report (check only one type ofreportfrom one category)
® Candidate Campaign ❑ Parry
Municipal;.
State/County
.Referendum -.
❑ PAC ❑ Referendum
❑ Organizational
❑ Organizational
❑ Organizational
Independent ❑
Joint Fundraiser
❑ Thirty-Ewday.
Quarterly
❑ Pre -referendum
F-1 BxpendiNru
❑ Legal Expense Fund
❑ Pre-primary
❑ Pre-election
® Fist
❑ Second
❑ Final
❑ Supplemental Final
7.TypeofFund fYfapplicoble, check one)
❑ "Booster Fund"
❑ Building Fund
❑ Pre -runoff
❑ Third
❑ Annual
Semi-annual
❑ Fourth
❑ Special
❑ Mid Year
Semi-annual
Other:
❑ Yem:End
❑ Mid Year
- 10. Special Re ror t Naiue
❑ Final
❑ special
Year End
❑ Final
❑ Special
8. Number of Fundraisers this Report
11. Account Information
11. Account Information
_
a. Financial Institution Full Name` -
a. Financial Institution Full Name
First National Bank
_
b. Purpose'
."c Account Code
-
b. Purpose' - -
c. Account Code
4811
d. Period. Begin Balance
- d. Period Begin Balance
$ 643.02
$
CERTIFICATION
I certify that the Committee or Fund is in compliance with all applicable. provisions of Article.22A, 22)3, & 22D -22M of Chapter 163 of
the NC Genefal-Shttutes and that no funds are commingled with prohibited or ottmr non -disclosed itmda l hirther nertify that this report
is complete, true -and correct and that I bave been traiiredby the 13C' Baud of El "
Stony Rushing
04/29/18
Printed Name of Signer
Signature of Appointed TAdsorm
Date
FOR OFFICE USE ONLY
-
Delivery Method
Date Received:
Employee:
❑ Norma] Mail
Registered Mail
Date Postmarked:
Employee:
Hand Delivered
Electronically Filed
Date Scanned:
Employee:
❑ Signer has not received
training
Date Data Entered:
Employee:mandatory
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 Or anization (CRO- 100:4-E) to make committee changes -
CRO -1'000 Nr_ Some Board of Elections August2M
Amendment
Detailed Summary ❑ Yea ® No
Use this form to summarize all disclosure reporting forms and to total monetary information.
1. Committee Full Name (and Fund if applicable)
2. Type
of Report
3. ID Number
Stony Rushing for County Commissioner
1" Quarter Plus
HM2L7
Start ofElection Cycle: January 1,20.18
Total this
ReportingPeriod
Total this
Election Cytie
4)
Cash on Hand at Start
$
643.02
$
643.02
RECE
5) Aggregated Contributions from Individuals
6) Contributions from Individuals
7) Contribations from Political Party Committees
b) ContiiburonslromOther?oTiticalCommlttees
r;
((1?0-1205)
(CRO -1210)
(CRa,1220)
(CRo-r130)
$
S
$ 2650.00 $
2650.00
$ _0 $
0
"S D S
D
9)
Loan Proceeds
(CRO -1410)
$
0
$
0
___.�.-----------.__---------
10)
----'--..
Refunds/Reimbursements To the Committee
(CRO -1240)
$
0
$
0
11)
Other ReceiQt Sources,
Ila) Interest on Bank Accounts
iib) Contributions from Xot-forrProfit Organizations
lie) Outside Sources of Income
lid) Legal Expense Fund -Other Sources
(CR04250)
"0-1250)
(CRO -12S0)
(CRO -1270)
$
0
$
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
Ile) Exempt Purchase Price Sales —
(CRO -1265)
$
0
$
0
12)
TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10, Ila, llb, Ile, IId and Ile)
$
2650.00
$
2650.00
EXPENDITURES,-:
13) Disbursements _
13s) Operating Expenditures
13b) Contributions to Candidstes/Political Committees
13c) Coordinated Party Expenditures
14) Aggregated Non -Media Expenditures
(CRO -1310)
(CRO -1310)
(CRO -1310)
(CRO 1315)
$ 763.80
$
763.80
$ 0
$
0
$ 0
$
0
$ 0
S.
0
15)
Loan Repayments
(CR&MN)
$
0
$
0
16)
17)
Refunds/Reimbursements From the Committee
In -Kind Contributions
(CRO -1320)
(CRO -1510)
$
0
$
0
$ 0
$
0
18)
TOTAL EXPENDITURES (Add lines 13a, 13103c, 14,15,16 and 17)
$
763.80
$
763.80
19)
Cash on Hand at End (Add lines 4and 1? mgoher then s,htrnri lwe 18)
SS
2$29.22
$
2$29.22
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
(CRO -1330)
(CRO -1430)
(CRO -1610)
S 0
$ 0
$ 0
23)
24)
25)
26)
27)
28)
Debts and Obligations owed To the Committee
Account Transfers Within the Committee
AdministrativeSupport RECEIVED
Forgiven Loans APR 3 0 202
48 -Hour Notice Reports Sum
Contributions to be RefunHedn Co. Board of Elections
(CRO -1610)
(Z'RO-1720)
(CRO -1710)
(CRO -1440)
(CRO -2200)
(CRO -1215)
$
0
$ 0
$ 0
S
0
$ 0
$
0
$ 0
$
0
$ 0
$
0
CR64100 NC State Board of Elections August2008
Contributions from Individuals pg i Amendment
nr 2 _❑ Yes ® 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
Stony Rushing for County Commissioner JJM21-7
3. Contributor Information ® Add ❑ Remove
a.Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
Green Frog Water Proofing
John Chris Duncan
6715 Wesley Glen Dr-_
Waxhaw, NC 28173 RECEIVED
7046045931
APR 3 0 2018
p. Employer's Name/Specific Field. -
Green Frog Water Proofing
Election Som to Date
$ 187
f. -Prior
_g. Account Code
El
dw-1kiud Description _
j. Date (mm/ddlyyyy) k. Amount
❑
4811
check
04/09/2018 $ 400.00
❑
$
❑
$
3. Contributor Information ® Add ❑ Remove
a. Full Name, Mailing Address & Phone. -
(include city, state, & zip)
b. Job Tide/Professionil:
Comaeab
Owner/Nursery
Judy Rushing Latham
2320 E Lawyers Rd
Monroe, NC 28110
c, Employer's Name/Specific Field
Latham's Nursery
e. Flection Sam to. Date - -
$ 250
f. Prion -
g. Account Code
b. Form of Payment
i. Io IGnd Description' -
j. Date (mm/dd/yyyy)
L Amount
❑
4811
check
03/12/2018
$ 250.00
3. Contributor Information- ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone -
(include city, state, & zip) - -
b. Job Title/Profession
d. Comments -
Owner/Auto Sales
Brandon Matthew Reeves
7314 Stonehaven Dr
Waxhaw, NC 28173
(704) 226-9000
c. Employer's Name/Specific Field
Brandon Reeves Auto World
e. Election5um to Date.
$ 500
C Prior -..
g. Account Code
- h.. Form of Payment.
i.fu-Mad Description
j. Date(mm/ddlyyyy)--
k.Amount
❑
4811
check
03/29/2018
$ 500.00
❑
$
❑
$
4. Total only this Page "`. $ 1150.00
5. Total of ALL CRO -1210 Pages
$ 2650.00
(This Rue must bean line 6 of Detailed Summary Page CRO -1100)
CRO -1210 NC State Board of Elections April 2007
I_.._nd___
eat _ —
Ameodm
Contributions from Individuals Pg 2 of 2 1 ❑ Yea_ ®_ Na
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)
2.1D Number
Stony Rushing for County Commissioner
JJM2L7
I3. Contributor Information ® Add ❑' r Remove
a. Full Name, Mailing Address & Phone
- .(include city, state, & zip)
b. Job Title/Profession
d. Comments
Owner/Farmer
Samuel Oren Starnes
1511 Circle S Ranch Rd RECEIVED
Monroe, NC 28112
704-221-0719 APR 3 0 Z018
Union
f' Employer's Name/Specific Field
Circle S Farms
e. Election Sum to Date
$ 500
f. Prior
�- g. Account Code
h. Form of Payment.
i. n- - nd Description
I. Date.(mm/dd/yyyy) -
k Amount -
❑
4811
check
04/17/2018
$ 500.00
❑
$
3. Contributorinformation :, ® Add ❑ Remove
a. Full Name, Mailing Address & Phone -
(include city, state, & zip)
b. Job Title/Profession
d. Comments -
Owner/Heating and AC
Wyatt Tom Tucker Sr.
1206 Rosehill Dr
Warshaw, NC 28173
7042569056
c. Employer's Name/Specific Field -
Parks Heating and Cooling
80"aiisf"Ao'Oaze
$ "500
f. Prior .
g.Account Code
h;. Form of Payment
i. In-kind Description -
j. Date (mm/dd/yyyy)-
k. Amount -
❑
4811
check
04/17/18
$ 500.00
❑
$
❑
$
3. Contributor Information _ -,, ❑ Add --❑ .Remove -
a. Full Name, Mailing Address &Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
Owner/ Real Estate
Luke Carlton Tyson
300 Macedonia Church Rd
Monroe, NC 28112
7042369700
: c. Employer's Name/Specific Field
Ty -Par Realty
e. Election Sum to -Date
$ 560
E Prior
g. Account Code
It. Form o(Payment.
1. In -Kind Description
j. Date(mm/dd/yyyy)
k. Amount -
❑
4811
check
04/17/2018
$ 500.00
4. Total only this Page $ 1500.00
5. Total of ALL CRO -1210 Pages
$ 2650.00
(This line must be online 6 of Detailed Summary Page CRO -1100) _
CRO -1210 NC State Board of Elections April 2007
Disbursements Pg Amendment
- Q__ ---- I of 1Yea ® No
------------ -- -
Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political
committees and coordinated party expenditures.
1. Committee Full Nameand Fund if applicable) 2. ID Number
Stony Rushing for County Commissioner JJM2L7
3. Type of Disbursement Please itse separate CRO -1310 forms Lor each l m e of Disbursement.
® Operating Expenses ❑ Contributions m Gmdidates/Political Committees ❑ Coordinated Party Fxpenditures
4. Payee Information Add 11 Remove'
a. Full Name, Mailing Address & Phone
Include city, stat & zip)_
b. Coordinated Committee Name
d. Comments
Union County BOE -7 \ /
316 B East Windsor St. I-1 E C E I V E D
3v arnsae, NC284Attyy f1
-704-2.83-3809 AFT 3 Q 2tJ i8
eotlon
c. Levet Registered (Specify)
❑ Federal Z county:
❑ State ❑ Municipality:
e. Election Sam to Dale
$ 87
L Account Code �'-
g. Form of Payment
- h. Purpose Code
'Lbate (mm/dd/yyyy)
I J. Amount.
LRequired Remarks . -.
4811
Certified Ch
O
02/12/2018
$87.00
Filing Fee
$
4. Payee Information ❑ Add ❑_ Remove
a. Full Name, Mailing Address &Phone
include city, state, & zi
b. Coordinated Committee Name
d. Comments -.
Signmasters -
314 Depot St # B
Monroe
Monroe NC 28112
(704).225-0673
c. Level Registered (Specify),
❑ Federal ❑ County:
❑ State ❑ Municipality:
e. Election Sum to Dat
$ 64030
L Account Code'
g. Form of Payment
h. Purpose Code
G -Date (mm/dd/yyyy)
j.. Amount _-
-L Required Remarks- -
4811
check
b
03/21/2018
$640.50
signs
'4. Piiee Information `" El Add ❑' Remove
a. Full Name, i\lailing Address & Phone
(include -city, state, & zip)
It. Coordinated Committee Name
d. Comments
Austin Printing
1823 Morgan Mill Rd
Monroe, NC 28110
7042891445
c. Level Registered (Specify)
❑ Federal ❑ County:
❑ State ❑ Municipatity:
e. Election Sum to Date
$ 36.30
f. Account Code
g. Fwm otpaymevit t+-P4r4nte.eade.. i. tlate_
1 Asaonsst
k. tttipAmd Rtov&T6 - -
4811
check
b
04/13/2018
$36.30
cards
5. Total only this Pae
$ 763.80
6. Total of ALL CRO -1-31 Pages
(This fine goes in line 13a of Demiled Summary Page CRO -1100 if Operating Expenses) $- 7143:80
(This line goes in line 13b of Detailed Summary Page CRO.1100 if Comrlb to Ca"datevPolitical Conant)
(This fine goes in line lac of Detailed Summary Page CRO4100 if Coordinated Party Esyenditures)
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 required remarks field (It)
CRO -1310 NC State Board of Elections December 2009