Rushing,Stony_2018-4th-QtrAm minicar
Disclosure Report Cover El' 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
JJM2L7
b. Mailing Address (iodde CSty, State and tip Code)
d. Date Filed
PO Box 1415
NC 28111
1/15(2019Monroe,
e. Phone .Number
980-722-3787
2. Report Year
3. Period Start Date (mm/dd/yy)
4. Period End Date
(mm/dd/ ))
5. Treasurer Full Name
2018
10/21'2018
1231'2018
Stony Rushing
6. Type of Committee (Check One)
9. Type of Report
check only one e of report rom one cm
® C'andidate Campaign ❑ Party
Municipal
State/County
Referendum
❑ PAC ❑ Referendum
❑ Organizational
❑ Organizational
❑ Chganizational
Independent ❑ Joint Fundraiser
❑ Expenditure
❑ Thim-fi.e day
Quarterly
❑ Pre -referendum
❑ Cegid Expense Fund
❑ Pre -primas
❑ Prrelec Ion
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7. Type of Fund (iJapplicuble, check one)
❑ "Booster Fund"
❑ Building Fund
❑ Pre-mnoff
® Third
❑ Annual
Semi-annual
X Fourth
❑ Special
❑ Mid Year
Semi -amnia{
❑ ORher:
❑ Year End
❑ Mid Year
10. Special Report Name
❑ Final
❑ special
❑ Year End
❑ Final
❑ Special
11. Number of Fundraisers this Report
11. Account Information
11. Account Information
a. Financial Institution Full Name
it. Financial Institution Full Name
First National Bank
b. Partitive
c. Account Code
b. Po
c. Account Code
4811
JAN 15 2019
_
d. Period Begin Balance
d. Period Begin Balance
$ 1365.70
$
Union Co. Board of Elections
CERTIFICATION
I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B,
& 2213-22M of Chapter 163 of
the NC General Statutes and that no funds are commingled with prohibited or other non disc sed funds. I further certify that this report
is complete, true and correct and that I have been trained by the NC
Stony Rushing
to Board of Electio
1,14-A011
y A0� 1
Printed Name of Signer Si ature o Appointed T06Nr
Date
FOR OFFICE USE ONLY
Date Received: n I�S�� 9 Employee:
Delivery Method
❑ Normal Mail
Date Postmarked: Employee:
Date Scanned: /5� Employee:
❑ Registered Mail
® Hand Delivered
E] Electronically Filed
❑ Signer has not received
/ 1
Date Data Entered: Employee:
mandatory training
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 2(X)8
Ameadment
.Detailed Summary ❑ ves ® No
Use this form to summarize all disclosure reporting forms and to total monetary information.
1. Committee Full Name and Fund if applicable) 2. Tjpe
of Report
3.1D Number
Stony Rushing for County Commissioner 4th Quarter
JJM21_7
Start of Election Cycle: January 1, 2018
Total this
Reporting Period
Total this
Election Cycle
4) Cash on Hand at Start
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
11b) Contributions from Not -for -Profit Organizations
Ile) Outside Sources of Income
l ld) Legal Expense Fund — Other Sources
11 e) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1210)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CROJ240)
(CRO -1250)
(CRO -1150)
(CRO -1250)
(CRO -1270)
(CRO -1265)
$
1365.70
$
643.02
$ 0. S
$ 0 $
4950.00
$ 0 S
0
$ 0 $
0
$ 0 S
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
Fs 0 $
0
12)
13)
14)
15)
16)
17)
TOTAL RECEIPTS (Add linea 5.6, 7.8, 9, 10, Ila, 116, Ile, lld and Ile)
Disbursements
13a) Operating Expenditures (CRO -1310)
13b) Contributions to Candidates/Political Committees (CRO -1310)
13c) Coordinated Party Expenditures (CRO -1310)
Aggregated Non -Media Expenditures (CRO -1315)
Loan Repayments (CRO -1420)
Refunds/Reimbursements From the Committee (CRQ1320)
In -Kind Contributions (CRO -1510)
$
0
$
4950.00
$ 633.42 $
3860.74
S 0 $
1000.00
$ 0 $
0
$ 0 S
0
$ 0 $
0
$ 0 $
0
$ 0 $
0
18)
TOTAL EXPENDITURES (Add hues 13a. 13b, 13c. 14.15, 16and 17)
$
633.42
$
4860.74
19)
Cash on Hand at End ( I dd Imr, t .nrd 12 together, then mb"a line 18)
��QMWINFQAKAXIQA
$
732.28
$
732.28
20)
21)
22)
23)
24)
25)
26)
27)
28)
Non-Nlonctan Gifts Given to Other Committees
Outstanding Loans (incl. ones from other campaigns)
Debts and Obligations owed By the Committee
Debts and Obligations owed To the Committee
Account Transfers Within tR&OE I V E D
Administrative Support JAN 15 2019
Forgiven Loans
48 -Hour Notice Reports Su 0rl Co. Board of Elections
Contributions to be Refunded
(CRO -1330)
(CRO -1430)
(CRO -1610)
(CRO -1620)
(CRO -1720)
(CRO -1710)
(CRO -1440)
fCRo-22oo)
(CRO -1215)
$
$
S
0
0
0
$ 0
$ 0
S 0 S
0
$ 0 $
0
$ 0 $
0
$ 0 S
0
CRO -1100 NC State Board of Elections August 2008
Amendment
Contributions from Individuals Pg I of I ❑ les ® No
Use this form to report individual contributions over S50 or contributions under S50 if form CRO 1205 is not used
1. Committee Full Name (and Fund if applicable) 2. ID Nomber
Stony Rushing for County Commissioner JJM2L7
3. Contributor Information ® Add ❑ Remove
a. Full Name. %failing Address & Phone
(include cits. state. & zip)
b. Job Title/Profession
d. Comments
e. Emploser's Name/Specific Field
C. Election Som to Date
S
E Prior
g. Account Code
h. Form of Payment
L In -Kind Description
J. Date (mm)dd/yyyy)
It. Amount
❑
$
❑
S
3. Contributor Information ® Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state. & zip)
Is. Job T'itk/Profession
d. Comments
Retired
c. Employer's Name/Swifie Field
C. Election Sum to Date
E Prior
g. Account Code
h. Form of Payment
L In -Kind Description
j. Date (mm/dd/yyyy)
Is. Amount
❑
S
❑
S
❑
$
3. Contributor Information ❑ Add ❑ Remove
a. Full Name. Mailing Address & Phone
(include city.
b. Job Tide/Profession
d. Comments
JAN 15 2019
Union Co. Board of Elections
c. Employers Name/Specific Field
e. Flection Sum to Date
$
f. Prior
g. Account Code
It. Form of Payment
I. Io-Kiwl Description
j. Date (mm/ddlyyyy)
k Amount
❑
S
❑
$
❑
a
4. Total only this Page E 0
5. Total of ALL CRO -1210 Pages 00
(This line mast be on line 6 ojDerailed Summon' Page CRO -1 100)
CRO -1210 NC State Board of Flections April 2007
Amendment
,pisbursements Pg 1 of 1 ❑ Yes ® No
Use this form to report expenditures from the committee for: operating expenses, contributions to candidate/political
committees and coordinated party expenditures.
1. Committee Fuff Name and Fund if applicable) 2. ID Number
Stony Rushing for County Commissioner JJM2L7
3. Type of Disbursement Wkese use separate CRO -1310 tonm for each type of Disburse
® Operating Fxpenses ❑ Contributions to Candidates/Political Csanmiuees ❑ Coordinated Pang Lxpendnures
4. Payee Information Add Lj Remove
a. Full Name. %lailing Address & Phone
include city, state, & zip)
b. Coordinated Committee Name
d. Comments
Evelyn Cox
6823 WOLF POND RD
Monroe, NC 28112
7047647852
e, Level Registered (Specify)
❑ Federal ❑ County:
❑ State ❑ Municipality:
e. Election Sum to Date
$ 500.00
L Account Code
& Form of Payment
h. Purpose Code
L Date (mm/dd/yyyy)
j. Amoom
it. Required Remarks
4811
Check
A
11/152018
$500.00
Photography
4. Payee Information ❑ Add ❑ Remove
a. Full Name,Mailing Address & Phone
include city, state. & zip)
It. Coordinated Committee Name
d. Comments
Signmasters
314 Depot St #B
Monroe NC 28112
7042250673
e. Level Registered (Specify)
❑ Federal ❑ Coum):
❑ State ❑ Municipality:
e. Election Sum to Date
$ 1569.23
f. Account Code
g. Form of Payment
Is. Purpose Code
L Date (mm/dd/yyyy)
j. Amount
L Required Remarks
4811
check
B
11/162018
$53.38
Door Magnets
$
4. Payee Information Add ❑ Remove
a. Full Name, %failing Address & Phone
include city, state, & zi
b. Coordinated Committee Name
d. "TAN 15 2019
Union Go. Board of Elections
Officemax
1030 W Roosevelt Blvd
Monroe, NC 28110
(704) 226-9977
e. Level Registered (specify)
❑ Federal ❑ Comity:
❑ state ❑ Municipality:
e. Election Sum to Date
$ 80.04
E Account Code
If. Form of Payment
h- Purpose Code
L Date (mm/ddtyyyy)
j. Amount
L Required Remarxs
4811
check
b
10262018
$80.04
Editing program
$
5. Total only this Pae $ 633.42
6. Total of ALL CRO -1310 Pages
(This line goes in line On of Derailed Sunman• Page CRO -1100 if Opemdng Erpenses)
(This line goes in line 136 of Detailed Sanrnraq• Page CRO -1100 ifConrrib to Candidaees/PoGpcal Conant $ 633.42
(This line goes in line Me of Detailed Samastuy Page CRO -1100 if Coordinated Parry Expendaum)
7. Pur a 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
1 - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund
O* - Other
* Codes require detailed explanation in required remarks field k)
CRO -1310 NC State Board of Elections December 2009