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Rushing,Stony_2014-2019 ReportsAmendment ; Disclosure Report Cover I ❑ Yes ® 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 CRO -1000 NC State Board of Elections August 2008 a. Full Name c. to Number Stony Rushing for County Commissioner JJM2L7 It. Mailing Address (include City, State and Zip Code) d. Date Filed PO Box 1415 Monroe, NC 28111 2-19-14 e. Phone Number 980-722-3787 " PekiBrl'End �. le " > " 5. Treasurer-"Flll 2014 2/10/14 2/20/14 StonyRushing G.T" `e'afCeinmittee'CCheck"owe", 9.= `"eofRe nrt, "' eheckon" dne ev "e uYt' sii/r'ane'ecize"v) ," ® Candidate Campaign ❑ Party Municipal State/County Referendum ❑ PAC ❑ Referendum ❑ Organizational ® Organizational ❑ Organizational Independent ❑ Joint Fundraiser ❑ Expenditure ❑ 'Thirty-five day Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ ❑ Pre-primary Pre-election ❑ First ❑ Second ❑ Final ❑ Supplemental Final '�., .' e �fi jai';" „�(yfJ'gpphcable. ohecil•ona,�.;,'."; ❑ 'Booster Fund" ❑ Building Fund ❑ Pre -runoff ❑ Third ❑ Annual Semi-annual ❑ Fourth ❑ Special ❑ Mid Year Semi-annual ❑ Other: ❑ Year End ❑ Mid Year 40.-s eeial Rei ql't Name;. ❑ ❑ Final Special ❑ Year End ❑ Final ❑ Special '`$.1�Iumbei'"iG%FtindcBlsCl'S �tlt1$'Re11rt'—"`"' fACCAlO1t�YlfO'kP18t10! a. Financial Institution Full Name a.: Financial Institution Yadkin Bank WMEIVED b. Purpose c. Account Code It. Purpose :' Account Code 4811 FEB ! 9 2U14 d. Period Begin Balance Unlon CO. Board l(Elee'l ongiegh, Balance $ $ 187 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-disclo7nds. I further certify that this report is complete, true and correct and that I have been trained by the NC tale Board of El tions. Stony Rushing 2/18/14 Printed Name of Signer �- Signature of Appointed Treasure Date FOR OFFICE USE ONLY Date Received' ,,>-,fq-2814 Employee: Delivery Method ❑ .Normal Mail Date Postmarked: Employee: ❑ Registered Mail Q� Hand Delivered Date Scanned: Employee: ❑ Electronically Filed ❑ Signer has not received 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 -2100A -E) to make committee changes. CRO -1000 NC State Board of Elections August 2008 Detailed Summary use mus term to summarize an aisciosure reporting roans ana to lolai monetary uuartivauatt. Stony Rushing for County Commissioner Amendment ❑ Yes ® No Start of Election Cycle: January 1, 2014 Total this Reporting Period Total Cycle Election C cle 4) Cash on Hand at Start $ 187 $ 187 5) 6) 7) 8) 9) 10) 11) Aggregated Contributions from Individuals Contributions from Individuals Contributions from Political Party Committees Contributions from Other Political Committees Loan Proceeds Refunds/Reimbursements To the Committee Other Receipt Sources Ila) Interest on Bank Accounts 1lb) Contributions from Not -for -Profit Organizations 11c) Outside Sources of Income lld) Legal Expense Fund — Other Sources 11 e) Exempt Purchase Price Sales (CRO -1205) (CRO -until (CRO -1220) (CRO -1230) (CRO -1410) (CRO -1240) (CRO -1250) (CRO -1250) (CRO -1250) (CRO -1270) (CRO -1265) $ $ $ 187 $ 187 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 12) TOTAL RECEIPTS (Add Imes 5, 6, 7, g 9, lo, Ila, Ilb, 1/c, lld and Ile) $ 187 $ 187 13) 14) 15) 16) 17) Disbursements 13a) Operating Expenditures 13b) Contributions to Candidates/Political Committees 13c) Coordinated Party Expenditures Aggregated Non -Media Expenditures Loan Repayments Refunds/Reimbursements From the Committee In -Kind Contributions (CRO -1310) (CRO -1310) (CRO -1310) (CRO -1315) (CRO -1420) (CRO -1320) (CRO -1510) $ 87 $ 87 $ $ $ $ $ $ $ $ $ $ $ $ 18) TOTAL EXPENDITURES (Add lines 13a,13b,13e, 14, 15, 16 and 17) $ 87 $ 87 19) Cash on Hand at End (Add lines 4 mid 12 together, Ogen subtract line 18) $ 100710 20) 21) 22) 23) 24) 25) 26) 27) 28) Non -Monetary 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 the Committee Administrative Support Forgiven Loans 48 -Hour Notice Reports Sum Contributions to be Refunded (CRO -1330) (CRO -1430) (CRO -1610) (CRO -1620) (CRO -1720) (CRO -1710) (CRO -1440) (CRO -2200) (CRO -1215) $ $ $ $ $ $ $ $ $ $ $ $ $ CRM 1100 NC State Board of Elections August 2008 Amendment Contributions from Individuals Pg I of I❑ Yes ® No use mts roml w repuu murvtuuar wuu worn 1e5 uvc, w'v v, „Gtittlitiitte,C �ill'JYaino. ansl Fund if a' tacobte <..;. '; :2:ID.13umbar'", Stony Rushing for County Commissioner JJM2L7 3: Contributor' Infnllnation �" "" Add. ` ❑ ` ' ""Remove " ' a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments President/Shooting Range Stony Dwight Rushing 3810 Belk Mill Rd Wingate, NC 28174 c. Employer's Nome/Specific Field Stony D. Rushing, Inc. dba Take Aim Training e. Election Sum to nate $ 187 f. Prior g. Account Code h. Form of Payment L In -Kind Description' ; 1. Date (mm/dd/yyyy) h. Amount ❑�as De -10 $ 8g 7 F-1 9 ❑ $ 3. GnntrlgjorInkDriiiatton , ; ❑ . =; ; Ailt1;.; : ❑" . Jt iingve, . a. Full Name, Mulling Address & Phone ' (include city, state, & zip) b. Job Title/Profession d. Comments b. F.mnlaver'x Name/Snecnic Field -:... e. Election Sum: to Date $ E Prior g. Account Code h. Form of Payment: `.L In -Kind Description j. Date.(mm/dd/"*yy) k. Amount ❑ $ $ ❑ $ 3: Contriba onLiformatp9n. ❑�. a. Full Name,. Mailing Address & Phone b. Job Title/Profession it. Comments (include city, state, & zip) F Employer's Name/Specific Field e. Election Sam to Date $ I, Prior g. Account Code b. Form of Payment i 3n -Kind Description ' ' j. Date tmm/dd/yyyy) k: Amount - ❑ $ ❑ $ ❑ $ $ 187 $ 187 ?0-1210 NC State Board of Elections April s Amendment Disbursements Pg 1 of 1 ❑ Yes ® No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political committees ano cooramatea 1;` �omtu#ltee°FullNaime (i ® Operating Expenses ❑ Contributions to Candidates/Political Committees U Coordinated Party Expenditures b. Coordinated Committee Name �..,'El . a Full Name, Mailing Address & Phone include city,state, & zip) b. Coordinated Committee Name d. Comments c. Level Registered (Specify) Filing Fee Union County BOE 316 B East Windsor St. Monroe, NC 28110 c. Level Registered (Specify) ❑ Federal ® County: ❑ State ❑ Municipality: e. Election Sum to Date E Account Code $ 87 L Account Code g. Form of Payment ' h. Purpose Code L Data (mm/ddlyyyy) j. Amount k. Required Remarks I Certified Ch O 02/10/2014 $87.00 Filing Fee $ �4.Fa eeinf9`rmef#on.>'. ❑ ` -Add �';❑.v Ramove : a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name dr Comments c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sam to Date $ f. Account Code g. Form of Payment It. Purpose Code >L Date (mm/dd/yyyy) ' J. Amount `.k. Required Remarks $ $ a. Full Name, Mailing Address & Phone .(include city, state & zip) b. Coordinated Committee Name d. Comments c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Date $ E Account Code g. Form of Payment It. Purpose Code i. Date (mm/dd/yyyy) j. Amount ` k Required Remarks $ RO-1310 NC State Board of Elections uecemner tc Amendment Disclosure Report Cover I ❑ Yea _® Na 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 (include City, State and Zip Code) d. Date Filed PO Box 1415 4-25-14 Monroe, NC 28111 e. Phone Number 980-722-3787 2. Report Year 3. Period Start Date (mm/dd/yy) 4. Period End Date (mm/dd/yy)5. Treasurer Full Name 2014 2/20/14 4/19/14 Stony Rushing 6. Type of Committee Check One) 9. Type of Re ort (check only one e of report from one category) ® Candidate Campaign ❑ Party Municipal state/County Referendum ❑ PAC ❑ Referendum ❑ Organvatioral ❑ Organizational ❑ Organizational Independent❑ Joint Fundraiser ❑ Expenditure ❑ Thirty-five day Quarterly ❑ Pte -referendum ❑ Legal Expense Fund ❑ ❑ Pre-primary Pre-election ® First ❑ Second ❑ Final ❑ Supplemental Final 7. T e of Fund (if applicable, check one) ❑ 'Booster Fund" ❑ Building Fund ❑ Pre-mnoff ❑ Third ❑ Annual Semiannual ❑ 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 11. Account Information 11. Account Information a. Financial Institution Full Name s. Financial Institution Full Name Yadkin Bank b. Purpose c. Account Code b. PurpoIRECEIVED c. Account Code 4811 APR 2 5 2014 d. Period Begin Balance d. Period Begin Balance $ 100 Union Co. Board of Elections 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 -d d funds. I further certify that this report is complete, true and correct and that I have been trained by the NC S Board of Elections. Stony Rushing 4/25/14 Printed Name of Signer . rgnature of Appointed Tream r Date FOR OFFICE USE ONLY Date Received: /-2 C'- Iy Employee:u Delivery Method ❑ Normal Mail Date Postmarked: Employee: ❑�I�-,/ Registered Mail Hand Delivered Date Scanned: Employee: El Electronically Filed ❑ Signer has not received 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 -2100A -E) to make committee changes. CRO -1000 NC Stale Board of Elections August 2008 j Amendment Detailed Summary ❑ Yes ® 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 st qrt plus JJM2L7 Start of Election Cycle: January 1, 2014 Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start $ loo $ 187 5) 6) 7) 8) CEII'TS Aggregated Contributions from Individuals Contributions from Individuals Contributions from Political Party Committees Contributions from Other Political Committees (CRO -1205) (CRO -1210) (CRO -1220) (CRO -1230) $ $ $ 0 $ 187 $ $ $ $ 9) 10) 11) Loan Proceeds Refunds/Reimbursements To the Committee Other Receipt Sources Ila) Interest on Bank Accounts 11b) -Contributions from Notfor=Profit Organizations Ile) Outside Sources of Income (CRO -1410) (CRO -1240) (CRO -1250) -(CRO-1250) (CRO.1250) $ 1000.00 $ 1000.00 $ $ $ $ $ $ $ $ lld) Legal Expense Fund —Other Sources 11 a Exempt Purchase Price Sales (CRO -1270) (CRO -1265) $ $ $ $ 12) TOTAL RECEIPTS (Add Bees 5, 6, 7, 8, 9, 10, Ila, 11b, Ile, 11d and Ile) $ 1000.00 $ 1187.00 EXPENDITURES - 13) Disbursements 13a) Operating Expenditures 13b) Contributions to Candidates/Political Committees 13c) Coordinated Party Expenditures 14) Aggregated Non -Media Expenditures 15) Loan Repayments 16) Refunds/Reimbursements From the Committee 17) In -Kind Contributions (cRo.imo) (CRO -1310) (CRO -1310) (CRO -1315) (CRO -1420) (CRO -1320) XR04510) $ 726.06 $ 813.06 $ $ $ $ $ $ $ $ $ $ $ $ 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $ 724.66 $ 813.06 19) Cash on Hand at End (Add lines 4 and 12 togethe), then .subtract line 18) $ 373.94 $ 373.94 ADDITIONAL TNFORMATION. 20) Non -Monetary Gifts Given to Other Committees 21) Outstanding Loans (incl. ones from other campaigns) 22) Debts and Obligations owed By the Committee 23) Debts and Obligations owed To the Committee 24) Account Transfers Within the Committee (CRO -1330) (CR&1430) (CRO -1610) (CRO -1620) (CRO -1720) $ $ 1000.00 $ $ $ 25) 26) 27) 28) Administrative Support -- - Forgiven Loans 48 -Hour Notice Reports Sum Contributions to be Refunded (CRO -1710) (CRO -1440) (CRO -2200) (CRO -1215) $ $ $ $ $ $ $ $ CRO -1100 NC State Board of Elections August 2008 Contributions from Individuals Amendment Pg 1 of I ❑ Yes ®... No uec uns nuu, w ropsiu nww,uua. wm �1:Gbmmitlioe)TailNante'andl�tndjfn �icable)' `2iJtD`i+tumbor, " Stony Rushing for County Commissioner JJM2L7 3: Contributor li for natit n ® 'Add," [] .: Remove a. Full Name, Mailing Address & Phone b. Job Title/Profession d Comments (include city, state, & zip) c. Employer's Name/Specillie Field e. Election Sum to Date $ E Prior - g. Account Code -.h Form of Payment 1. In -Kind Description j Date (mmddlyyyy) k Amount ❑ $ ❑ $ ❑ $ 3, Contriizutor In fornnati9u . [] Add , .❑: ikemode . a. Full Name, Mailing Address & Phone b. Job Title/Profession d. Comments (include city. state. & zip) e. Election Sum to Date $ C Prior g. Account Code h Form of Payment 1. In.Kind Description j. Date (mmIddlyyyy) h. Amount ❑ $ ❑ $ 3.C4Dnfri1rutorInforntation ❑" Add . ❑- , Remove a. Full Name, Mailing Address & Phone b. Job Title/Profession d. Comments (include city, state, & zip) c. Employer's Name/Specific Field 9-1210 NC Slate Board of Elections April Amendment Disbursements Pg 1 of 1 El Yes E No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political committees and cooramatea vartv extieralitures -1. Ctrinabibtee Full, Napilie,(Aind ViDid'if appliable ),— Stony Rushing for Count Commissioner JJM2L7 y 3. Tyk isbuirs;jolent ffea.�e'm� aLaratg CRO -131P tor each, iffne to ZOperating Expenses H Contributions to Candidates/Political Committees LI Coordinated Party Expenditures, A. ': ,, ' 2�� 1 " � 1 0 Add' " "' — , 0 , Remove I -- a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments Filing Fee Yadkin Bank 2593 W. Roosevelt Blvd Monroe, (704) 225-8444 c. Level Registered (Speeify) E] Federal E County: El state El Municipality: e. Election Sum to Date $ 5.50 E Account Code g. Tom of Payment h. Purpose Code L Date (mmtdd/yyyy) j. Amount k Required Remarks 4811 auto draft 0 04/01/2014 $5.50 service charge $ : 4. Aillauve a. Full Name, Mulling Address & Plume (include city, state, & zip) b. Coordinated Committee Name d. Comments Signmasters 314 Depot St, Monroe, NC 28112 (704) 225-0673 L Level Registered (Specify) E] Federal 0 County: ❑ State E] Municipality: e. Election Sam to Date $ 720.56 f. Account Code g. Form of Payment It. Purpose Code i. Date (mm/dd/yyyy) J. Amount k. Required Remarks 4811 check B 03/19/2014 $720.56 Signs $ -' E Aad Remove'; 'a. Full Name, Mailing Address & Phone b. Coordinated Committee Name d. Comments c. Level Registered (Specify) E] Federal El County: El state El Municipality: e. Election Sum to Date L Account Code g. Form of payment h. Purpose Code i. Date (mni/ddlyyyy) j. Amount IL Required Remarks (This line goes in line 13a ofDetailed Viumnary Page CRO -1100 if Operating Expenses) (This fine goes in line 131, of Detailed Summary Page CRO -1100 if Contrib to CandidareslPolifical Canuar) $ 726.06 (This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures) 7 - 7 777777 7 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 0* - Other Codes 'rii4uhtv detailed eiplanatido-inregoiteOremarks fteld,(k)�,, RO-1310 NC State Board of Elections December 20 Loan Proceeds Pg 1 Use this form to report proceeds from a loan and loan endorser's information A loan oroceeds statement must accompanv each loan that is from an individual r Amendment Of 1 ❑ _ _ Yes. ® No 1. Committee Full Name and Fund if applicable) 2. 1D Number Stony Rushing for County Commissioner JJM2L7 3. Lender Information ® Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Pmfession d. Comments Range Owner Stony Dwight Rushing 3810 Belk Mill Rd Wingate, NC 28174 980-722-3787 e. Start Date (mm/dd/yyyy) c. Employer's Name/Specific Field 03/19/2014 Stony D Rushing, Inc E End Date (mm/ddlyyyy) Op//91�1y g. Rate It. Security Pledged i. Account Code J. Form of Payment IL Amount 0 % Il transfer $ 1000 1. Full Name of Lending Institution in. Loan Number 4.Endorsers/Makers (Thepeoplewhogumm/tee the lomi.) a. Fail Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession c. Employer's Name/Specific Field d. Percentage e. Amount a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Pmlesaion c. Employer's Name/Speclfic Field d. Percentage e. Amount $ a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Pmfession c. Employer's Name/Specific Field d. Percentage e. Amount a. Full Name, Mailing Address & Phone (includecity, state, & zip) b. Job Tltle/Pmfesslim c. Employer's Name/Specific Field d. Percentage e. Amount $ 5. Total of ALL CRO -1410 Pages (This line must he on ILm 9 oJDelailed Summary Page CRO -1100) $ 1000.00 CRO -1410 NC State Board of Elections April 2007 North Carolina State Board of Elections 441 N Harrington St t Raleigh, NC 27603 Kimberly Strach Deputy Director — Campaign Reporting Loan Proceeds Statement Mailing Address PO Box 27255 Raleigh, NC 27611-7255 (919) 733-7173 Fax: (919) 715-5047 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 • Name of committee to receive Ioan:Stony Rushing For County Commissioner • Person or committee to make loan: Stony Rushing • Date of loan to committee: 03/19/2014 • Name of lending institution and account number (source): • Amount of loan: $1000 • Description (if in-kind loan): • Names of all parties responsible for payment of loan (guarantors): Stony Rushing • Period of loan: 6 Months • Rate of interest of loan: 0% • Security pledged for loan: None acknowledge that all of the information (Person provided iscomplete, true, ato nd accurate. I further understand I may not forgive a loan that has an outstanding balan_c&49 any source. 0Y -,7Y -,20/y Sigrfatu a of Lender Date Signed v V-2 y -2dl y ig ature of Treasurer of, mmittee Date Signed Note: This Statemen o be filed with the Election Board where the committee's reports are filed. CRO -6100 Loan Proceeds Statement March 2013 Amendment 48 -Hour Notice Page 1 of 1 ❑ Yes ®— No Use this form to report all contributions of $1,000 or more. Notice must be filed within 48 hours of receipt of contribution. The 48 -Hour reporting period begins the day after the last day of the l a Quarter -Plus report period and ends the day of the Primary Election and begins the day after the last day of the 3rd Quarter -Plus report period and ends the day of the General Election. All 48 Hour In -Kind Contributions must be recorded on CRO -1510 and attached. This notice may be faxed in order to meet the 48 hour deadline. 1. Committee Information -- a. Full Name c. ID Number Stony Rushing for County Commissioner JJM2L7 b. Mailing Address (include City, Stale and Zip Code) it. Report Date PO Box 1415 RECEIVED 6/27/14 Monroe, NC 28111 e. Phone Number JUN 3 0 2014 980-722-3787 2. Contribution Information Union Go. E 05[W&1PMjffl8lI Information n. Full Name, Mailing Address & Phone ® Add n. Full Name, Mailing Address & Phone ® Add (include city, state, and zip) ❑ Remove (include city, state, and zip) ❑ Remove Marion Cox John Cox 6409 Rape Rd 6002 Cox Rd Monroe, NC 28112 Monroe, NC 28112 b. Type of Contributor b. Type of Contributor ® Individual (if checked, artist specify b2 and b3) ® Individual f checked, must specify b2 mut b3) ❑ Political Party ❑ Political Party ❑ Other Political Committee (if checked, must specify It]) ❑ Other Political Committee (f checked, must specify bl) ❑ Not -for -Profit (f checked, must specfy b4) ❑ Not -for -Profit (if checked must specify b4) ❑ Other Source: ❑ Other Source: bl. Type of Committee bl. Type of Committee ❑ Federal ® County: ❑ Federal N County: ❑ State ❑ Municipality: ❑ State ❑ Municipality: W. Job Title/Profession W. Federal In Number b2. Job Title/Profession W. Federal ID Number Farmer Farmer W. Employer's Name/Specific Field c. Form of Payment b3. Employer's Name/Specific Field c. Form of Payment Cox Brothers Farm Check Cox Brothers Farm it. Date (mmldd/yyyy) C Amount - it. Date (mm/dd/yyyy) f. Amount 06/26/2014 $ 1000 06/26/2014 $ 1000 e. Account Code g. Election Sum to Date e. Account Code g. Election Sum to Date 4811 $ 1000 4811 $ 1000 3. Total Contributions THIS Page (surn all the '2f entries on this page) $ 2000 4. Total Contributions ALL Pages (fuudiipage, only list on page I) - $ 2000 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, correct and that I have been trained by the NC State Board of Elections. The contributions were received no more than 48 hours prior to this notice being filed. I understand that all contributions including those reported on this notice must also be reported on the next scheduled campaign disclosure report. Stony Rushing 6/27/2014 Printed Name of Signer Signature of Appointed Treasurer Date CRO -2220 NC State Board of Elections August 2008 Amendment 1 IDiseloyure Report Cover ❑ Yea X No Use this form for general report and committee information, must be signed and submitted along with other detailed forms. Do not use this lui Et to uPuatc uuvuuat..... 1. Committee Information c. ID Number a. Full Name JJM2L7 Stony Rushing for County Commissioner b. Mailing Address (include City, Stato and Zip Code) d. Date Filed PO Box 1415 7/10/2014 Monroe, NC 28111 e. Phone Number 980-722-3787 2. Report Year 3. Period Start Date (mm/dd/yy) . P an/od End Date 5. Treasurer Full Name Stony Rushing 2014 04/19/2014 06/30/2014 6. Type of Committee.(Check One) 9. T e of Re ort (check only one type ef i ort om one category) ® Candidate Campaign ❑ Party Municipal State/Coun ty Referendum ❑ Organizational ❑ Organizational ❑ Organizational ❑ PAC ❑ Referendum Independent ❑ Joint Fundraiser ❑ Thirty-five day Quarterly ❑ Pre -referendum ❑ Expenditure ❑ Legal Expense Fund ❑ ❑ Pre-primary Pre-election ElF First ® Second E] Final ❑ Supplemental Final 7. a of Fund 0f applicable, check one) ❑ 'Booster Fund" ❑ Building Fund ❑ Pre -runoff ❑ Third ❑ Annual Semi-annual ❑ Fourth ❑ Special ❑ Mid Year Semi-annual 10. Special Report Name ❑ other: ❑ Year End ❑ Mid Year ❑ Final ❑ Year End ❑ special ❑ Final ❑ Special 8. Number of Fundraisers this Report 11. Account Information 11. Account Information a.Financial Institution Full Name a. Financial Institution Full Name Yadkin Bank b. Purpose c. Account Code b. Purpose c. Account Code 4811 d.. Period Begin Balance d. Period Begin Balance $ 373.94 $ 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 true correct and that I have been trained by the NC tate Board ofElee ton complete, and Stony Rushing 7/9/2014 Printed Name of Signer — Signature of Appointed sorer Data FOR OFFICE USE ONLY DeliverMethod Date Received: _ — i t� Employee: u_ ❑ Normal Mail ed Mail Date Postmarked: Employee: RECOf�gelivered Electronically Filed Date Scanned: Employee: JUL OA 20*ner has not received mandatory training Date Data Entered: Employee: GODS 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. _ _ Aamut 2008 CRO -1000 NC state Board or Elections Amendment Detxlled Summary ❑ Yes ® No Use this form to summarize all disclosure reporting forms and to total monetary information. 1. Committee Full Name and Fund if applicable) 2. a of Report 3. ID Number Stony Rushing for County Commissioner 2" Quarter JJM2L7 Start of Election Cycle: January 1, 2014 Total 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 (CRO -1205) (CRO -1210) (CRO -1220) $ $ 373.94 $ -$ 560.94 $ 3500 $ 3687 $ $ 8) Contributions from Other Political Committees (CRO -1230) $ $ 9) Loan Proceeds (CAO -1410) $ $ 1000.00 10) 11) Refunds/Reimbursements To the Committee Other Receipt Sources Ila) Interest on Bank Accounts (CRO -1240) (CRO -1250) $ $ $ $ llb) Contributions from Not -for -Profit Organizations Ile) Outside Sources of Income (CRO -1250) (CRO -1250) $ $ $ $ 11d) Legal Expense Fund —Other Sources (CRO -1270) $ $ 11 e) Exempt Purchase Price Sales (CRO -1265) $ $ 12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10, l /a,'11b, /1q l tdand Ile) EXPENDITURES 13) Disbursements 13a) Operating Expenditures (CRO -1310) 13b) Contributions to Candidates/Political Committees (CRO -1310) $ 3500 $ 4687.00 $ 459.35 $ 1272.41 $ $ 14) 13c) Coordinated Party Expenditures Aggregated Non -Media Expenditures (CRO -1310) (CRO -1315) $ $ $ $ 15) 16) 17) Loan Repayments Refunds/Reimbursements From the Committee In -Kind Contributions (CRO -1420) (CRO -1320) (CRO -1510) $ $ $ $ $ $ 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $ 45935 $ 1272.41 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18) ADDITIONAL INFORMATION- 20) Non -Monetary Gifts Given to Other Committees (CRO -1330) 21) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) 22) Debts and Obligations owed By the Committee (CRO -1610) 23) Debts and Obligations owed To the Committee (CRO -1620) 24) Account Transfers Within the Committee (CRO -1720) 25) Administrative Support (CRO -1710) 26) Forgiven Loans (CRO -1440) 27) 48 -Hour Notice Reports Sum (CRO -2200) 28) Contributions to be Refunded (CRO -1215) $ $ $ $ $ $ 3414.59 1000.00 $ 3414.59 $ $ $ $ IUJii �u :oar CDec 10 CRO -1100 NC State Board of Elections August 2008 Amendment Contributions from Individuals Pg I of 3 ❑_ Yea ® -N0-j 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. ED 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 it. Comments Real Estate Clayton Loflin 754 Lochaven Dr Weddington, NC 28173 704-321-1795 c. Employer's Name/Specific Field Self e. Election Sum to Date $ 100 f. Prior g. Account Code h. Form of Payment t In -Kind Description J. Date(mm/dd/yyyy) h. Amount ❑ 4811 check 06/08/2014 $ too ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession it. Comments Farmer Nancy Anderson 13624 Providence Rd Weddington, NC 28104 704-846-7975 c. Employer's Name/Specific Field Self e. Election Sum to Date $ 100 C Prior g. Account Code h. Form of Payment i. In -Kind Description J. Date (mm/dd/yyyy) ls. Amount ❑ 4811 Check 06/08/2014 $ 100 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Owner Donnie Baucom 6611 Sugar and Wine Rd Monroe, NC 28110 704-385-9641 c, Employer's Name/Specific Field AAA Siding & Windows e. Election Sum to Date $ 100 . f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mmldd/yyyy) IL Amount' ❑ 4811 cash 06/08/2014 $ 100 ❑ $ ❑ RECEIVED $ 4. Total only this Page ji.ji n 9 2n141$ 300 5. Total of ALL CRO -1210 Pages $ 3500 (This liaeniust be on line 6afLietailed Summary Page CRO -1100) Union CO Board of Eleetons CRO -1210 NC State Board of Elections April 2007 Amendment Contributions from Individuals Pg 2 of 3 ❑ Yes ® xa 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 JJM2L7 3. Contributor Information ® Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Health Care Jane Baucom 6611 Sugar And Wine Monroe, NC 28110 704-846-7975 c. Employer's Name/Specific Field Healthquest e. Election Sam to Date $ 100 f. Prior g. Account Code h. Form of Payment i. In -Rind Description J. Date (mm/dd/yyyy) k Amount ❑ 4811 cash 06/18/2014 $ 100 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Farmer Marion Cox 6409 Rape Rd Monroe, NC 28112 704-764-9775 c. Employer's Name/Specific Field e. Election Sum to Date $ 1000 E Prior g. Amount Code h. Form of Payment i. In -Kind Description j. Date (mmlddlyyyy) IL Amount ❑ 4811 check 06/25/2014 $ 1000 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Fun Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Farmer John Cox Jr. 1015 Jack Davis Rd Monroe, NC 28112 704-764-9775 F Employer's Name/Specific Field Cox Bros Farm 6409 Rape Rd Monroe, NC 28112 a Election Sum to Date $ 500 f. Prior g.. Account Code h. Form of Payment i. In -Kind Description j. Date (mmlddlyyyy) k Amount ❑ 4811 check 06/25/2014 $ 500 4. Total only this Page j $ 1600 5. Total of ALL CRO -1210 Pages Union Co. Board of Elections $ 3500 (This line nmst be on line 6 of Detailed Summary Page CRO -1100) CRO -1210 NC State Board of Elections April 2007 Amendment -� - Contributions from Individuals Pg 3 of 3 0__ 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 JJM2L7 3. Contributor Information ® Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job TitIOProfession it. Comments Insurance Gary Sides 2829 Pulanski Dr Monroe, NC 28110 (704) 684-0082 c. Employer's Name/Speeif a Field Marshall Insurance e. Election Sum to Date $ 100 f. Prior g. Account Code h. Form of Payment L In -Kind Description J. Date (mm/ddlyyyy) k Amount ❑ 4811 check 06/18/2014 $ 100 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Farmer John Cox 6002 Cox Rd Monroe, NC 28112 704-764-9775 c. Employer's Name/Specific Field Cox Brother's Farm c. Election Sum to Date $ 1000 L Prior g. Account Code h. Form of Payment i. In -Kind Description J. Date (mmlddlyyyy) IL Amount ❑ 4811 check 06/25/2014 $ 1000 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Secretary Sonya Nunn 2919 Wolf Pond Rd Monroe, NC 28112 704-764-9775 c. Employer's Name/Specific Field Cox Bros Farm e. Electionsum.to Date $ 500 f. Prior g. Account Code L Form of Payment 1. In -Kind Description J. Date (mmlddlyyyy) k Amount.- ❑ 4811 check 06/25/2014 $ 500 ❑ $ ❑ $ 4. Total only this Page JUL 0 9 201 j $ 1600 5. Total of ALL CRO -1210 Pages (77jis line must be on Hire 6 of Demlled Summary Page CRO -1100) UN00 CO. Board Of E1061011 $ 3500 CRO -1210 NC State Board of Elections April 2007 I Amendment Disbursements Pg i of j p___Yea_®_ _ _ 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 Name and Fund if applicable) 2. ID Number Stony Rushing for County Commissioner JJM21-7 3. Type of Disbursement &Lease use separate CRO -1310 Lorms Lor each tWe of Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4.Payee Information ® Add ❑ Remove a. Full Name, Mailing Address & Phone include city,state, & zip) b. Coordinated Committee Name I Comments service charges Yadkin Bank 2593 W. Roosevelt Blvd Monroe. (704) 225-8444 c. Level Registered (Specify) ❑ Federal ® County: ❑ State ❑ Municipality: e. Election Sam to Date $ 16.50 E Account Code g. Form of Payment k Purpose Code L Date (mm/dd/yyyy) j. Amount k Required Remarks 4811 auto draft O 06/03/2014 $5.50 service charge 4811 auto draft o 05/06/2014 $5.50 service charge 4. Payee Information ® Add ❑ Remove a, Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments Austin Printing 1823 Morgan Mill Rd Monroe, NC 28110 (704) 289-1445 G Level Registered (Specify) ❑ Federal ® County: ❑ State ❑ Municipality: e. Election Sum to Date $ 448.35 t Account Code g. Form of Payment k Purpose Code L Date (mm/dd/yyyy) J. Amount k Required Remarks. 4811 check B 06/30/2014 $448.35 Postcards $ 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sam to Date $ E Account Code g. Form of Payment k Purpose Code 1. Date (mm/dd/yyyy) j. Amount k Required Remarks $ $ 5. Total only this Pae $ 459.35 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) (This line goes in line 136 of Detailed Summary Page CRO -1100 ifConn''ib to Candidates/Po al Comm) (This line goes in lime 13c of Detailed Summary Page CRO -1100 if Coordinate es) $ 459.35 i 7. Purpose Codes(List detailed a enditure code in A* - Media B* - Printing C* - Fundr n IAN D - To Another Candidate E - Salaries F* - Equipment G - Political Party,,,, \\� W - Holding Public. Office Expenses I - Postage J - Penalties K* - Office Expenses rr.�,°� Q* - Donation to Legal Expense Fund W - Other 11;�tr ti i * Codes require detailed explanation in required rema CRO -1310 NC State Board of Elections December 2009 John Whitley From: Stony Rushing <stonyrushing@aol.com> Sent: Friday, July 25, 2014 5:21 PM To: union.boe@ncsbe.gov Subject: Amendment Attachments: 2ndQrtContributions2amended.doc; 2ndQrtContributionsamended.doc Stony Rushing www.takeaimtraining.com 980-722-3787 704-764-7960 takeaimtrain ino ().aol.com Concealed Carry, Hunter Safety, Firearms Safety RECEIVED JUL 2 8 2014 Union Co. Board of Elections Amendment Contributions from Individuals Pg 1 of 3 1 ® Yes ® 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. ID Number Stony Rushing for County Commissioner JJM2L7 3. Contributor Information ® Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession it. Comments Real Estate Clayton Loftin 754 Lochaven Dr Weddington, NC 28173 704-321-1795 c. Employer's Name/Specific Field Self e. Election Sum to Date $ 100 f. Prior g; Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ 4811 check 06/08/2014 $ 100 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession it. Comments Farmer Nancy Anderson 13624 Providence Rd Weddington, NC 28104 704-846-7975 c. Employer's Name/Specific Field Self e. Election Sam to Date $ 100 I. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ 4811 Check 06/08/2014 $ 100 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession of Owner JUL 2 8 2014 Union C fflPt�g6f10BS Donnie Baucom 6611 Sugar and Wine Rd Monroe, NC 28110 704-385-9641 c. Employer's Name/Specific Field AAA Siding & Windows e. Election Snm to Dflte $ 100 f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ 4811 Check 06/08/2014 $ 100 ❑ $ ❑ $ 4. Total only this Page $ 300 5. Total of ALL CRO -1210 Pages (This line must be on lite 6 ofDernlled Suni nary Page CRO -1100) - $ 3500 CRO -1210 NC State Board of Elections April 2007 .. Amendment Contributions from Individuals pg z of 3 ® 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 (arid Fund if applicable) 2. IDNumber Stony Rushing for County Commissioner JJM2L7 3. Contributor Information ® Add ❑ Remove a. Fall Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Health Care Jane Baucom 6611 Sugar And Wine Monroe, NC 28110 704-846-7975 c. Employer's Name/Specific Field Healthquest e. Election Sum to Date $ 100 f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ 4811 check 06/18/2014 $ 100 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Farmer Marion Cox 6409 Rape Rd Monroe, NC 28112 704-764-9775 c. Employer's Name/Specific Field e. Election Sum to Date $ 1000 f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) It. Amount ❑ 4811 check 06/25/2014 $ 1000 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Farmer C C E I \ �/ / E D Lf c. Employer's Name/Specific Field JUL 2 8 2014 Cox Bros Farm 6409 Rape Rd Un! . e u D to Monroe, NC 28112 $ 500 John Cox Jr. 1015 Jack Davis Rd Monroe, NC 28112 704-764-9775 f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) it. Amount ❑ 4811 check 06/25/2014 $ 500 ❑ $ 4. Total only this Page $ 1600 5. Total of ALL CRO -1210 Pages ('This line rmusl be on line 6 rf Detailed Sanonnq, Page CRO -1100) $ 3500 CRO -1210 NC State Board of Flections April 2007 Amendment Disclosure Report Cover I ❑ 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 (include City, State and Zip Code). d. Date Filed PO Box 1415 Monroe, NC 28111 101)6t/2014 e. Phone Number 980-722-3787 2. Report Year 3. Period Start Date (mm/dd/yy) 4. Period End Date (mm/dd/yy) 5. Treasurer Full Name 2014 07/01/2014 10/18/2014 Stony Rushing 6. Type of Committee(Check One) 9. Type of Report (check only one type (q?f report rom one category) ® Candidate Campaign ❑ Party Municipal State/Cnuuty Referendum ❑ Organizational ❑ Organizational ❑ Organizational ❑ PAC ❑ Referendum Independent ❑ Joint Fundraiser ❑ Expenditure ❑ Thirly-five day Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ ❑ Pre-primary Pre-election ❑ Fint ❑ Second ❑ Final ❑ Supplemental Final 7. Type of Fund. (if applicable, check one) ❑ "Booster Fund" ❑ Building Fund ❑ Pre -runoff ® Third ❑ Annual Semi-annual ❑ Fourth ❑ Special ❑ Mid Year Semi-annual ❑ Otbec ❑ Year End ❑ Mid Year 10. $ ecial Report Name ❑ ❑ 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 Yadkin Bank b. Purpose c. Account Cade b. Purpose Account Code 4811 OCT 2 0 2014 d. Period Begin Balance d. Period Begin Balance Union Co. Board of Election3 $ 373.94 $ 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 prohib' d or other nort-discloseqnds. I further certify that this report is complete, true and correct and that I have been trained by the NC e B and of Electi s. Stony Rushing 10/19/2014 Printed Name of Signer --SignatoW ofAppointed Treasurer Date FOR OFFICE USE ONLY Date Received: 0 -Zo -2U/y Employee: Delivery Method ❑ Normal Mail Date Postmarked: Employee: ❑9 Registered Mail LrJ Hand Delivered Date Scanned: Employee: ❑ Electronically Filed ❑ Signer has not received 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 -2100A -E) to make committee changes. CRO -1000 NC State Board of Elections August 2008 Amendment Detailed Summary ❑ Yes ® 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 3rd Quarter plus JJM21_7 Start of Election Cycle: January 1, 2014 Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start $ 3414.59 $ 560.94 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 l lb) Contributions from Not -for -Profit Organizations Ile) Outside Sources of Income lld) Legal Expense Fund — Other Sources 11 e) Exempt Purchase Price Sales (CRO -1205) (CRO -1210) (CRO -1220) (CRO -1230) (CRO -1410) (CRO -1240) (CR04250) (CRO -1250) (CRO -1250) (CRO -1270) (CRO -1265) $ $ $ 2600 $ 6287 $ $ $ $ $ $ 1000.00 $ $ $ $ $ $ $ $ $ $ $ $ 12) 13) 14) 15) 16) 17) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10, Ila, 11h, Ile, Ild 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 (CRO -1320) In -Kind Contributions (CRO -1510) $ 2600 $ ib $ 3863.17 $ 5135.58 $ $ $ $ $ $ $ 1000 $ 1000 $ $ $ $ 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $ 4863.17 $ 6135.58 19) A Cash on Hand at End (Add lines 4 mrd 12 together, thea subtract has 18) D TONAIr O $ 1151.42 $ 1151.42 20) 21) 22) 23) 24) 25) 26) 27) 28) Non -Monetary 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_o tt+V E D Administrative Support ---OGT-2 0 SOW __ Forgiven Loans 48 -Hour Notice Reports AWn Co. Board of Elections Contributions to be Refunded (CRO -1330) (CRO -1430) (CRO -1610) (CRO -1620) (CRO -1720) (CRO -1710) (CR04440) (CRO -2200) (CR04215) $ $ 00 $ $ $ $ $ $ $ $ $ $ $ CRO -1100 NC State Board of Elections August 2008 Amendment Contributions from Individuals Pg I of 4 ❑_ _Yea ® 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 a licable 2. E5Number Stony Rushing for County Commissioner JJM2L7 3. ContributorInformation ® Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Owner - Michael McGee 4524 Carriker Rd - Monroe, NC 28110 704-753-4564 c. Employer's Name/Specitle Field McGee Brothers e. Election Sum to Date $ 500 f. Prior g. Account Code Is. Form of Payment 1. In -Kind Description j. Date (mm/dd/yyyy) h. Amount ❑ 4811 check 07/04/2014 $ 500 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Fall Name, Mailing Address & Phone (include city, state, & Zip) b. Job Title/Profession d. Comments Owner Sam McGee 9224 Truelight Church Rd Charlotte, NC 7045455470 c. Employer's Name/Specific Field McGee Brothers e. Election Suen to Date $ 100 f. Prior ' g. Account Code h. Form of Payment i. In -Kind Description J. Date (mmlddlyyyy) h. Amount ❑ 4811 Check 07/04/2014 $ 100 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments President Ted Dellinger PO Box 929 Monroe, NC 28111 704-283-2806 c. Employer's Name/Specific Field Dellinger Inc e. Election Sam to Date $ 200 L Prior g. Account Code h. Form of Payment t In- V11te (mm/dd/yyyy) k Amount ❑ 4811 Check OCT 7 0 7014 07/02/2014 $ 200 F1 ons $ 4. Total only this Page $ 800 5. Total of ALL CRO -1210 Pages $ �w 01) (This line must be on line 6 of Detailed Summary Page CRO -1100) CRO -1210 NC State Board of Elections April 2007 Amendment Contributions from Individuals Pg 2 of Q 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. IIS Number Stony Rushing for County Commissioner JJM2L7 3. Contributor Information ® Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Secretary Lauren Wilson 2112 Doster Rd Monroe, NC 28112 7042832723 c. Employer's Name/Specific Field Love & Hutaff e. Election Sum to Date $ 200 £ Prior g. Account Code k Form of Payment. L In -Kind Description J. Date (mm/dd/yyyy) k Amount ❑ 4811 check 07/03/2014 $ 200 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Real Estate James Kerr PO Box 783 Monroe, NC 28111 (704) 242.4110 c. Employer's Name/Specific Field Self e. Election Som to Date $ 100 L Prior g. Amount Code b. Form of Payment L In -Kind Description J. Date (mm/dd/yyyy) IL Amount ❑ 4811 Check 07/06/2014 $ 100 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove � ' ' f a. Full Name, Mailing Address & Phone (include city, state, & zip) b. JobTitle/Profession d. Comments '- Farmer Union Co, Board of Elections Donald Kerr 9614 Kerr Rd Waxhaw, NC 28173 (704)283-3911 a Employer's Name/Specific Field Self -:e. Election Sum to Date $ 600 L Prior g. Account Code h. Form of Payment L In -Kind Description J. Date (mm/dd/yyyy) k Amount ❑ 4811 Check 07/09/2014 $ 100 ❑ 4811 Check 07/24/2014 $ 500 ❑ $ 4. Total only this Page $ 900 5. Total of ALL CRO -1210 Pages $/ vo (This line must be on line 6 oJDeluiled Summary Page CRO -1100) - - - - j 2Q 00 , CRO -1210 NC State Board of Elections April 2007 Amendment_ - No El Contributions from Individuals Pg 3 of a 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 JJM2L7 3. Contributor Information ® Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Employee Larry McGee 4405 Concord Hwy Monroe, NC 28110 7042896251 - c. Employer's Name/Specifle Field McGee Brothers e. Election Sum to Date $ 100 f. Prior g. Account Code It. Form of Payment L ht -Kind Description J. Date (mm/dd/yyyy) k Amount ❑ 4811 check 07/04/2014 $ 100 ❑ $ ❑ $ 3. Contributor information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (Include city, state, & zip) b. Job Title/Profession d. Comments Farmer Samuel Oren Starnes Jr 1511 Circle S Ranch Rd Monroe, NC 28112 7047647311 c. Employer's Name/Specifle Field Self e. Election Sum to Date $ 500 E Prior g. Account Code It. Form of Payment L ht -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ 4811 check 07/02/2014 $ 500 ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) It. Job Title/Profession d. e@so ion Co. Board of Elections c. Employer's Name/Speeific Field 'e. Election Sum to Date $ E Prior g.: Account Code - IN. Form of Payment L In -Kind Description J. Date (mm/dd/yyyy) k Amount ❑ 4811 $ ❑ $ ❑ $ 4. Total only this Page $ 600 5. Total of ALL CRO -1210 Pages $ oo (rhis lute niust he on line 6 of Dediiled Sumutnty Page CRO -1100) CRO -1210 NC State Board of Elections April 2007 Contributions from Individuals Pg 4_ of 4 �enayesr Z -Nn_ 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. ED Number Stony Rushing for County Commissioner JJM2L7 3. Contributor Information ®" Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Employee Bruce Hallman 1803 Old Fish Rd Momoe, NC 28110 704-753-1002 c. Employer's Name/Specific Field Mcgee Brothers e. Election Sum to Date $ 100 f. Prior g. Account Cade it. Form of Payment i. In -Kind Description J. Date (mm/dd/yyyy) h. Amount ❑ 4811 check 07/04/2014 $ 100 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Maning Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Employee Harvey Mullis 7206 Alexander Farm Rd Monroe, NC 28110 7047532287 - c. Employer's Name/Specific Field McGee Brothers e. Election Sam to Date $ 100 f. Prior g. Account Code b. Form of Payment i. In -Kind Description j. Date (mmlddlyyyy) IL Amount ❑ 4811 Check 07/04/2014 $ 100 ❑ $ 3 Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b, Job Title/Profession d. Cam Employee Union Co. Board of Elections Garret Jones 3617 E. Breif Rd Monroe, NC 28110 7047534564 c. Employer's Name/Specific Field McGee Brothers e. Election Sum to Date $ 100 f. Prior g. Account Code IL Form of Payment i. In -Kind Description - J. Date (mmlddlyyyy) Ic Amount ❑ 4811 Check 07/04/2014 $ 100 ❑ $ ❑ $ 4. Total only this Page j $ 300 5. Total of ALL CRO -1210 Pages j $ �U (This line const be on line hof DzY dkd S6mnmr)tPge CRO -7100) s'• --60V CRO -1210 NC State Board of Elections April 2007 Amendment --—� Disbursements Pg 1 of ❑ Yes ® No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political committees and coordinated oartv expenditures. 1. Committee Full Name and Fund if applicable) 2. ID Number Stony Rushing for County Commissioner JJM2L7 3. Type of Disbursement Please use s airs a CRO -1310 Lorna Lor each e o Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information ® Add El Remove a. Full Name, Moiling Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments Right Strategies 9935 Rea Rd Charlotte, NC 28277 704-315-9659 -c. Level Registered (Specify) ❑ Federal ® County: ❑ State ❑ Mon-wity: e. Election Sum to Date $ 475 t Account Code g. Form of payment - h. Purpose Code L Date (mmlddlyyyy) J. Amount It. Required Remarks 4811 check O 07/14/2014 $475 Robocalis o $ 4. Payee Information ® Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments US Postal Service 1639 Dickerson Blvd, Monroe, NC 28110 (704) 283-2565 e. Level Registered (Specify) ❑ Federal ® County: ❑ State ❑ Municipality: e. Election Sum to Date $ 1394 f. Account Code g. Form of Payment h Purpose Code L Date (muilddlyyyyy) j. Amount k. Required Remarks 4811 check I 07/02/2014 $1020.00 4811 check I 7/16/2014 $374.00 4. Payee Information ❑ Add ❑ Remove o. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Commotee Name d. Comments OCT 2 0 2014 Union Co. Board of Elections wIXE 1700 Buena vista Road Monroe, NC 28112 704-289-2525 c. Level Registered (Specify) ❑ Federal ® County: ❑ State ❑ Municipality: e. Election Sum to Date $ 1190 E Aceount Code g. Form of Payment b. Purpose Code 1. Date (mmlddlyyyy) J. Amount Ir. Required Remarks 4811 check A 07/02/2014 $1190 Radio Ads 5. Total onlythis Pae $ 3059 6. Total of ALL CRO -1310 Pages (Ihis line goes in line 13a ofDemiled Summary Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Detailed Summary Page CRO -1100 ifContrib to Candidates/Pontical Comm) (This line goes in line 13c ofIletailed Summary Page CRO -1100 if Coordinated Party Expenditures) I $ 17 S r 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 k CRO -1310 NC State Hoard of Elections December 2009 Amendment Disbursements Pg 2 of 3 ❑ 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 Full Name and Fund if applicable) 2. ED Number Stony Rushing for County Commissioner JJM2L7 3. Type of Disbursement Please use seurate CRO -1310 ortns or each e o Disbursement. ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee information E Add ❑ Remove a. Fall Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments service charges Yadkin Bank 2593 W. Roosevelt Blvd Monroe. (704) 225-84446 c. Level Registered (specify) ❑ Federal ® County: ❑ State ❑ Municipality: e. Election Sum to Date $ 22.00 E Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) J. Amount k. Required Remarks 4811 auto draft O 07/01/2014 $5.50 service charge 4811 auto draft 0 09/02/14 $11.00 service charge 4. Payee Information ® Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments Austin Printing 1823 Morgan Mill Rd Monroe, NC 28110 (704) 289-1445 e. Level Registered (Specify) ❑ Federal ® County: ❑ State ❑ Municipality: e. Election Sum to Date $ 620.72 i. Account Code g. Form of Payment h- Purpose Code i. Date (mm/dd/yyyy) J. Amount k. Required Remarks 4811 check B 07/14/2014 $132.37 Postcards 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. f%ordinated Committee Name d. Comments Union Co. Board of Elections Data Finder 7530 164' Ave NE Suite A204 Redmond WA 98052 888-492-7714 e. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Date $ 304.64 f. Account Code g. Form of Payment L Purpose Code i. Date (mm/dd/yyyy) J. Amount k. Required Remarks 4811 Etc Transfer A 09/26/2014 $304.64 Phone List 5. Total only this Pae $ 6. Total of ALL CRO -1310 Pages (77ah line goes in line 13a ofDelailed Sunuuary Page CRO -1100 ifOperaang Expenses) (This line goes in line 13b ofDelailed Summary Page CRO -1100 ifContrib m Candidan,010Utieal Comm) (77ds line goes in line 13e of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures) $ 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 W - Other * Codes require detailed explanation in required remarks field k CRO -1310 NC State Board of Elections December 2009 Amendment Disbursements Pg 3 of 3 ❑ Yes ® No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political committees and coordinated oartv expenditures. 1. Committee Full Name and Fund if applicable) 2. ID Number Stony Rushing for County Commissioner I JJM21-7 3. Type of Disbursement - - ease use se conte CRO -1310. orms or each e o Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expendi(mes 4. Payee Information N Add El Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments Signmasters 314 Depot St, Monroe Monroe, NC 28112 (704) 225-0673 c. Level Registered (Specify) ❑ Federal N County: ❑ State ❑ Municipality: e. Election Sum to Date $ 10o's,-7`1 E Account Code g. Form of Payment h. Purpose Code L Date (mm/ddlyyyy) J. Amount k. Required Remarks 4811 o O 07/02/2014 $28823 Signs 4. Payee Information N Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Comments Officemax 1030 W Roosevelt Blvd Monroe, NC 28110 (704) 226-9977 c. Level Registered (Specify) ❑ Federal N County: ❑ State ❑ Municipality: e. Election Sum to Date $ 62.43 t Account Code g. Form of Payment h Purpose Code 1. Date (mudddlyyyy) j. Amount'' " k. Required Remarks 4811 Check K 07/15/2014 $62.43 Ink, Labels, Cardstock $ 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Namer d. C OCT 2 0 20% Union Co. Board of Elections c. Level Registered (Specify). ❑ Federal ❑ County: ❑ state ❑ Municipality: e. Election Sam to Date $ E Account Code g. Form of Payment h. Purpose Code 1. Date (mm/dd/yyyy) J. Amount k. Required Remarks $ $ 5. Total only this Pae $ 350.66 6. Total of ALL CRO -1310 Pages (Tbis line goes iu line 13a ofDemiled Summary Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Detailed Summary Page CRO -1100 if Com rib to Coadidates/Political Comm) (This flue goes in line Be of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures) III $ / Z /` 2 ' c.J V 3 1 7. Purpose Codes(List detailed expenditure code in (hj 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 k CRO -1310 NC State Board of Elections December 2009 Loan Repayments Use this form to report payments on an existing loan. Amendment Pg t of 1 ', ❑ Yes _ ® No 1. Committee Full Name (and Fund if applicable) 2. ID Number Stony Rushing for County Commissione 3. Lender Information ® Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Comments Stony Rushing 3810 Belk Mill Rd Wingate NC 28174 980-722-3787 e. Original Loan Date 03/19/2014 d. Original Loan Amount $ 1000 e. Remaining Loan Balance f. Account Code g. Form of Payment h. Date (mm/ddlyyyy) L Repayment Amount $ 0 4811 Transfer 07/21/2014 $ 1000 3. Lender Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Comments c. Original Loan Date d. Original Loan Amount $ a Remaining Loan Balance f. Account Code g. Form of Payment h. Date. (mm/dd/yyyy) i. Repayment Amount $ $ 3. Lender Information ❑ " Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Comments C E I V E D OCT 2 0 2014 Union Co. Board of Elections c. Original Loan Date d. original Loan Amount $ e. Remaining Loan Balance f. Account Code g. Form of Payment h: Date (mm/ddfyyyy) i. Repayment Amount $ $ $ $ 4. Total only this Page $ 1000 5. Total of ALL CRO -1420 Pages ) (77tis line must be on line IS o Detailed Suuauary Page CRO -1100 $ 1000 CRO -1420 NC State Board of Elections December 2007 Amendment Disclosure Report Cover I ❑ Yee ® 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. Malang Address (include City, State and Zip Code) d. Date Filed PO Box 1415 1/12/15 Monroe, NC 28111 e. Phone Number 980-722-3787 2. Report Year 3. Period Start Date (mm/dd/yy) 4. Period End Date 5. Treasurer Full Name (mmldd/ Stony Rushing 2014 10/19/14 12/31/14 6. Type of Committee (Check One) 9. Type of Report check only one e of report 'om one care o ) ® Candidate Campaign ❑ Party Municipal State/County Referendum ❑ PAC ❑ Referendum ❑ Organizational ❑ Organizational ❑ Organizational Independent ❑ Joint Fundraiser ❑ Expenditure ❑ Thirty-five day Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ ❑ Pre-primary Pre-election ❑ First ❑ Second ❑ Final ❑ Supplemental Final 7., a of Fund. (f applicable, check one) ❑ "Booster 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 11. Account Information 11. Account Information a. Financial Institution Full Name a. Financial Institution Full Name Yadkin Bank b. Purpose e. Account Code b. Purpose c. Account Code 4811 d. Period Begin Balance d. Period Begin Balance $ 373.94 $ 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 I have been trained by the NC State Board of Electio Stony Rushing 1/12/15 Printed Name of Signer Sign lure of Appointed Trye6loor Dale FOR OFFICE USE ONLY R1112- / Date Received: /�/,✓ Employee: `/y" Delivery Method ❑ Normal Mail Registered Mail Date Postmarked: JA Employee: Hand Delivered Date Scanned: Employee: ❑ Electronically Filed ❑ Signer has Union CO. Board of Elections 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. C-RO-1000 NC State Board of Elections August 2008 Amendment Detailed Summary ❑ Yes ® No Use this form to summarize all disclosure reporting forms and to total monetary information. 1. Committee Full Name and Fund if applicable) 2. TvDe of Re ort 3. ID Number Stony Rushing for County Commissioner 4th Quarter JJM2L7 Start of Election Cycle: January 1, 2014 Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start $ 1151.42 $ 560.94 RECEIPTS 5) Aggregated Contributions from Individuals (CRO -1205) 6) Contributions from Individuals (CRO -1210) 7) Contributions from Political Party Committees (CRO -1220) 8) Contributions from Other Political Committees (CRO -1230) 9) Loan Proceeds (CRO -1410) 10) Refunds/Reimbursements To the Committee (CRO -1240) 11) Other Receipt Sources lls) Interest on Bank Accounts (CRO -1250) 11b) Contributions from Not -for -Profit Organizations (CRO -1250) Ile) Outside Sources of Income (CRO -1250) 11d) Legal Expense Fund — Other Sources (CR04270) 11 e) Exempt Purchase Price Sales (CRO -1265) $ $ _ $ 0 $ 6287 $ $ $ $ $ $ 1000.00 $ $ $ $ $ $ $ $ $ $ $ $ 12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10, 11a, 11b, 11c, 11x1 and !le) $ 0 $ 7287.00 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) Ref inds/Reimbursements From the Committee (CRO -1320) 17) In -Kind Contributions (CRO -1510) $ 484.4 $ 5319.98 $ .3,0 •"' $ 300 $ $ $ $ $ 0 $ 1000 $ $ $ $ 18) TOTAL EXPENDITURES (Add fines 13a, 13b, 13c, 14, 15, 16 and 17) $ 484.4 $ 6619.98 19) Cash on Hand at End (Add lines 4 and 12 together, then subbnct line 18) $ 667.02 $ 667.02 ADDITIONAL INFORMATION 20) Non -Monetary Gifts Given to Other Committees (CRO -1330) 21) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) 22) Debts and Obligations owed By the Committee (CRO -1610) 23) Debts and Obligations owed To the Committee (CRO -1620) 24) Account Transfers Within the Committee (CRO -1720) 25) Administrative Support R E C E I V ETY710) 26) Forgiven Loans JAN 12 201fR0-1440) 27) 48 -Hour Notice Reports Sum (CRO -2200) 28) Contributions to be Refunded Union Co. Board of Eleglu>]t(g 1215) $ $ $ $ $ $ 00 imp $ $ $ $ $ $ $ CRO -1100 NC State Board of Eleotions August 2008 Amendment Disbursements Pg 1 of t ❑ 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 Full Name and Fund if applicable) 2. ID Number Stony Rushing for County Commissioner JJM21-7 3. Type of Disbursement Please use se urate CAP -1310 &LimLr each oDisbursement. ❑ Operating Expenses ® Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information Ej Add ❑ Remove a. Fall Name, Mailing Address &Phone (include city, state & zip) b. Coordinated Committee Name d. Comments Sean Maher for BOE 418Ranelagh Dr Waxhaw, NC 28173 704-254-9305 c. Level Registered (Specify) ❑ Federal ® County: ❑ state ❑ Municipality: e. Eleetion Sum to Date $ 300 L Account Code I g. Form of Payment h. Purpose Code L Date (mmlddlyyyy) J. Amount k Required Remarks 4811 check D 10/23/14 $300 $ 4. Payee Information El Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state & zip) b. Coordinated Committee Name d. Comments c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Eleenon Sam to Date $ f. Account Code g. Form of payment h. Purpose Code L Date (mmldd/yyyy) j. Amount k. Required Remarks $ $ 4. Pay" Information ❑ Add Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sam to Date t A....nr& e t L Purpose Code L Date (mm/dd/yyyy) j. Amount L Required Remarks JAN 12 2015 $ Union Co. I card of EI q $ 5. Total only this Pae j $ 300 6. Total of ALL CRO -1310 Pages (Phis line goes in line Ma ofDelailed Srtntmarr Page CRO -1100 if Operating Expenses) (This lingoes in line 136 of Detailed Sumumry Page CRO -1100 if Contrite to Candidates/Political Comm) (77ds fine goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures) $ 300 7. Purpose Codes(List detailed expenditure code in Il 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 k CRO -1310 NC State Board of Elections December 2009 Amendment Disbursements 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 Full Name and Fund if applicable) 2. ID Number Stony Rushing for County Commissioner JJM2L7 3. Type of Disbursement tiakitse use separate CR0-1310 &rims ft each Uge o Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information ® Add Remove a. Full Name, Mulling Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments WIRE 1700 Buena Vista Road Monroe, NC 28112 7042892525 a Level Registered (Specify) Federal N County: ❑ State ❑ Municipality: e. Election Sam to Date $ 1345.00 L Account Code g. Form of payment h. Purpose Code L Date (mm/dd/yyyy) J. Amount k. Required Remarks 4811 Check A 12/15/14 $155.00 Ads 4811 $00 4, Payee Information ® Add El Remove a. Fail Name, Mailing Address & Phone include city, state & zip) b. Coordinated Committee Name d. Comments USPS 101 South Charlotte Ave Monroe NC 28110 704) 283-2565 a Level Registered (Specify) ❑ Federal ® County: ❑ State ❑ Municipality: e. Election Sum to Date - $ 1423.40 f. Account Code g. Form of Payment h. Purpose Code L Date (mm/dd/yyyy) J. Amount k. Required Remarks 4811 Check i 12/15/14 $29.40 Postage $ 4, Payee Information El Add ❑ Remove a. Full Name, Musing Address & Phone (include OL, state, & zip) It. Coordinated Committee Name d. Comments c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sam to Date $ E Account Code g. Form of Payment k. Purpose Code i. Date (mmdddlyyyy) J. Amount k. Required Remarks 4811 $ 5. Total only this Pae $ 184.4 6. Total of ALL CRO -1310 Pages (77ds line goes in line Ma ofDelailed Summary Page CRO -1100 if Operating Expenses) (Thus line goes in line 13b of Derailed Summary Page CRO -1100 if Contrib to CandidatexlPolitical Comm) (77ds line goes in line 13c of Detailed Summary Page CRO -1100 if CoordinatedParly Expenditures) $ 184.4 7. Purpose Codes List detailed expenditure code in h. above A" - Media B" - Printing C" - Fundraising�!� jam' andidate E - Salaries F" -Equipment G - Political Party C E f Uj�biie Office Expenses I - Postage J - Penalties K" - Office ExpensesJANjjgy0tion to Legal Expense Fund 0" - Other [U I� " Codes require detailed explanation in required remarks field k CRO -1310 NC State Board of Elections Union U0. Board of Ele0lif '^ December 2009 RECEIVED Disclosure Report Cover JUL 21 2015Amendment 0 Yes Z No Use this form for general report and committee information, must be signed and submitted along with other detailed forms. nn not rise this fnrm to undme. information. Uni6n CO. Beard 0f Elections 1. Committee Information a. Full Name c. ID Number n 11 Tun Rsn$ �� A r LOun� UM ti,`Sl)v JTZ 2L -7 b. Mailing A dress (include City, State and Zip Code) d. Date Filed Po t}Dr\ ►H 15 • —1S e. Phone Number 2 0 1 1 I 98ts•722.37$_7 2. Report Yearl 3. Period Start Date (ininlibi/yo 14. Period End Date (mm/dd/yy) 5. Treasurer Full Name 2015 1 0/ —dl - 20)'5 1 6c - 3v • /< 6.T e of Committee Check One 9. Type of Report (check only one I)pe of re ort from one cal ory) Candidate Campaign ❑Party Municipal State/County Referendum ❑ PAC ❑ Referendum ❑ Organizational ❑ Organiutional ❑ Organizational ❑ Independent Expenditure ❑ Joint Fundmiser ❑ Thirty-five day Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ Pre-primary ❑ First ❑ Final ❑ Pre-election ❑ Pre -runoff Semi-annual ❑ Second ❑ Third ❑ Fourth ❑ Supplemental Final ❑ Annual ❑ Special 7. Type of Fund (if applicable, check one) ❑ Booster Fund ❑ Building Fund [�' Mid Yearend -annual ❑ Year End zrs Mid Year 10. Special Report Name ❑ Other: ❑ Final ❑ Special ❑ Year End ❑ Final ❑ Special S. Number of Fundraisers this Report 11. Account Information 11. Account Information a. Financial Institution Full Name a. Financial Institution Full Name . Purpose c. Account Code b. Purpose c. Account Code a,w C� f>ti I Yeii it. Period Begin Balance d. Period Begin Balance $ 66-7, r2 J 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 iss/ complete, time and correct and that I have been trained b the NC State Board of Elections. �JTOnI/ OyuS�,nw %'.?/-fir Printed Name of SigAr Sign tune of Appointed r surer Date FOR OFFICE USE ONLY Date Received: %/tL'1 tS Employee: V,n�.,K�� Delivery Method ❑ Normal Mail Date Postmarked: N /A Employee: Q }egistered Mail 1 n Aland Delivered Date Scanned: -7/a"t iS Employee: t-' ~ Electronically Filed ❑ Signer has not received 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 -2100A -E) to make committee changes. CRO -1000 NC State Board of Elections August 2008 RECEIVED JiIL 21 2015 (Amendment Detailed Summary I ❑ Yes No -3 .. ...... ..... ... K......,....2., .......Sc Gs,.rc rep.,........ ,. ,.. 1. Committee Full (and Fund if applicable) «.....4. ............ 3. ID Number Name %1n koN ,4tin l�lwli �n.n.Sfro / G V,-^ /_ ) j M2L? Start of Election Cycle: January 1, .26 t s Total this Re orcin Period Total this Election Cycle 4) Cash on Hand at Start $ 6G 7, 02 $ 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 Ib) Contributions from Not -For -Profit Organizations Ile) Outside Sources of Income 11d) Legal Expense Fund - Other Sources Ile) Exempt Purchase Price Sales (CR04205) (CRO -1210) (CRO -7220) (CRO -7230) (CRO -1410) (CRO -1240) (CRO -1250) (CRO -1250) (CRO -1250) (CRO -7270) (CRO -1265) $ (/ $ $ C) $ $ O $ $ d $ Q $ U $ d $ $ $ Q $ 0 $ Q $ 0 $ O $ 0 $ $ $ Q $ 12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,1 la,l lb,l lc,l ld and Ile) $ Ci I $ (] 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) $ 0 $ U $ 0 $ $ O $ In $ $ $ 0 $ $ 0 $ $ d $ 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 130, 14,15, 16 and 17) $ (� $ 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18 $ -7fJ $ 6 7, 02 ADDITIONAL INFORMATION 0) Non -Monetary Gifts Given to Other Committees 21) Outstanding Loans (incl. ones from other campaigns) 22) Debts and Obligations owed by the Committee 23) Debts and Obligations owed to the Committee 24) Account Transfers Within the Committee 25) Administrative Support 26) Forgiven Loans 27) 48 -Hour Notice Reports Sum (CRO -1330) (CRO -1430) (CRO -1610) (CRO -1620) (CRO -1720) (CRO -7710) (CRO -1440) (CRO -2220) $ (� I $ U $ 0 $ Q $ 0 _ $ 0 $ 0 $ $ $ $ Q 28) Contributions to be Refunded (010-1215) $ U $ d CRO -1100 NC State Board of Elections August 2008 (101 r¢�� North Carolina State Board of Elections 441 N Harrington Street Raleigh, NC 27603 Kim Westbrook Strach Executive Director RECEIVED JUL 21 2015 Union Co. Board of Elections I Certification of Inactive Status Mailing Address PO Box 27255 Raleigh, NC 27611-7255 (919) 733-7173 This certification is used by Candidate, Party, PACs and Referendum Committees to declare their intent to be inactive, which is not raising or spending any money on behalf of the campaign. This Certification is filed at the Board of Elections office where the committee's campaign reports are filed. FILED BY: Committee Name: Treasurer Name: Treasurer Address: (include city, state, & zip) 110 n r-� e wL Treasurer Phone: '(} !) - 7a 2 - ? 7TZ I certify that the above named candidate/political committee intends to receive no contributions, nor make any expenditures, until the committee resumes activity. I understand that if the above circumstances change, it will be necessary for the person responsible for filing financial disclosure reports to file an amended Statement of Organization and the Certification to Return to Active Status form (CRO -3300) within ten days. %.2/-/S Date Signed CRO -3200 Certification of Inactive Status Judy 2014 North Carolina State Board of Elections 441 N Harrington Street Raleigh, NC 27603 Kim Westbrook Strach Executive Director Mailing Address PO Box 27255 Raleigh, NC 27611-7255 (919) 733-7173 Certification to Return to Active Status This Certification is used by Candidate, Party, PACs and Referendum Committees which have previously filed the Certification of Inactive Status and now wish to return to an active status. This Certification is filed at the Board of Elections office where the committee's campaign reports are filed. FILED BY: Committee Name: Stony Rushing for County Commissioner Treasurer Name: Stony Rushing Treasurer Address: P.O. Box 1415 (include city, state, & zip) Monroe, NC 28111 Treasurer Phone: 980-722-3787 I certify that the above named candidate/political committee, which has been of inactive status and exempt from filing disclosure reports, intends to accept contributions and/or make expenditures. This intention of activity alters the status of the above named candidate/political committee to active status and requires such committee to begin filing disclosure on the appropriate schedule. All contributions received and/or expenditures made that have not been previously reported will be disclosed on the next scheduled report and all subsequent reports will be filed as scheduled. An amended Statement of Organization (CRO -2100 A -G) must accompany this form. 1/7/2018 Date Signed CRO -3300 Certification to Return to Active Status Signature July 2014 Amendment Disclosure Report Cover I. E] Yes ® No Use this form for general report and corrnittee information, must be signed and submitted along with other detailed forms. uo not use mts Corm to upuam mrormation 1. Committee Information a. Eull Name c,ID Number- $.tong Rushing for County Commissioner I JJM2L7 PO Box 1415 nt:ek.,�r—I V IZU 4/30/2018 Monroe, NC 28111 APR 3 0 2018 erTrnncl�utriher Union Co. Board of Elections 980-722-3787 4. Period End Date 2. Report Year ` 3. Period Start Date (mmlddlyy) . Treasufer Ful Narue 2018 1/01/18 04/21/18 Stony ® Candidate Campaign ❑ Party ❑ PAC ❑ Referendum Independept ❑ Joidt Fundraiser ❑ Expenditure ❑ Legal Expense Fund municipal State/County Referendum ❑ ❑ ❑ ❑ ❑ ❑ ❑ j] ❑ Organizational Thirty-fi¢edag. Pre-primary Pre-election Pre -runoff Semi-annual Mid Year YeorlEndt .Pinal Special ❑ ® ❑ ❑ ❑ ❑n J--� ❑ ❑ Organizational Quarterly First Second Third Fourth Semi-annual 10Year Year End Final Special ❑ ❑ ❑ ❑ ❑ ❑ Organizational Pte- referendum_ Final Supplemental Final Annual Special 7. T . e of Fund fifayp7ic6hle, check one) ❑ 'Booster Fund" ❑ Building Fund Other: lO Special,I2epoifNA e., _ 4. -Nu Imber of Fundraisers; this Report " 11. Account Information11: Account Information a. Financial Lreufution FuIINa a a. Financial Institution Full Name First National Bank >b, Purpose'(c-Account Code b. Pur pose c Aecomrt Code - 4811 ---- - --- ___ ._., } Amendment Detailed SummaryQ Yes ® No Use this form to summarize all disclosure reporting forms and to total monetary information. 1' Committee FpII NaMe (and Fui d if.a lici bre), 2., ` e of Re ort. _ 3: ID Number' Stony Rushing for County Commissioner V Quarter Plus JJM2L7 Start ofE)ection Cyde: January 1, 2015Total this Reporting g Porion Total this, Election Cycle 4) Cash on Hand at Start $ 643.02 $ 643.02 ��F: N�"� ��L �_ ASY.�3Y✓'�3?_}�`.aY LJ'7i" w''V v�x�.� �},,`v -5) Aggregated Contributions from Individuals (clto-1205) 6) Contributions from Individuals (ceo-1210) '7) Contributions from Political Party Committees (eRo 1220) 8) Contributions from Other PolrttcaTCommtttees (CRO7z30) ��i��c'�✓'` `✓ S "l"Si{. � J_.:.,}„ X �.. $ $ $ 2650.00 $ 2650.00 $ 0 $ 0 $ 0 $ 1) 9) 10) 11) -.--.. Loan Proceeds Refunds/Reimbursements To the Committee Other Receipt Sources Ila) Interest on Bank Accounts ------ Ilb) Contributions from Not for.Profit Organizations ------- ---.._-_._--.--._._.......... Ile) Outside Sources of Income -..-_---- -___-_..___-._--_ IId) Legal Expense Fund- Other Sources Ile) Exempt Purchase Price Sales — (CRO -1410) (CRO -1240) (CRO -1250) -- (CRO -1250) ________._-__. (CRO -1250) (CRO -1270) (CRO -1265) $ $ 0 0 $ $ 0 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10, Ila, 11b, Ile, 11d and Ile) $ 2650.00 $ 2650.00 Earl rtliiTt)i2cS' d �C 13 Disbursements 13a) Operating Expenditures - --------- .-----..-_...__.._--_._._____ 13b) Contributions to Candidates/Political Committees 13c) Coordinated Party Expenditures - - - -- - ---- ----------- -----_- ----- _-14) Aggregated Non -Media Ex ------ ________-____..-___. 14) 15) Loan Repayments (CRO -1310) (CRO -1310) (CRO -1310) (CRO -1420) , r " 'i $ 763.80 $ 763.80 $ 0 $ 0 $ 0 $ 0 $ 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, 13b, 13c, 14,15,16 and 17) $ 763.80 $ 763.80 19) Cash on Hand at End (4ddhnes4and-I2logeiher,4hen'snbnactline 1.8) $ 2529.22 $ 2529.22 ADDI`I`T01 "tAI, IN 1k, 20) Non -Monetary Gifts Given to Other Committees 0-1 0)$ 21) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) 22) Debts and Obligations owed By the Committee (CRO -1610) - -- - - - -- - - - - -- —--------._ .- -_------ -- -- -- 23) Debts and Obligations owed To the Committee (CRO -1620) 24) Account Transfers Within the Committee (CR6-1720) 25) Administrative Support RECEIVED (CRO -1710) 26) Forgiven Loans APR 3 0 2018 (CRO -1440) 27) 48 -Hour Notice Reports Sum (CRO -2200) 28) Contributions to be Refun7edn Co. Board of Elections (CRO -1215) 0 $ 0 $ 0 $ 0 $ 0 $ o $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 6?6,1100 NC State BOBrd oi.Elections August 2008 Contributions from Individuals i Amendment Pg I of 2 �..❑......Yes ®__.. No.I, vsc uus luau w tnYvrt ututvutuat wnutouuons over az)v or contrtouaons under you it rorm C:xv ttuD is not usea j,,Gomrnittee Eull Naive hand Fund ilrtiopjka61e2,.1D Number, Stony Rushing for County Commissioner JJM2L7 (inctudecly, state, &zip) Green Frog Water Proofing John Chris Duncan 6715 Wesley Glen Dr c. Employec'g Name/Specific Picld Waxhaw, NC 28173 RECEIVED E Green Frog Water Proofing 7046045931 e. Ptecfion Snm io Uate APR 3 0 2018 $ lea .y Pngr 'g Aeeount C.o a I106f),r{,'O,7f>W4011df-"GtImiB9CmllDesciiptitln j.Data(mm/dd/yyyy) AL M.Punt ❑ 4811 check 04/09/2018 $ 400.00 ❑ $ ❑. $ Judy Rushing Latham 2320 E Lawyers Rd Monroe, NC 28110 Nursery $ 250 f Pt wr': 1g. Account Code h. Form of Paymenf; t In -I{ tld Desertption -j; pate (mm/tld/yyyy) k, Aruaunt ❑ 4811 check 03/12/2018 $ 250.00 ❑ $ Brandon Matthew Reeves 7314 Stonehaven Dr Waxhaw, NC 28173 (704) 226;9000 Owner/Auto Sales ;a Employer's:luame/9Pegitc")+iejrl�: Brandon Reeves Auto World 0-1210 NC State Board of Electimts April 2( $ 560 :t:Rt9gr ,g. Account Cp�e h. Form of Payment' i. In-IGud Desnipdtin '1. Dale(mmYddfyyyy) "" h. Amount ❑ 4811 check 03/29/2018 $ 500.00 ❑ $ 4 Total aniy this gage ' A_ � $ 1150.00 . 5, Total of ALL CRO 1210 Pages $ 2650.00 -� `(Tklsli'Ue'dit+s/begnline,#ofbefa!/edSumntnry Pnge C,RO 110Q):`', 0-1210 NC State Board of Electimts April 2( .ontributions from Individuals Amendment Pg 2 of 2 ! ❑ Yes vac uuo ivuu w ivpun muivluum uunuiuuLIV116 Uvcl yJV Ur UVJIUIUUL1UIIS UIIUUF .pJV 111UI111 Ud U IZVJ 1S DO 1 USeU 1. Commit}ee'Fu11'N ime (arid qnd if a l cable ; I iib'Nvl -Rr , 777, Stony Rushing for County Commissioner JJM2L7 (include eity'state, &yip) Owner/Farmer Samuel Oren Starnes c 1511 Circle S Ranch Rd R E (D E 1 V C D ,}tFlnpluyei' lyamc 8Qec 1 e Field Monroe, NC 28112 Circle S Farms 704-221-0719 APR 3 0 2013 e. Elect on Sum to I)nte Union • $ '500 `f Prim' 'fig Aceount`Cooe" b. Form of Payment' f.In- •ud Description J. Date (mmldd/yyyy) Ic Amount ❑ 4811 check 04/17/2018 $ 500.00 ❑ $ ❑ $ AC Wyatt Tom Tucker Sr. 1206 Rosehill Dl' `<. Employer`§Name/Specific Field Waxhaw, NC 28173 Parks Heating and Cooling 70425690S6 e FJecloh Snm to Date $ 500 LZ{ r1m 4. Account C64 N, Form of Payment: t. in-li;ifid Deacnptioi ;j Date (mm/dd/yyyy) _ - ic. A count ❑ 4811 check 04/17/18 $ 500.00 ❑ $ ❑ $r (include city, state, &zip) Owner/ Real Estate Luke Carlton Tyson 300 Macedonia Church Rd c Employer's Name/Specif c F,etd " Monroe, NC 28112 Ty -Par Realty 7042389700 a Lleetign"SumtnlSare $ 500 'fPrlu,r gcAceount Cede h. Fm+m of Payment.- 'i:In-Kind Descriptlon: 'j;Dute (mmidd/yyyy) k.Ampunt ... .. .. ❑ 4811 check 04/17/2018 $ 500.00 ❑ $ 4 3Tota1 only th fs Page , 1 $ 1500.00 5, Tota] of ALS CRO 1210 Pages $ 2650.00 '(This line, grad be py Yrze; bfDe"mileriS'ummnry Pnge;CRO-IIpOJ 1-1210 NC State Board ofElectimis April Amendment 1 Disbursements Pg I of I j ❑ Yes ® No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political Z Operating Expenses ij Contributionsto CandidateslPolilical Comminces• Ff Coordinated Pavy, Mpepdinues. { Union County BOE /''� �/ 316 B East Windsor St. R E V E i V E® Manroe, NC x:8:1:19 '704-z93=3809 APR 3 0 2048 ections c. Level Registered ($pecify)" Federal cplmty: D state E Municipality: a Elec-jimts�nttp-Date $ 87 i. a 4udit Cudtri g. P'oi'm dfPdymoiit : ` hr Pnrppae_Code ,;;Date (mmiddiyyyy) , j, Amount h. Required RemarlYs 4811 Certified Ch O 02/12/2018 $87.00 Filing Fee ee3ktiQ`imaton •� `,©.. sidi . ❑.. leAnoue >' [A.I?� a. Pull Name, Mailing Address & Plrone Ciliclu'decity, stale, & zip). b: Coordinated Committee Name d. or Signmasters 314 Depot St 4 B Monroe NC 28112 (704),225-0673 c.I;e�el"Registered (Specify) ❑ Federal ❑ County: .❑ state . ❑ Municipality: 'F. Election Sum tp Date $ :640:50 ;:k;`Accoant Cpd'e::� of P g. Foirn ayment : _ b. PLrpbse Code 'i •Date"{ram/drl(yyyy} ij. Annat t h Required Remarkg 4811 check b 03/21/2018 $640.50 signs A: Pa ee Info mah4lt ❑ " Ad`. ❑" `1Rem0ve, :u Fun Name, Dlailing Aridregs &'Pbmle includeci •,state,&zi b. Coordinated Committee Naaie d. Comments Austin Printing 1823 Morgan Mill Rd Monroe, NC 28110 7042891445 c I eyel Regrstered;(Specil'y) ❑ Federal ❑ County: ❑ State ❑ Municipality:o, glectlon Sum taDyfte $ 36.30 A ilccount Cole.' g. £orsii ofYagm¢xk :'b-PurggsO C,ude s'�_Dyt�{5t5mx, lSt�Fyygj} .:?ii+.4X<hNut k•4.eitu�se�S ft¢skasbs 4811 check b 04/13/2018 $36.30 cards S.Totalonl>thtsl'a e; $ 763.80 (Thisftnegoesin.line lin ofDetniledSmmmary Page CRO-IlO0if0peroting E.rpenses) ! ll. 76180 (This line goes in line 13b ofDetniled Summary Page CRO 1100 if Connib to Candidates/Political Comm) (This line goes in line 13c ofDetalled Sramnnry Page CRO -1100 if Coordinated Party Expenditures) y'P.urptlse'.Gades '(list`delatled;ekpenditute•coaem(h)'aliove _ML Ak - IVledia B* - Printing C*,- Fundraising D - To Another Candidate E - Salaries Fr -;:`Equipment G-PoliticalPm2y HF-$oldingPubltc;OfficeExpeMes - I:..:Postage J - Penalties K* - OtSee Expenses Q* -Donation to Legal Expense Fund =0* - Other *`Codes regii re tlefailed explanafIon in required remarks 1'rekl •(h) 0-1310 NC State Board of Elections December2C Annendmenl Disclosure Report Cover I ❑ Yes ® 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 Nuortier Stony Rushing for County Commissioner JJM2L7 b. Mulling Address (include City, State and Zip Code) d. Date Filed. = PO Box 1415 Monroe, NC 28111 JUL O 6 201E O e. Phone "'tuber Union Co. Board of Elections 980-722-3787 2:.ReportYmy 3. Period Simi Wit tmml 1.4. PeNual End Date mnl/ddl y) - 5.'PYewtuyer FvdI Name 2018 04/22/18 06/30/18 Stony Rushing 6. Type of Committee (Check One) 9, Type of Report (check only one h;pe ofreporl fi:om one categoij) ® Candidate Campaign ❑ Party Municipal State/County -Referendum ❑ PAC ❑ Referendum ❑ Organizational ❑ Organizational ❑ Organizational hndepcndeut Joint Fundraiser ❑ Expenditure E]❑ Thirty-fiveda )` l uarterY ❑ Pre-rcfemudrun ❑ Legal Expense Fund ❑ Pre-primary ❑ Pre-election ❑ First ® Second ❑ Final ❑ Supplemental Final 7.Type . of Fund f(fapplicable, check ane) ❑ "Booster Fund" ❑ Building Fund ❑ Pre -runoff ❑ Third ❑ Annual Send -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 11. Account Information 11: Account Information it, Financial Institution Full Name a. Financial:Inslitution hull Name First National Bank b. Purpose e. Account. Code - b. Purpose - -e. Aeeount Code 4811 d. Period Begin Balance d. Period Begin Balance.. $ $ 2529.22 C1RTIFICATION I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B, & 22,0-22M of Chapter 163 of the NC General Statutesandthat no funds are commingled with prohibited or other non=disclosed funds. 1 farther certify that this report is complete, true atxi correct and that i have been ttais ed by *& NC a to BMW of Election . Stony Rushing p Printed Name of Signer Signature of Appointed Treas ren Date FOR OFFICE USE ONLY Date Received: i D4 - Delivery Method Employee: ❑ Normal Mail Date postmarked. Date Scanned: 7 JO Employee: ❑ Registered Mall Hand Delivered Employee: Electronically Filed ❑ Signerhas not received `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,2100A-E) to make committee changes. CRO -1000 NC Slate Board of Elections August 2008 - Amendment Detailed Summary ❑ Yes ® No Use this form to summarize all disclosure reporting forms and to total monetary information. CRO -1100 NC State BoardofElections ,AOgust 2008 ilJtmittee hull Name and Fund if applicable) 2. Type of Report 3. ID Number Stony Rushing for County Commissioner vpuarter 60 JJM2L7 Start of Election Cycle Januaryl, 2015 T 'Dotal this Reportiag Period Total this Election C cic 4) Cash on Hand at Start $ 2529.22 $ 643.02 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 Ile) Outside Sources of Income lld) Legal Expense Fund — Other Sources Ile) Exempt Purchase Price Sales (CRO -1205) (CRO -1210) (CRO -4220) (CRO -1230) (CRO -1410) (CRO -1240) (CRO -1250) (CRO -1250) (CRO -1250) (CRO -1270) (CRO -1265) $ $ $ 800.00 $ 3450.00 -$ 0 $ 0 $ 0 0 $ 0 $ 0 $ 0 $ $ 0 $ 0 0 $. 0 $. 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10, Ila, 11b, 11c, lld and lle) 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) $ 800.00 $ 3450.00 $ 1088.11 $ 1851.91 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 18) TOTAL EXPENDITURES (Add lines 13a,13b,13c, 14, 15, 16 and 17) $ 1088.11 $ 1851.91 19) Cash on Hand at End (add fines 4�md l2 roecrhe�. they, snboacr lme 18) $ 224111 $ 2241.11 `ADDITIONAL(INFORM'AT10N 20) 21) 22) 23) 24 25) 26) 27) 28) Non -Monetary 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 t CQ - EiIVE� Administrative Support Forgiven Loans JUL 0.5-2 48 -Hour Notice Reports sum Union Co. Board o1 Elections Contributions to be Refunded (CRO -1330) (CRO -1430) (CRO -1610) (CRO -1620) � GRD IZ20)- (CRO -1710) (CRO -1440) (CRO -2200) (CRO -1215) $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 CRO -1100 NC State BoardofElections ,AOgust 2008 Amendment Contributions from IndividualsPg 1 of 1 ❑_ 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 JJM2L7 3. Contributor Information ® Add ❑ Remove a. Full Name, Melling Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Developer Randy Allen 7009 Whitemarsh Court Charlotte, NC 28210 (704) 552-9898�!k c. Employer's Name/Speemc Field Self r�Mac�crrw�- e. Election Sum to Date $ 800.00 f. Prior g. Account Code h. Form of Payment i. In -Kind Description J. Date (mm/dd/yyyy) k. Amount ❑ 4811 check 04/26/2018 $ 800.00 ❑ $ ❑ $ 3. Contributor Information ® Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments c. Employer's Name/Specitic Field e. Election Som to Date , $ E Prior g. Account Code h. Form of Payment 1. In -Kind Description J. Date (mm/ddlyyyy) K Amount ❑ $ ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments RECEIVED JUL 0 6 2018 Union Co, Board of ElecGor> c. Employer's Name/Specific Field e. Election Sum to Date $ f. Prior g. Account Code h. Form of Payment 1.In-Kind Description I. Date (mm/dd/yyyy) k. Amount ❑ $ ❑ $ ❑ $ 4. Total only this Page $ 800.00 5. Total of ALL CRO -1210 Pages (171 is line mars be on line 6 of Detailed Summery Page CRO -1100) � $ 800.00 CRO -1210 NC State Board of Elections April 2007 RECEIVED9 Amemlmes Disbursements , of El Yes No '.. Use this form to report expenditures from the comnittee for; operating expenses, contributions to candidate/political committees and coordinated party expenditures. 1. Committee Fall Name and Fund if applicable) Dumber Stony Rushing for County Commissioner Union Co. Board of JJM2L7 3. Type of Disbursement Pleasease se )drate CRO -1310 &rnis br e ich type ry DhvhurseilreieG ® Opriaiilg L.xylcml ❑ Ccmnaimumis In CiindidaleslPolifical CmllIDlflrCs ❑ Com'dinacd Paty LNpendlfm'es 4. Payee Information ❑ Add ❑ - Remove it. Full Name, Mailing Address& Phone include city, state, & zip) b. Coordinated Committee Name d. Comments WIXE 1700 Buena Vista Road Monroe, NC 28112 7042892525 c, Level Registered (Specify) ❑ Federal ❑ County', ❑ state ❑ Municipality e. Election Sum to Date $ 705.00 f. Account Code g. Form of Payment It. Purpose Code is Date pnmhid/yyyy) - j. Amount. It. Required Remarks 4811 Check A 04/23/2018 $500.00 Radio Ads 4811 check A 05/01/2018 $205.00 Radio Ads 4. Payee Information ; ❑ . Add ❑ Remove a. Cull Name, Mailing Address & Phone (Include city,state,&zi ). b. Coordinated Committee Name d. Comments - Marshville Rotary PO BOX 37, Marshville, NC 2810 (704) 208-4165 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ . state ❑ _Municipality c. Election Seat to Date $ 100.00 f. Account Code g. Form of Payment h. Purpose Code i, Date (rums/dd/yyyy) j. Amount It, Required Remarks 4811 check 0 04/24/2018 $100 Hole Sponsor Golf Tournament 4. Payee Information ❑ Add ❑ Remove 'a. Full Name, Mailing Address & Phone (include city, state, & zip) -- b. Coordinated Committee Name d. Comments - Stony Dwight Rushing PO Box 1415 Monroe, NC 28111 c. Level Registered (specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: c. Election Sum to Date $ 246.81 f. Aetoxim f eik 4'a'++r sst V'n w..tw5 lk Vut' Wrec Cnftr. i. WAtt mmlfSs4S xss" l $• 9 4 J7tY}..: h 4.. P.¢ mv%4 5ttwras 4.a q 4811 check A 6/28/2018 $246.81 Facebook Ads Pae 5. Total only this $ 1051.81 6. Total of ALL CRO -1310 Pages ('Chis Ii iegoes. in fine 13o of Deloileft Snfunuay Page CRO -1100 jf Operating Expenses) (This fine goes in line 13b of Detailed Snainmry Page CRO -1100 if Coalrib to Candidates/Polirieal Comm) (This fine goes in line 13e of Delailed Summary Page CRO -1100 if Coor(fioated Party 6xpeaditrires) y 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. W - Holding Public Office Expenses I - Postage -. d - Penalties -.K* - Office Expenses- Q* - Donation to Legal Expense Fund O* - Other -'" Codes require detailed explanation in required remarks field (lo CRO -1310 NU State Board of Elections December 2009 Amendment _. Disbursements Pg 2 of 2 ❑ Yes ® No Use this form to report expenditures fion the committee for; operating expenses, contributions to candidate/political committees and coordinated party expenditures. 1. Committee Full Name and Fund if applicable 2.4D Number ' Stony Rushing for County Commissioner JJM2L7 1. Tvftp- of Aisburseriont (L lease lase separate (CRO -1310 foruir Por each "true oCDisfi'nrvefuexl )'• ® Operating Expenses ❑ CatuibulionS to Candidnme/Political Cmnmitmes ❑ Coordinated Party Evpendnuru 4. Payee Information = ❑ Add ❑ Remove it. Full Name, Mailing Address &Phone? (include city, state, i tit CoordinatedCommittee Name d. Comments JUL U 6 2018 Union Co. Board of Elections c Level Registered (Specify)- ❑ Federal ❑ County ❑ State ❑ 'Municipality e; Election Sum. to Date $ f. Account Code g. Fm3n of Payment h. Purpose Code I. Date (num/dd/yyyy) :. j. Amount-: k. Required Remarks $ $ 4..Pa ecj,nf4rmafion ❑ #rid..< ❑.-,Remove a. FullNmne,. Mailing Address & Phone ' include city, state, & zip) b. Coordinated Committee Name it. Comments c. Levet Registered (Specify):. ❑ Federal ❑ County: ❑ State ❑ Municipality e.;Fleetior Stan to Date $ ' C Account Code g. Form or Payment h. Purpose Code ,' L Date (mm/dd/yyyy) j. Amount It, Required Remarks $ 4. Payee Information '' ❑ Add . ET Remove ' u. Full Name,,iMading Address &Phone: - include city, state, & zip) Ir Coordinated. Conmitlec N»me d. Comments Austin Printing 1823 Morgan Mill Rd Monroe, NC 28110 7042891445 e Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality e. Election Sam to Date $ 72.60 'f.AcconsuC—a& g.FwaisrlPAjsvmni h.PugmceCade.: [y, IYn4¢(mniPSS177SY) '. j•}.nlunni:. k.F,egnisec4uts ATA 4811 check b 05/14/2018 $36.30 cards $ 36.30 5. Total 601' this Pa e 6. Total of ALL CRR-131'0Pages (This line goes in line lin o.0etniled Su nn err Page CRO -1100 if Operating Expenses) (This lure goes in line 13b of Detailed Surnnmry Page CRO -11001f Contrib to Candidates/Polilical Conon) �' (This line goes in line 13c ofDemiled Stnnnmry Page CRO -1100 ifCoordinnted P(ir(r Evpenditures) $ 1088.11 7. Purpose Codes (List detailed expenditure code in (h)'above) A* - Media B* - Printing ':C* - Fundraising : D -1b Another Candidate E Salaries F:*-:- Equipment G - Political Party IIF -Holding Public Office Expenses 1 . Postage-; J - Penalties K* - Office Expenses 9 Q* - Donation to Legal Expense Fund :OK - Other ; *'Codesreguire detailed explanation in required remai9cs field (Ic) CRO -1310 NC State Board of Elections December 200 Amendment Dise!osure Report Cover 1 ❑ Yes ® 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 I . ;Copnpittee,Infol'Uratio_'n a. Full Name c, ID Number: Stony Rushing for County Commissioner E' JJM2L7 It; Mailing Address (include City, State and Zip Code) 'FIVED d. Date Filed PO BOX 141$ OCT 2 4 2018 4/30/2018 Monroe, NC 28111 e. Phone Number Union Co. Board of Elections 980-722-3787 i11tperi`Year 3.Per`iott"�taYtlY�he(mm/ilyiyry) t.'PeriodEUd-Date5. TreasurerFuilName -- mm/dd/) Stony Rushing 2018 07/01/18 10/20/18 6. Type of Committee (Check One) ; 9. Type of Report (check only one type ofreport f•oni one category) ® Candidate Campaign ❑ Party Municipal state/County Referendum. ❑ PAC ❑ Referendum ❑_ organaational ❑ Organizational ❑ Organizational Independent F-1 Expenditure E] Joint Fundraiser Thirty-five da ❑y Quarterly ❑ Pre -referendum ❑ Legal Expense Fond ❑ Pre-primary ❑ Pre-election ❑ First ❑ Second ❑ Final ❑ Supplemental Final 7.Type of Fund __ (ifapphcable,.check one) ❑ 'Booster Fund" ❑ Building Fond ❑ Pre -runoff ® Third ❑ Annual Semi-aonual ,❑ Fourth ,❑ Special ❑ Mid Year Semi-amuaal ❑ Other: ❑ Yew End ❑ Mid Year F t0, S eeial W Art Nagle ❑ Final ❑ Special ❑ Year &nit ❑ Final ❑ Special 8. Number of Fundraisers' this Report It. Account Information '' It. Account Information it. Financial loslitu(ion Full Nuiae _ a. Financial Institution Full Name _ Fast National Bank b. Purpose - e. Account Code 6. Purpose c. Account -Code 4911 d. Period Begin Balance ': d. Period Begin Balance " $ 2241.11 $ 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 fimds,are commingled with proli'ibited onother non -disclosed funds. I further certify that this report is complete, true and correct and that 1 have been trained bythe NC S to Board of tions. Stony Rushing 10/20/18 Printed Name of Signer Signature of Appointed Tr asur Date FOR OFFICE USE ONLY Date Received: Employee: Delivery Method ❑ Normal Mail Date postmarked: Employee:' Registered Mail Hand Delivered Date Scanned: Employee: ❑ ` Electronically Filed ' ❑ Signer has not received mandatory training, Date Data Entered: Employee: Please Note: This form cannotbe used to -amend committee information such as the committee address, troasuror, assistant treaserrer, custodian of books information, or account information. You must.amend the Statement of Organization (CRO -2100A -E) to make committee changes. CRO -1000 NC stare Board of Elections August 2008 Amendment Detailed Summary ❑ Yes ® 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 3td'Quarter JJM2,L7 Start of Election Cycle: January 1, 2018 Total this Reporting Period. Total this Election Cycle 4) Cash on Hand at Start $ 2241.11 $ 643.02 RECEIPTS 5) Aggregated Contributions from Individuals 6) Contributions from Individuals 7) Centributions.from Political Pitrty�Gommrttees 8) Contributions from Other Political Committees (CRO -1205) (OW -1210) (COO -12M) (CRO -1230) $ $ '$ 1500.00 $ 4950,00 $ 0 $ 10 $ 0 $ 0 9) 10) 12) -,_ Loan Proceeds Refunds/Reimbursements To the Committee Other Receipt Sources Ila) Interest on Bank Accounts Ilbk Contributions from Not for-Prolit Organizations Ile) Outside Sources of Income 11d) Legal Expense Fund -Other Sources (CRO -1410) (CRO -1240) (CR&I250) (Cj?&1250) (CRO -1250) (CRO -1270) $ 0 $ 0 $ 0 $ 0 ,,. _ $ 0' $ 0 $ Of $ 0 $ 0 $ 0 $ 0 $ 0 Ile) Exempt Purchase Price Sales (CRO -1265) $ 0 $ 0 12) 13) 14) TOTALRECEIPTS (Add lines 5, 6, $ 8, 9, 10, Ila, llb, 11c, lld and Ile) Disbursements 13a) Operating Expenditures (CRO -1310) 13b) Contributions to Candidates/Political Committees (CRO -1310) 13c) Coordinated Party Expenditures (CRO -1310) AggregatectNon�Media=Expenditures (CROF315) $ $ 1500;00 1375.41 $ $ 4950:00 3227.32 $ 1000.00 $ 1000.00 $ 0 $ 0 $ 0- $ a 15 16) 17) Loan Repayments Refunds/Reimbursements From the Committee In -Kind Contributions (CRO -1420) (CRO -1320) (CRO -1510) $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 18) TOTAL.-EXPENDITURE',S(Add lines l3a,73b,13c.1415,16and 17) $ 237SAl $ 4227.32 19) Cash,onHand at End (Add lines 4 and Il loge(bert dies sn6aaa line 18) $ 1365.70 $ 365.70 20) 21) 22) - - ---------------- 23} 23} 24) 25) -------------- 26) 27) 2'8) 1Z�VltNT10-N' Non -Monetary 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 the Committee Administrative Support RECEIVE _-------------- - --- --- Forgiven Loans OCT 2 4 2018 48 -Hour Notice Reports Sum Contributions to be RefuCo. Board of Elections t elw (CRO -1330) (CRO -1430) (CRO -1610) (CR04620) (.CR0.1720) (CRO -1710) - --- (CRO -1440) (CRO -2200) (, f9?0 1215) $ 0 - $ 0 $ 0 $ 0 r..,,. $ 0, $ 0 $ U $ 0 $ 0 $ 0 $ 0 $ 10 $ '0 =CRO -1100 NC State Board ofEleofions August 2008 Amendment Contributions from Individuals Pg i of 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 (ant! Fund if applicable) —21D Number Stony Rushing for County Commissioner JJM2'L7 '-3. ContribuYol•Atf61;^tafatiou Q:,. Add -❑ RenioVe - a. Full Name, Mailing Address Phone (include city, state, &.zip) b. Job Title/Profession it. Comments Attorney James Allen Lee PO Box 588 Monroe -NC 28+11 7042894577 c. E'mployer's Name/Specific Field Helms Robinson Lee & Bennett a Liettion'Sum to Date 500:00 f. Prior g. Account Code b. Form of Payment 1. In -Kind Description ;j. Date (mm/dd/yylp) - h, Amount ❑ 4811 check 08/07/2018 $ 500.00 ❑ $ ❑ S 3. Conti-butov luformatimt ' © Add ❑ Remove a. FmfName, Moiling Address & Phone (include city, s(ate,&zip) - b.,loh Title/Profession it. Comments Owner Carl Focliler 8204 Sunset Hill Rd Waxhaw NC 28173 c. Employee's Name/Specific Field Country -Roads of Carolinas -e Election Sum to Date $ 250 E Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mitt/dd/yyyy) k. Amount ❑ 4811 check 08/07/2018 $ 250.00 ❑ $ 3. Contributor- lnformi tion - ❑ Add ❑ Remove - a. Pull Name, Moiling Address &Phone (include city, state, &zip) b. Job Title/Profession it. Comments owner Ronald G Hinson 2200 Stafford St Monroe, NC 28110 c_. Employer's Name/Specific Field Hinson Electric t. Election Som to Date $ 200.00 b Prior -::: g. Account Code b. Form of Payment i. In -Kind Description `'.j. Date (mm/rid/yyyy) h: Amount ❑ 4811 check R EC E lVE 1_L 08/20/2018 $ 200.00 'T7 2018 $ ❑ $ 4. Total only this Page $ 950.00 5. Total of ALL CRO -1210 Pages $ 1200.00 (T16s line nmst be on line 6 of Delniled Sim mory-Page CRO -1100) CRO -1210 NC Slate Board of Elections April 2007 Amendment Contributions from Individuals Pg z of z ❑ Yes ® No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee FullName(and Fund if applicable) 2. W Number - Stony Rushing for. County Commissioner JJM2'L7 3, Contrik�i)fol Llfot�mation ! Add [� Retuoue. a. Full Name, Mailing Address & Phone (include city, state, & zip) It. Job •ritle/Profession it, Comments Owner John Nance Hendley 2614 Rolling Hills Df Monroe, NC 28110 7042213355 - c. Employer's Name/Speciae Field Brewer Hendley'Oil e, Election Sam to Date $ 500,00 -' f. Prior g. Account Code b. Form of Payment 1. In -Kind Description j. Date (mm/dd/yyyy) Ii. Amount ❑ 4811 check 09/06/2018 $ 500.00 ❑ $ 3.ContritiutarIrtforritatiolr ® 7-77 ;Add ❑ Itetnoue^ a. Full Name, Mailing Address & Phone (include city, state, & zip) It, Job Title/Profession it. Comments Retired Clyde N. Davis Jr 8834 Wingard Rd Washaw, NC 28173 c. Employer's Name/Specific Field v. Flecuon'sum to Date $ 50.00 I. Prior g. Account Code It, Form of Payment i. In -Kind Description `, j. Date (mm/dd/),yyy) k. Amount ❑ 4811 check 10/01/2018 $ 50.00 ❑ $ ❑ $, 3.Contrlbuto"rInformation ❑ "Add ❑ Remove *a. Fall Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession it. Comments c. Cmployer's Name/Specific Field e.blecdou Sum to bate $ =C Prior -, g. Account Code h. Fol§n of P 1Yt .^T -Da a• ption -.j. Date (m'm/dd/yyyy) k. Amount ❑ 2018 $ ❑ $ ❑ $, 4. Total only this Page $ 550.00 5. Total of ALL CRO -1210 Pages (This title meet heon line 0 of Detailed Srunmarl, Page CRO -1700) -� $ 1200.00 CRO -1210 NC Stale Board of Elections April 2007 Amendment Disbursements Pg 1 of 3 ❑ 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 Full- Nflme antt, Fund if a' ticable) , 2. I,G NumbeY• Stony Rushing for County Commissioner JJM2L7 X17 eofDisbm•semet)t /'Iensemese araleC'RO=7370 oomi farenc/r!'i eo Disliersanlenl. ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Pitee Information ❑ Add ❑ ' Remove a. Full Name, Mailing Address & Phone include city, statc, & zip) b. Coordinated Committee Name d. Comments Walmart 2406 W Roosevelt Blvd, Monroe, NC 28110 c bea•el Registered (Specify). . ❑ Federal ❑ County: ❑ state ❑ Municipality: e. -,Election Sum to `Date $ 101.98 -.f. Account Code g. Form of Payment, It. Purpose Code -ii. Date (mm/dd/yyyy) '_ j, Amount---: k. Required Remarks 4811 Check o 07/04/2018 $101.98 Parade candy and supplies $ 4. Pa ec,-Information " ❑ Add El Remove q. Fall Name, Mailing Address & Phone - (include city, state, & zip) `- b. Coordinated Committee Name d. Commons Tractor Supply 1010 W Roosevelt Blvd 42816 Monroe, NC 28110 c Level Registered (Specify) _ ❑ Federal ❑ County: ❑ state ❑ Municipality. M Election Sum to bate $ 205.70 E Account Code g. Form of Payment- It. Purpose Code -i. Date (nnnIdd/yyyy) j. Amount. It, Required Remarks 4811 check f 09/11/2018 $205.70 Sign Posts and Driver $ 4:Pay.L,e I>lformation ;; ❑ Add ❑ -'. Reo ve, a, Fall Name, Mailing Address& Phone `. (include city, state, & zip) '. b. Coordinated Committee, Name d. Comncots Hilltop 1602 E Roosevelt Blvd Monroe, NC 28112��j�V V V 10% C` �� <1'�eG�0 c :Level Registered (speeity). E]Federal El County: State E] Municipality: c. TSlection Stan to Date $ 192.30 "f. Accmmt Code g. Form -of Payment' rrpose':Code h, Dole (mmfdd(yyyy) :: j. Amouxt -- •k, (lztinired Remarks 4811 checkV�'o \1 c 08/23/2018 $192.30 Fundraising Breakfast $ 499x98 5; Totalonl this Pae 6. Total o£AI.I, CT20 l Page's (This fine goes inline 13a of Detalled.Sammary Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Detailed Sumamry Page CRO -1100 ifContrib to Candidates/Political Coann) (This line goes in line 13c of Detailed Sunnnary Page CRO -1100 if Coordinated Party Expenditures) I s 2375.41 7. Purpose Codes (fast detailed, expenditure code in (h),above) iA* - Media: - B* - Printing C* - Fundraising D - To Another Candidate E - Salaries F* - Equipment G - Political Party W -Holding Public Office Expenses - ]'.- Postage::, '. J - Penalties --.K* - Office Expenses Q*- Donation to Legal Expense Fund O* -,Other -. Codes e:'uire detailed ex IapTtion in'regttired remai`Its field (It) " CRO -7310 NC State Board of Elections Deceniber2009 Amendment Disbursements Pg 2 of 3 ❑ Yes ® No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political committees and coordinated party expenditures. f Committee Fut1.Nome and Fund if applicable) 2, lid NAmber Stony Rushing for County Commissioner JJM21-7 3. T e of Disbursement PIeq,4i aee) isarnle CR'6-13'10 oh4N hr enc/i "i d a DlstiGrselnein. ® Operating Expenses ❑ Contributions toCwididates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information ❑ Add ❑ ' Remove a. Full Name, Mailing Address & Phone. -: include city, state, & zip) h: Coordinated Committee Name it. Comments C. Level Registered (Specify) -'.. ❑ Federal ® County: ❑ state ❑ Municipality: e. Election Sum to Date $ (.'Account Code g. Form of Payment` h. Purpose Code —Ti. Date (am/dd/}yyy) j. Amount Ic. Required Remarks $ $ 4. Payee Information` ❑ Add 7❑ Removs a. Full Name, Mailing Address & Plimic include city, state, & zip) -. b. Coordinated Committee Name d. Comments Signmasters 314 Depot St # B Monroe NC 28112 (704) 225-0673 caevel Registered (Specify) ❑ Federal ❑ County: ❑ state ❑ Municipality: T. Election Sam to Date $ 1515:85 C Account Code g. Form of Payment It. Purpose Code 'i. Date (mm/dd/yyyy) <. j, Amount-- - k. Required Remarlis 4811 check b 09/14/2018 $875.35 Signs $ 4i Pa ee In('orntatiotf ❑ "Add ❑ - Remove: 'a. Full Name, Mailing Address &Phone --. (include city, state, & zip) b. Coordinated Committee Name it. Comments Ft GeiVE- OCT 2 4 2018 Board of Elections C bevel Registered (Specify) - ❑ Federal ❑ County: ❑ State ❑ Municipality: c. Election Sum to bate $ f.Aeeouon code g. Form of Payment' h Parpose Code i, nine (mmldd(yyyy) j. Amount k, Required Remarks $ $ 5 Total o1fly thjs PO e' $ 875:35 G: Total of ALL CRO -1310 Pages: (This line goes in. line 13a of DetailedSunimary Page CRO4100 if, Operating Expenses) (This fine goes in line 13b of Detailed Smnnrary Page CRO -1100 if Contrib to Caudidates/PoOrical Comue) (This line goes in line 13e of Detailed Summary Page CRO -1100 if Coordinated Party E.tpendirui s) ' S 2375.41 7, Purpose Codes (List detailed, expenditure code in (h) above) '.A* Media - - W - Printing Cl- - Fundraising -. D - To Mother Candidate E - Salaries F*.- Equipment G - Political Party H* -Holding Public Office Expenses _ I - Postage.,. '' J -.Penalties K* - Office Expense's - Q*- Donation to Legal Expense Fund -::O* - Other Gbdos requit'e.tletuiled ex lanlition in regliretl remarlts field, k) CRO -1310 NC State Board of Flections December 2009 } Amendment Disbursements Pg of 3 ❑ Yes ® No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political committees and coordinated party expenditures. t. Committee f'lt1l'hlame arid .Finjil if a l cable 2.I1I NulnbeT - Stony Rushing for County Commissioner JJM2L7 3: T e ofDisburseptent Plitlrse nae se`ir ale CnU�l'3I0 bank bf edch t l e o DisbYrselueltl; ❑ Operating Expenses ® Contributions toy Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information ❑ Add ❑ ' Remove a. Full Name, Mailing Address & Phone -.(include city, state, & zip) b. Coordinated Committee Name d. Coin stents Union County Republican Patty Union County Republican Party POB 2172 Indian Trail NC 28079 e Level Registered (Specify):: ❑ Federal ❑ County: N State ❑ Municipality C. Election Sam to Date $ 1000.00 L: Account Code g. Form of Payment` b. Purpose Code 1. Date (mm/dd/yyyy) j. Amount - k. Required Remai lo; 4811 check g 10/10/2018 $1000.00 $ 4.Pa eeltifneination - ❑, Add, ❑ ; %emote;.-- a. Full Name,. Mailing Address & Phone -include city,state,&zi) -. b, Coordinated Committee Name it. Comments c. Level Registered (Specify) -. ❑ Federal ❑ County: ❑ stme ❑ Municipality: e. Election"Sum to Date $ 'f Account Code g. Form of Payment':. It. Purpose Code >i. Date (mm/dd/yyyy) '. j. Amount :` k. Required Remarks $ $ 4. Payee Information - ❑ Add ❑ Remoue a. Full Name, Nfi iling Address & Phone - (include city, st i ,state &zi b. Coordinated Committee Name it. Comments WtLIVLD 1, p OC 1' 2 R 208 OCT Union Co. Board of Elections c. Use] Registered (Specify)' ❑ Federal ❑ County: state ❑ Municipality: _ x. Tlection$unrto Dnte $ f. Account Code g. Form of Payment h. PurposefCode 'ri, Da'te (mmfdd/yy") j. Amount R. Required"Remflrks 4811 check $ Total only thisPa p $ 1000;00 6. Total of ALL CRO `131 Q Pages (This fire goes in line 13m ofiDetatledStrmrnary Page CRO-I100if Operating Expenses) (This line goes in line 13b of Detailed Snuattrtry Ptrge CFO -1100 ifCoittrib to Candidates/Political Canine) $ 2375.41 (This line goes in line 13e of Detailed Summary Page CRO -1100 if Coordinated Party Expenditto 7.. Purpose Codes (List detailed expenditure' code in (h;) above) A* - Media - B* - Printing Ci - 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 regnjre detailed ex latlnion ln.reglirecl rot ylrks fjelll 1) CRO -1310 NC State Board of Elections December 2009 Amendment Disclosure Report Cover I ❑ Yea N 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. to Number Stony Rushing for County Commissioner JJM2L7 b. Mailing Address (include City, State and Zip Code) it. Date Filed PO Box 1415 1/15/2019 Monroe, NC 28111 e. Phone Number 980-722-3787 2. Report Year 3. Period Start Date (mm/dd/yy) 4. Period End Date (mni/dd/yvl 5. Treasurer Full Name 2018 10/21/2018 12131/2018 Stony Rushing 6. Type of Committee (Check One) 9. Type of Report (check only one type of report from one category N 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 ❑ Pre-election ❑ First ❑ Second ❑ Final ❑ Supplemental Final 7. Type of Fund (if applicable, check one) ❑ 'Booster Fund" ❑ Building Fund ❑ Pre -runoff ® Third ❑ Annual Semi-annual ® Fourth ❑ Special ❑ Mid Year Semi-annual ❑ Other: ❑ Year End ❑ Mid Year 10. Special p Report Name ❑ 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 a Account Code b. Pur c. Account Code 4811 .IAN 15 2019 d. Period Begin Balance it. 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, 8c 22D -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 t have been trained by the NC Stony Rushing to Board of ElectioS! cTi ' 14 Printed Name of Signer Si ature of Appointed T •asu 'r Date FOR OFFICE USE ONLY Date Received: Employee: Delivery Method ❑ Normal Mail Date Postmarked: Employee: Date Scanned: to I /Im//9 Employee: ❑ Registered Mail ® Hand Delivered ❑ 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-2100A-E)to make committee changes. CRO -1000 NC State Board of Elections August 2008 Amendment .Detailed Summary ❑ Yes ® No Use this form to summarize all disclosure reporting forms and to total monetary information. 1. Committee Full Name(and Fund if a licable 2.Typeoflteport 3. ID Number Stony Rushing for County Commissioner 4th Quarter JJM2L7 Start of Election Cycle: January 1, 2018 Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start S 1365.70 $ 643.02 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 lo) Refunds/Reimbursements To the Committee 11) Other Receipt Sources Ila) Interest on Bank Accounts llb) Contributions from Not -for -Profit Organizations Ile) Outside Sources of Income 11 d) Legal Expense Fund — Other Sources 11 e) Exempt Purchase Price Sales (CRO -1205) (CRO -1210) (CRO -1220) (CRO -1230) (CRO -1410) (CRO -1240) (CRO -1250) (CRO -1250) (CRO -1250) (CRoa270) (CRO.1265) $ 0. $ $ 0 $ 4950.00 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10, Ila, Ilb, 11c, lmand Ile) $ 0 $ 4950.00 EXPENDITURES_ 13) Disbursements 13a) Operating Expenditures 13b) Contributions to Candidates/Political Committees 13c) Coordinated Party Expenditures 14) Aggregated Non -Media Expenditures 15) Loan Repayments 16) Refunds/Reimbursements From the Committee 17) In -Find Contributions (CRO -1310) (CRO -1310) (CRO -1310) (CRO -1315) (CRO -1420) (CRO -1320) (CRO -1510) $ 633.42 $ 3860.74 $ 0 $ 1000.00 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 18) TOTAL EXPENDITURES (Add lines 13a, 13b, Be, Id. 15,16and 17) $ 633.42 $ 4860.74 19) Cash on Hand at End (Add lines 4 and 12 together. then subtract Hire 18) $ 732.28 $ 732.28 ADDITIONAL INFORMATION x 20) Non -Monetary Gifts Given to Other Committees 21) Outstanding Loans (incl. ones from other campaigns) 22) Debts and Obligations owed By the Committee 23) Debts and Obligations owed To the Committee 24) Account Transfers Within UP i eEIVED 25) Administrative Support JAN 15 2019 . 26) Forgiven Loans 27) 48 -Hour Notice Reports SUm iOn Co. Board of Elections 28) Contributions to be Refunded (CRO -1330) (CRO -1430) (CRa1610) (CRO -7620) (cRo-1720) (CRO -1710) (CRO -1440) (cRo-2200) (CRO -1215) $ $ $ $ $ $ 0 0 0 0 0 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 CRO -1100 NC State Board of Elections August 2008 Amendment Contributions from Individuals Pg I of 1 ❑ 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 a ticable) 2. ID Number Stony Rushing for County Commissioner JJM2L7 3. Contributor Information ® Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments c. Employer's Name/Specific Field e. Election Sam to Date $ E Prior g. Account Code h. Form of Payment i. In -Kind Description j. Dale (mmlddlyyyy) k. Amount ❑ $ ❑ $ ❑ $ 3. Contributor Information ® Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Procession d. Comments Retired a Employer's Name/Specific Field e. Election Sum to Date $ f. Prior g. Account Code It. Form of Payment i. In -Kind Description j. Date (mmldd/yyyy) k. Amount ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, stat ) b. Job Title/Profession d. Comments iB \.,JrZlvtu JAN 15 2019 Union Co. Board of Elections c. Employer's Name/Specific Field e. Election Sum to Date $ E Prior g. Account Code It. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ $ ❑ $ ❑ $ 4. Total only this Page $ 0 5. Total of ALL CRO -1210 Pages (This line mast he on line 6 of Delailed Swo"Wrr Page CRO -1100) $ 00 CRO -1210 NC State Board of Elections April 2007 Amendment Disbursements Pg I of I ❑ Yes ® No Use this form to report expenditures fiom the committee for; operating expenses, contributions to candidate/political committees and coordinated party expenditures. 1. Committee Full Name and Fund if applicable 2. ID Number Stony Rushing for County Commissioner I JJM2L7 3. Type of Disbursement Please use separate CRO -1310 forms for eacit type of Disbursement) ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information Add ❑ Remove a. Full Name, Mailing Address & Phone include city, stat & zip) b. Coordinated Committee Name d. Comments Evelyn Cox 6823 WOLF POND RD Monroe, NC 28112 7047647852 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Date $ 500.00 f. Account Code g. Form of Payment b. Purpose Code i. Date (mm/dd/yyyy) j. Amount L Required Remarks 4811 Check A 11/15/2018 $500.00 Photography 4. Payee Information - ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments Signmasters 314 Depot St #B Monroe NC 28112 7042250673 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Date $ 1569.23 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) J. Amount k Required Remarks 4811 check B 11/16/2018 $53.38 Door Magnets 4. Payee Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Coordinated Committee Name d. Com s Union Co. Board of Elections Officemax 1030 W Roosevelt Blvd Monroe, NC 28110 (704) 226-9977 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Date $ 80.04 f. Account Code g. Form of Payment b. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks 4811 1 check b 10/26/2018 $80.04 Editing program 5. Total only this Pae $ 633.42 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Swunwa r Page CRO -1100 if Operating E.ipeuses) O-1100 Contrib to Cane idates/Politieal Cama) (This Rnegoes in fine 13b of Detailed Sanmmry Page CRtf (This line goes in line 13c of DetailedSummaty Page CRO -1100 if Coordinated Party Expenditures) $ 633.42 7. Purpose Codes (List detailed expenditure code in (h.) above) A* - Media B* - Printing C* - Fundraising D -'i'o 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 k ' CRO -1310 NC State Board of Elections December 2009 PTH CAR ELECTIONS Certification of Inactive Status This certification is used by Candidate, Party, PACs and Referendum Committees to declare their intent to be inactive, which is not raising or spending any money on behalf of the campaign. This Certification is filed at the Board of Elections office where the committee's campaign reports are flied. FILED BY: Committee Name: Treasurer Name: Treasurer Address: (include city, state, & zip) M.)'nrr2e -A /6,'AfI/ I Treasurer Phone: 9kU -7212r 37r? I certify that the above named candidate/political committee intends to receive no contributions, nor make any expenditures, until the committee resumes activity. I understand that if the above circumstances change, it will be necessary for the person responsible for filing financial disclosure reports to file an amended Statement of Organization and the Certification to Return to Active Status form (CRO -3300) within ten days. Date Signed Signature G'3C�GG�fJ�D MAU 6 2019 Unio Co, Elections CRO -3200 Certification oflnactive Status