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Teague,Charles_2022-1st-qtr-amended-pagesAmendment Disclosure Report Cover , . o No Use this form for general report and committee information, must he signed and submitted along with thci dctallcd ILrnn. Do not use this Rmn to undutc inlirnnuilon. 1 Committee Information a.Full Name c. ID Number tornmtlt d Eled 1" l,aG Por 1 �ef-k d U /M l b. Mailing Address (Include City, State and Zip Code) it. Date Filed QU Camera%on 0'7 -/Z-Z?- �rCdurt Mon roc i C' 018 112, e. Phone Number r7o4-567 014q 2. Report Year 3. Period Start Date (mn✓ddtyy) 4. Period End_Datehmydd yy) 5. TceasurerFull _Name 22 `t Jilie Wiens '&l 14:1 6.: Type of Cmmnittee (Check One) 9. Type of Report '(checkartly o` pe(ireport front one category) Candldatc Cainp'aien ❑ 1'any Municipal State/County Referendum ❑ PAC ❑ Referendum ❑ Organizational ❑ Organizational ❑ Organizational ❑ Independent Expenditure Q Joint Fundraiser ❑ Thirty-five dayry1 Quarterly [3r Preferendum ❑ Legal Expense Fund ❑ Pre-primary L_7 First [3Final ❑ Pre-election ❑ Pre -runoff ❑ Second ❑ Third ❑ Supplemental Final ❑ Annual i. Type of Fund ` (if appiirnhle, cheek ,ne) ❑ Booster Fund Semi-annual ❑ Fourth ❑ Special ❑ Building Fund ❑ Mid Year Semi-annual ❑ Year End ❑ Mid Year 10. Special Report Name ❑ Other ❑ Final ❑ Special ❑ Year End ❑ Final S. Number of Fundraisers this Report _.. _01 ❑ Special 11. Account Information 11. Account Ltformation'% a. Financial Institution Full Name a. Financial Institution Fldl Name I-Ir5t t e—n5 b. Purpose C. Account Code b. Purpose c. Account Code oheaA Ing Reeoun t W6 Pt) r L10 rn m i Ift—j-- d. Period Begin Balance d. Period Begin Balance $ CERTIFICATION I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B & 22D -22M of Chapter 163 of the NC General Statutes and that no funds are commingled with prohibited or other non -disclosed funds. I further certify that this report is complete, true and correct and that I have been trained by the NC State Board of Elections. Rmended- Tulle 0.B.rinkkw tip - 'a -A6 ;'Z Printed Name of Signer Signature of Appointed Tneasther Date FOR OFFICE USE ONLY Date Received: Employee: Delivery Method ❑ Normal Mail Date Postmarked: Employee: ❑ Registered Mail ❑ Hand Delivered Date Scanned: Employee: ❑ Electronically Filed Date Data Entered: Employee: ❑ Signer has not received 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 snake committee changes. CRO -1000 NC State Board of Elections August 2008 A�/4,endment Detailed Summary Q] yes ❑ No I Ise this form to summarize all disclosure renortine forms and to total monetary information 1. Committee Full Name (and Fund if applicable) COtAM i fee tiledTea u.-76-6er 2. Type of Report 3. ID Number D TM 9 (E Start of Election Cycle: January 1, o I Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start $ 1, $ RECEIP'T'S 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 Comndttee 11) Other Receipt Sources lla) Interest on Bank Accounts 11b) Contributions from Not -For -Profit Organizations Ile) Outside Sources of Income 11d) Legal Expense Fund -Other Sources Ile) Exempt Purchase Price Sales (CRO -1205) (CRO -1210) (CRO -1220) (CRO -1230) (CRO -1410) (CRO -1240) (CRO -1250) (CRO -1250) (CRO.1250) (CRO -1270) (CRO -1265) $ �p S $ / 8 . d 5 $ q 3 d $ , 5 eo $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 12)TOTAL RECEIPTS (Add lines 5, 6,7, 8, 9,10,1 la,l lb,l lc,l Id and l lel$ 438U.05 I $ 5414.65 EXPENDITURES 13) Disbursements 13a) Operating Expenditures 13b) Contributions to Candidates/PoUtical Committees 13c) Coordinated Party Expenditures 14) Aggregated Non -Media Expenditures 15) Loan Repayments 16) Refunds/Reimbursements from the Committee 17) In -Kind Contributions (CRO -1310) (CRO -1310) (CRO -1310) (CRO -1315) (CRO -1420) (CRO -1320) (CRo-1510) $ $, $ $ $ $ $ $ $ ICEIVEr $ $ $ 3 01.30 $ 451A.86 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $ 319 I . B0 $ 4 5 5J • f3O 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18 $ 34-8 A13 $ ,(oJ ADDITIONAL INFORMATION 0) Non -Monetary Gifts Given to Other Committees 1) Outstanding Loans (incl. ones from other campaigns) 2) Debts and Obligations owed by the Committee 3) Debts and Obligations owed to the Committee 4) Account Transfers Within the Committee 5) Administrative Support 6) Forgiven Loans 7) 48 -Hour Notice Reports Sum 8) Contributions to be Refunded (CRO -1330) (CRO -1430) (CRO -1610) (CRO -1620) (CRO -1720) (CRO -1710) (CRO -1440) (CRO -2220) (CRO -1215) $ $ $ $ $ $ $ $ $ $ $ $ $ CRO -1100 NC State Board of Elections Auena Sons C/) � �� 51,q1zdJ Aggregated Contributions from ttj ad d1 -OM * W- AAf-V A PjiLted e td q 13017z,Amendment Individuals Page _ of _ ® les ❑ No 1. Committee Full Name (and Fund if applicable) 2. ID Number Comrn& e 16 E est C uekTfa QC -Cr clerk E 3. Contributor Information a. Amend b. Account Code c. Form oof Payment d. Io -Kind Description a Date (mm/dd/yyyy) L Amount CI /SIG (�� �� �Z%i '7 $ ` 8, oK Add ❑ Remove /CO Add $ ❑ Remove Add - ❑Remove Remove Add $ ❑ Remove Add $ ❑ Remove Add $ ❑ Remove Add $ ❑ Remove Add $ ❑ Remove Add $ ❑ Remove Add $ ❑ Remove Add $ ❑ Remove Add $ ❑ Remove Add $ ❑ Remove Add $ ❑ Remove Add $ ❑ Remove Lj Add $ ❑ Remove Add $ ❑ Remove Add ❑ Remove w COUNTY Add $ ❑ Remove Add $ ❑ Remove Add $ ❑ Remove Add $ ❑ Remove Add $ ❑ Remove 4. Total only this Page $ 5. Total of ALL CRO -1205 Pages $ (This line must be online S of Detailed Summary Page CRO -1 /00) CRO -1205 NC State Hoard of Flections March 2003